Postoperative challenges in pedicled buccal fat pad grafts: MRI evaluation and the role of bone grafting for maxillary wall regeneration

• 발행기관: 대한치과이식임플란트학회
• 저자명: Hoi-Bin Jeong Jeong-Kui Ku
• 간행물 정보: 『Journal of Dental Implant Research』제42권 제4호, 67~71쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2023.12.30

국문 초록

This report describes a case of postoperative complications following closure of a large oroantral fistula with a pedicled buccal fat pad (PBFP). The patient initially presented with a displaced tooth within the maxillary sinus and underwent surgical removal of a maxillary cyst with fistula closure using a PBFP. However, symptoms recurred 20 months later, and MRI revealed a bone defect and a connection between the maxillary Schneiderian membrane and buccal soft tissue, including the buccinator muscle. Bio-BMP2 grafting performed to regenerate the maxillary sinus wall during an exploratory operation resolved symptoms. The study underscores the importance of reconstructing the maxillary bone to separate buccal soft tissue from the Schneiderian membrane, particularly in cases of extensive defects.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

CONCLUSION

키워드

Bone graft Oroantral fistula Pedicled buccal fat pad Maxillary sinus MRI Postoperative complications