scholarly journals Facial Emphysema following Closure of Oroantral Fistulae

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Muhammad Aiman Mohd Nizar ◽  
Syed Nabil
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Trauma Surgery ◽  
Clinical Findings ◽  
Surgical Decompression ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Close Observation ◽  
Oroantral Communication

Subcutaneous emphysema (SE) is a swelling which develops due to air entrapped underneath the subcutaneous tissue and facial planes causing distention of the overlying skin. SE can develop due to trauma, surgery, or infection. The diagnosis of SE is mostly based on clinical findings of crepitation upon palpation of the swelling. Once diagnosed, SE is usually managed by close observation and in some cases may require surgical decompression and antibiotic prophylaxis. We report a rare case of SE of the left malar which developed following closure of oroantral communication using the buccal fat pad.

scholarly journals Tratamento de fístula bucosinusal após exodontia com corpo adiposo da bochecha e retalho vestibular em paciente diabético: relato de caso

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Rodrigo Capalbo-Silva ◽  
Hiskell Francine Fernandes e Oliveira ◽  
Henrique Hadad ◽  
Bruno Coelho Mendes ◽  
Breno dos Reis Fernandes ◽  
...  
Keyword(s):  
Advancement Flap ◽  
Rational Approach ◽  
Collagen Membrane ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Posterior Teeth ◽  
Oroantral Fistula ◽  
Surgical Options ◽  
Odontogenic Sinusitis ◽  
Oroantral Communication

A comunicação bucosinusal trata-se da comunicação não natural da cavidade bucal com o seio maxilar, estando muitas vezes relacionada a extração dos dentes superiores posteriores. A literatura apresenta diversas opções de tratamento para esses casos, entre eles o fechamento com o retalho pediculado com o corpo adiposo bucal. O objetivo deste trabalho foi relatar um caso de fístula bucosinusal em paciente diabético, discutindo alternativas cirúrgicas correlacionadas com problema sistêmico do paciente e características locais do defeito. Paciente do sexo masculino, 55 anos de idade, com histórico de dez dias de exodontia do elemento 27, com queixa de passagem de ar ao meio bucal através do sítio cirúrgico. Com base nos exames, o diagnóstico definitivo foi de comunicação bucosinusal, sendo estipulado o tratamento cirúrgico para o fechamento da comunicação através de duas camadas com o corpo adiposo da bochecha seguido do retalho vestibular. No acompanhamento de 8 meses e meio o paciente não apresenta queixas e pode-se observar o fechamento completo da comunicação bucosinusal. O retalho pediculado do corpo adiposo bucal seguido do retalho vestibular mostrou-se efetivo no tratamento da fístula bucosinusal em paciente diabético controlado.Descritores: Fístula Bucoantral; Cirurgia Bucal; Diabetes Mellitus.ReferênciasLozano-Carrascal N, Salomó-Coll O, Gehrke SA, Calvo-Guirado JL, Hernández-Alfaro F, Gargallo-Albiol J. Radiological evaluation of maxillary sinus anatomy: A cross-sectional study of 300 patients. Ann Anat. 2017;214:1-8.Jang JK, Kwak SW, Ha JH, Kim HC. Anatomical relationship of maxillary posterior teeth with the sinus floor and buccal cortex. J Oral Rehabil. 2017;44(8):617-25. Khandelwal P, Hajira N. Management of Oro-antral Communication and Fistula: Various Surgical Options. World J Plast Surg. 2017;6(1):3-8.Parvini P, Obreja K, Begic A, et al. Decision-making in closure of oroantral communication and fistula. Int J Implant Dent. 2019;5(1):13.Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J. 1991;70(8):488-90.Al-Juboori MJ, Al-Attas MA, Magno Filho LC. Treatment of chronic oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report. Clin Cosmet Investig Dent. 2018; 10:245-49.Kiran Kumar Krishanappa S, Eachempati P, Kumbargere Nagraj S, Shetty NY, Moe S, Aggarwal H et al.  Interventions for treating oro-antral communications and fistulae due to dental procedures. Cochrane Database Syst Rev. 2018;8(8):CD011784. Darr A, Jolly K, Martin T, Monaghan A, Grime P, Isles M et al. Three-layered technique to repair an oroantral fistula using a posterior-pedicled inferior turbinate, buccal fat pad, and buccal mucosal advancement flap. Br J Oral Maxillofac Surg. 2018;56(7):638-39.Parvini P, Obreja K, Sader R, Becker J, Schwarz F, Salti L. Surgical options in oroantral fistula management: a narrative review. Int J Implant Dent. 2018;4(1):40. Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J. 1991;70(8):488-90.Borgonovo AE, Berardinelli FV, Favale M, Maiorana C. Surgical options in oroantral fistula treatment. Open Dent J. 2012;6:94-8.Ribeiro FS, de Toledo CT, Aleixo MR, Durigan MC, Silva WC, Bueno SK et al. Treatment of Oroantral Communication Using the Lateral Palatal Sliding Flap Technique. Case Rep Med. 2015;2015:730623.Erdoğan O, Esen E, Ustün Y. Bony palatal necrosis in a diabetic patient secondary to palatal rotational flap. J Diabetes Complications. 2005;19(6):364-67.Tideman H, Bosanquet A, Scott J. Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg. 1986;44(6):435-40.Yang S, Jee YJ, Ryu DM. Reconstruction of large oroantral defects using a pedicled buccal fat pad. Maxillofac Plast Reconstr Surg. 2018; 40(1):7.Raldi FV, Sardinha SCS, Albergaria-Barbosa JR. Fechamento de comunicação bucossinusal usando enxerto pediculado com corpo adiposo bucal. BCI. 2000;7(25):60-3.Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R. Closure of oroantral communications with Bichat's buccal fat pad. J Oral Maxillofac Surg. 2009;67(7):1460-66.Batra H, Jindal G, Kaur S. Evaluation of different treatment modalities for closure of oro-antral communications and formulation of a rational approach. J Maxillofac Oral Surg. 2010;9(1):13-8. Weinstock RJ, Nikoyan L, Dym H. Composite three-layer closure of oral antral communication with 10 months follow-up-a case study. J Oral Maxillofac Surg. 2014;72(2):266.e1-266.e2667.Candamourty R, Jain MK, Sankar K, Babu MR. Double-layered closure of oroantral fistula using buccal fat pad and buccal advancement flap. J Nat Sci Biol Med. 2012;3(2):203-5.

scholarly journals Subcutaneous Emphysema, Pneumomediastinum, Pneumoretroperitoneum, and Pneumoscrotum: Unusual Complications of Acute Perforated Diverticulitis

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
S. Fosi ◽  
V. Giuricin ◽  
V. Girardi ◽  
E. Di Caprera ◽  
E. Costanzo ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Clinical Findings ◽  
Perforated Diverticulitis ◽  
Alveolar Wall ◽  
X Rays ◽  
Radiological Imaging ◽  
Upper Airways ◽  
Surgical Exploration

Pneumomediastinum, and subcutaneous emphysema usually result from spontaneous alveolar wall rupture and, far less commonly, from disruption of the upper airways or gastrointestinal tract. Subcutaneous neck emphysema, pneumomediastinum, and retropneumoperitoneum caused by nontraumatic perforations of the colon have been infrequently reported. The main symptoms of spontaneous subcutaneous emphysema are swelling and crepitus over the involved site; further clinical findings in case of subcutaneous cervical and mediastinal emphysema can be neck and chest pain and dyspnea. Radiological imaging plays an important role to achieve the correct diagnosis and extension of the disease. We present a quite rare case of spontaneous subcutaneous cervical emphysema, pneumomediastinum, and pneumoretroperitoneum due to perforation of an occult sigmoid diverticulum. Abdomen ultrasound, chest X-rays, and computer tomography (CT) were performed to evaluate the free gas extension and to identify potential sources of extravasating gas. Radiological diagnosis was confirmed by the subsequent surgical exploration.

scholarly journals Traumatic Herniation of the Buccal Fat Pad

2019 ◽  
Author(s):  
Reza Erfanian ◽  
Saeed Shakiba ◽  
Mohammad Sadeq Najafi ◽  
Saeed Sohrabpour
Keyword(s):  
Adipose Tissue ◽  
Young Children ◽  
Malignant Tumor ◽  
Rare Case ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Masseter Muscles

Buccal Fat Pad is an encapsulated mass of adipose tissue located within the buccal facial spaces, between the buccinator and masseter muscles. Intraoral traumatic herniation of Buccal Fat Pad, often seen in young children, has been reported as a rare case. In this report, we present a case of traumatic Buccal Fat Pad herniation which at first was misdiagnosed as a malignant tumor.

scholarly journals Closure of oroantral communication with buccal fat pad after removing bilateral failed zygomatic implants: A case report and 6-month follow-up

2015 ◽  
pp. e159-e162 ◽  
Author(s):  
D. Penarrocha-Oltra ◽  
R. Alonso-Gonzalez ◽  
H. Pellicer-Chover ◽  
A. Aloy-Prosper ◽  
MA. Penarrocha-Diago
Keyword(s):  
Case Report ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Zygomatic Implants ◽  
Oroantral Communication

Primary Closure of Oroantral Communication Using Pedicled Buccal Fat Pad Following Maxillary Cyst Enucleation

2018 ◽  
Vol 29 (2) ◽  
pp. e131-e133 ◽  
Author(s):  
Yusuf Emes ◽  
Uğur Aga ◽  
Anil Cesur ◽  
Merva Soluk-Tekkesin ◽  
Büket Aybar ◽  
...  
Keyword(s):  
Primary Closure ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Maxillary Cyst ◽  
Oroantral Communication

scholarly journals Granular cell ameloblastoma in maxilla: update of unusual clinical, radiographic and histological appearance

2020 ◽  
Vol 9 (7) ◽  
pp. e960975194
Author(s):  
Bruno Coelho Mendes ◽  
João Paulo Bonardi ◽  
Leonardo de Freitas Silva ◽  
Marcelo Macedo Crivelini ◽  
Ana Paula Farnezi Bassi
Keyword(s):  
Differential Diagnosis ◽  
Conservative Treatment ◽  
Literature Review ◽  
Granular Cell ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Routine Examination ◽  
Good Healing ◽  
Histological Appearance ◽  
Oroantral Communication

Objective: to describe the successful treatment of a 5mm-sized granular cell ameloblastoma in the posterior region of the maxilla, discovered in a routine examination during the evaluation of an oroantral communication. Patients and methods: the case repot is presented based on a simple literature review of the last 10 years with the descriptors (Ameloblastoma; Maxilla; Surgery; Oral Diagnosis; Neoplasms) in Pubmed. Treatment consisting of fistulectomy and closure of the oroantral communication with the buccal fat pad and vestibular flap was associated with enucleation and curettage of the adjacent lesion under local anesthesia. Results: a satisfactory evolution was observed in the 1 year postoperative, with a good healing aspect and no signs of oroantral complications or recurrence of the lesion. Conclusion: for minor lesions, more conservative treatment proposals such as enucleation represent a viable alternative and, in addition, the use of adjuvant techniques such as curettage can offer benefits when the differential diagnosis includes more aggressive lesions or with a higher rate of recurrence.

An Unexpected Complication after Use of Pedicled Buccal Fat Pad for Closure of Oroantral Fistulae: Emphysema

2019 ◽  
Author(s):  
Revnak Metin
Keyword(s):  
Subcutaneous Emphysema ◽  
Mouth Opening ◽  
Early Period ◽  
Dental Extraction ◽  
Fat Pad ◽  
Buccal Fat Pad

Oro-antral communication (OAC) may develop as a complication of dental extraction, trauma, infection or neoplasm. Buccal fat pad (BFP) has been increasingly used for the closure of OAC. However, some complications can be seen for pedicled buccal fad pad flap (PBFPF), such as infection, limitation in mouth opening, hematoma, and swelling. Nevertheless, there are no previousreports of subcutaneous emphysema after PBFPF. In this paper; a complication developed in the early period after use of PBFPF for closure of OAF was illustrated with special emphasis showing the strength of BFP against tension forces.

scholarly journals Phlebolith in arteriovenous malformation in buccal fat pad masquerading sialolith: A rare case report

2015 ◽  
Vol 6 (2) ◽  
pp. 254 ◽  
Author(s):  
Arpita Saha ◽  
Mounabati Mohapatra ◽  
Susama Patra ◽  
Kaushik Saha
Keyword(s):  
Case Report ◽  
Arteriovenous Malformation ◽  
Rare Case ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Rare Case Report

scholarly journals ENXERTO DO CORPO ADIPOSO BUCAL PARA FECHAMENTO DE FÍSTULA BUCO-SINUSAL: REVISÃO DE LITERATURA

2019 ◽  
Author(s):  
Farley Souza Cunha
Keyword(s):  
Oral Cavity ◽  
Maxillary Sinus ◽  
Surgical Techniques ◽  
Specific Treatment ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula ◽  
Oroantral Communication ◽  
Teeth Extraction

RESUMOA Comunicação Buco-Sinusal (CBS) é um incidente cirúrgico que pode ocorrer durante a exodontia de dentes maxilares posteriores devido à intimidade de suas raízes com o assoalho do seio maxilar. As CBSs com diâmetro de até 2mm tendem a curar-se sem tratamento específico. Entretanto, as maiores que 3mm se não tratadas adequadamente, podem evoluir para complicações tais como sinusite maxilar recorrente, alteração do timbre nasal além da passagem de líquidos da cavidade bucal para a nasal através do óstio dentre outras. Este trabalho tem por objetivo discutir as técnicas mais utilizadas para o fechamento de CBS comparando-as com a técnica que utiliza o corpo adiposo bucal (Bola de Bichat), avaliando suas vantagens e desvantagens. As bases de dados digitais acessadas foram PubMed, MEDLINE, LILACS, Scopus compreendendo artigos em inglês entre o período de 1988 a 2016. Concluímos que o uso desta técnica apresenta excelentes resultados com poucas complicações, restituindo ao paciente uma condição de normalidade.Palavras-Chave: Fístula Bucoantral, Fístula Bucosinusal, Corpo adiposo bucal, bola de Bichat, Comunicação Bucosinusal. ABSTRACTOroantral Communication (OC) is a surgical incident that can occur during posterior maxillary teeth extraction due to the anatomical intimacy of its roots with the lining of the maxillary sinus. OC up to 2mm in diameter can cure without specific treatment. However, as larger than 3mm if left untreated, they may progress to complications such as recurrent maximal sinusitis, alteration of the nasal timbre beyond the passage of the oral cavity to a nasal through the ostium, among others. Several surgical techniques have been developed for the treatment of OC. This paper aims to review the literature on how to evaluate the most commonly used techniques for closing the OC, comparing them with a technique that uses the buccal adipose body (Bichat Ball), discussing its advantages and advantages. The digital databases accessed were PubMed, MEDLINE, LILACS and Scopus comprising articles in English from 1988 to 2016. This study allows us to conclude that the use of this technique presents excellent results with few complications, restoring the patient to a normal condition.Key-Words: Oroantral fistula, Oroantral communication, buccal fat pad, bichat fat pad

Sign in / Sign up

Export Citation Format

Share Document