TY  - JOUR
T1  - Surgical Management of Oroantral Fistula: Locoregional Flaps and Evaluation of Closure Outcomes
TT  - Oroantral Fistülün Cerrahi Tedavisi: Lokorejyonel Flep Yöntemleri ve Onarım Sonuçlarının Değerlendirilmesi
AU  - Sen, Comert
AU  - Orak, Ömer
AU  - Alayoğlu, Vedat Emre
AU  - Sönmez, Said
AU  - Başaran, Bora
PY  - 2025
DA  - December
Y2  - 2025
DO  - 10.36516/jocass.1829621
JF  - Journal of Cukurova Anesthesia and Surgical Sciences
JO  - J Cukurova Anesth Surg
PB  - Merthan TUNAY
WT  - DergiPark
SN  - 2667-498X
SP  - 501
EP  - 506
VL  - 8
IS  - 4
LA  - en
AB  - AimTo evaluate surgical techniques used for oroantral fistula (OAF) repair in an otolaryngology setting and to assess closure success in relation to etiologic, demographic, and operative factors.MethodsThis retrospective cohort study included patients who underwent surgical repair of OAF at a tertiary otolaryngology unit between 2007 and 2024. Clinical records were reviewed for demographic, etiologic, and operative variables and OAF closure success. A significance threshold of p < .05 was applied for group comparisons.ResultsThirty-six patients underwent 40 OAF repair procedures. Odontogenic causes accounted for 77.5% of cases, whereas tumor-related etiologies represented 17.5%. Concomitant maxillary sinusitis treated with simultaneous functional endoscopic sinus surgery (FESS) was present in 42.5% of cases. Overall, successful closure was achieved in 35 of 40 procedures (87.5%), including three of five initial failures after revision surgery. Among procedures using a single flap, buccal advancement and palatal flaps yielded similar success rates (80.0% vs 93.8%; p=.333). Success rates did not differ between single and combined flap techniques (89.3% vs 83.3%; p=1.000), between procedures with and without grafts (90.0% vs 86.7%; p=1.000), or between cases managed with or without FESS (82.4% vs 91.3%; p=.634). Age, sex, and smoking were not associated with closure failure.ConclusionOAF repair in an otolaryngology setting achieved high success rates. When sinus disease is controlled and flap selection is tailored to defect characteristics and patient factors, both buccal and palatal approaches provide reliable closure. These findings support multidisciplinary management and close collaboration between dental clinicians and otolaryngologists.
KW  - oroantral fistula
KW  - buccal flap
KW  - palatal flap
KW  - buccal fat pad
KW  - maxillary sinusitis
N2  - AmaçOroantral fistül (OAF) onarımında kulak burun boğaz (KBB) pratiğinde kullanılan cerrahi yöntemleri, bu yöntemlerin etiyolojik, demografik ve cerrahi faktörlerle ilişkisini incelemekYöntemlerBu retrospektif kohort çalışmasına, 2007 ve 2024 yılları arasında üçüncü basamak bir KBB kliniğinde cerrahi OAF onarımı uygulanan hastalar dahil edildi. Demografik, etiyolojik ve cerrahi değişkenler ile OAF kapanma başarısı açısından klinik kayıtlar incelendi. Grup karşılaştırmalarında p
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UR  - https://doi.org/10.36516/jocass.1829621
L1  - https://dergipark.org.tr/tr/download/article-file/5448064
ER  -