Batna Journal of Medical Sciences
Volume 13, Numéro 2, Pages 204-207
2026-05-19
Gestion D’une Communication Bucco-sinusienne Iatrogène Par Translation Du Lambeau Pédiculé De Corps Adipeux De La Joue : A Propos D’un Cas
Auteurs : Abdellaoui Chahinez .
Résumé
Auteur correspondant : ABDELLAOUI Chahinez, spécialiste en Pathologie et Chirurgie buccales CHU-Tlemcen E-mail : abdellaouichahinez31@gmail.com Téléphone : 0672139741 *Co-auteurs : MESLI Amine, Maitre de conférence A en Pathologie et Chirurgie Buccales CHU-Tlemcen BAROUDI Kawter Fouzia, résidente en odontologie conservatrice/ endodontie CHU-Tlemcen Management of an iatrogenic oro-sinus fistula using a pedicled fat pad flap from the cheek: A case report Abstract : The development of a communication between the oral cavity and the maxillary sinus is a well-known complication of the avulsion of maxillary teeth, particularly the upper premolars and first molars. In this context, this study highlights the value of the Bichat ball technique for closing alveolar-sinus communications and evaluates its effectiveness through a clinical case managed at the Department of Oral Pathology and Surgery at the Tlemcen University Hospital. The patient was a 27-year-old woman with no significant medical history, in whom a difficult extraction of the left maxillary second molar resulted in a bucco-sinus communication. Management consisted of minimally invasive closure of the defect using the vestibular flap with the bichat's buccal fat pad, yielding satisfactory results. Thus, bucco-sinus communications are common complications in oral surgery, the treatment of which is predominantly surgical, and the technique used in this case, widely described in the literature, confirms its efficacy.
Mots clés
Cheek fat pad, oral-sinus communication, antral teeth , tooth extraction
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