Surgical closure of oroantral communication with L-PRF: a case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8502

Keywords:

Platelet-Rich Fibrin; Autograft; Oroantral Fistula; Bone regeneration.

Abstract

Introduction: Pathological communication between the oral cavity and the maxillary sinus is a frequent sequela of traumatic events in the posterior region of the maxilla. Platelet concentrates, such as L-PRF, have been used in several clinical applications, including the management of extensive bucco-sinus communications. Objective: The present case report aims to describe the surgical closure of a sinus buccal communication using L-PRF associated with a vestibular flap. Case report: Female patient, melanoderma, smoker, with a history of chronic sinusitis associated with halitosis and secretion in the oral cavity for approximately three years, with onset of symptoms after maxillary molar extraction. Tomographic examination showed a bone defect measuring about 7 mm, communicating the oral cavity with the right maxillary sinus. Under local anesthesia, excision and debridement of the fistulous path was performed. The bone defect was filled with L-PRF membranes fixed below the periosteum and, then, the vestibular flap was advanced and placed in position for the complete closure of the bucco-sinusal communication. Following a 6-month postoperative follow-up, the patient did not show clinical or radiographic signs of maxillary sinusitis and computed tomography showed closure of bucco-sinusal communication. Conclusion: The use of L-PRF in the management of bucco-sinus communications can be considered an alternative to other techniques, with adequate repair of soft parts and important osteoinductive potential.

Author Biographies

Rômulo Augusto de Paiva Macedo, University of Pernambuco

Resident in Oral and Maxillofacial Surgery at FOP / UPE

Vinicius Balan Santos Pereira, University of Pernambuco

Master in Oral and Maxillofacial Surgery at FOP / UPE

Allan Vinicius Martins de Barros, University of Pernambuco

Resident in Oral and Maxillofacial Surgery at FOP/UPE

Éwerton Daniel Rocha Rodrigues, University of Pernambuco

Master in Oral and Maxillofacial Surgery

Kleber Rós Santos, University of Pernambuco

Resident in Oral and Maxillofacial Surgery at FOP / UPE

Belmiro Cavalcanti do Egito Vasconcelos, University of Pernambuco

Associate professor, Associate professor, coordinator of the Master's and PhD program in CTBMF at FOP / UPE

Davi da Silva Barbirato, University of Pernambuco

Post-doctoral candidate in Oral and Maxillofacial Surgery

References

Al-Juboori, M. J., Al-Attas, M. A., & Magno Filho, L. C. (2018). Treatment of chronic oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report. Clin Cosmet Investig Dent. 10, 245-249. doi: 10.2147/CCIDE.S179751

Choukroun, J., Diss, A., Simonpieri, A., Girard, M. O., et al (2006). Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 101(3), 56–60. doi: 10.1016/j.tripleo.2005.07.011

Demetoglu, U., Ocak, H., Bilge, S. (2018). Closure of Oroantral Communication with Plasma-Rich Fibrin Membrane. J Craniofac Surg. 29(4),e367-e370. doi: 10.1097/SCS. 0000000000004360

Dym, H., & Wolf, J. C. (2012). Oroantral communication. Oral Maxillofac Surg Clin North Am. 24(2), 239-47. doi: 10.1016/j.coms.2012.01.015

Feigin, K., & Shope, B. (2019). Use of Platelet-Rich Plasma and Platelet-Rich Fibrin in Dentistry and Oral Surgery: Introduction and Review of the Literature. J Vet Dent. 36(2):109-123. doi:10.1177/0898756419876057

George, E. (2018). Triple-Layered Closure of an Oroantral Fistula: A Case Report. Int J Oral Maxillofac Implants. 33(2), e33–e36. doi:10.11607/jomi.5725

Ghaznavi, D., Babaloo, A., Shirmohammadi, A., et al (2019). Advanced platelet-rich fibrin plus gold nanoparticles enhanced the osteogenic capacity of human mesenchymal stem cells. BMC Res Notes. 2019;12(1):721. Nov 4. doi:10.1186/s13104-019-4750-x

Gheisari, R., Hosein Zadeh, H., & Tavanafar, S. (2019). Oro-Antral Fistula Repair With Different Surgical Methods: a Retrospective Analysis of 147 Cases. J Dent (Shiraz). Jun;20(2):107-112. doi: 10.30476/DENTJODS.2019.44920

Grecu, A. F., Reclaru, L., Ardelean, L. C., Nica, O., Ciucă, E. M., Ciurea, M. E. (2019). Platelet-Rich Fibrin and its Emerging Therapeutic Benefits for Musculoskeletal Injury Treatment. Medicina (Kaunas). 55(5),141. doi:10.3390/medicina55050141

He, Y., Chen, J., Huang, Y., & Pan, Q., Nie, M. (2017). Local application of platelet-rich fibrin during lower third molar extraction improves treatment outcomes. J Oral Maxillofac Surg. 75(12):2497–506. doi: 10.1016/j.joms.2017.05.034

Kapustecki, M., Niedzielska, I., Borgiel-Marek, H., Różanowski, B. (2016). Alternative method to treat oroantral communication and fistula with autogenous bone graft and platelet rich fibrin. Med Oral Patol Oral Cir Bucal. 21(5):e608-13. doi: 10.4317/medoral.21037

Li, A., Yang, H., Zhang, J., Chen, S., Wang, H., Gao, Y. (2019). Additive effectiveness of autologous platelet-rich fibrin in the treatment of intrabony defects: A PRISMA-compliant meta-analysis. Medicine (Baltimore). 98(11):e14759. doi:10.1097/MD.0000000000014759

Mohan, S. P., Jaishangar, N., Devy, S., Narayanan, A., Cherian, D., Madhavan, S. S. (2019). Platelet-Rich Plasma and Platelet-Rich Fibrin in Periodontal Regeneration: A Review. J Pharm Bioallied Sci. 11(Suppl 2), S126-S130. doi:10.4103/JPBS.JPBS_41_19

Nair, N. P., Alexander, A., Abhishekh, B., Hegde, J. S., Ganesan, S., Saxena, S. K. (2019). Safety and Efficacy of Autologous Platelet-rich Fibrin on Graft Uptake in Myringoplasty: A Randomized Controlled Trial. Int Arch Otorhinolaryngol. 23(1):77-82. doi:10.1055/s-0038-1649495

Parvini, P., Obreja, K., Sader, R., Becker, J., Schwarz, F., Salti, L. (2018). Surgical options in oroantral fistula management: a narrative review. Int J Implant Dent. Dec 27;4(1):40. doi: 10.1186/s40729-018-0152-4

Xiong, S., Qiu, L., Su, Y., Zheng, H., Yi, C. (2019). Platelet-Rich Plasma and Platelet-Rich Fibrin Enhance the Outcomes of Fat Grafting: A Comparative Study. Plast Reconstr Surg. 143(6):1201e-1212e. doi:10.1097/PRS.0000000000005624

Published

24/09/2020

How to Cite

MACEDO, R. A. de P.; PEREIRA, V. B. S.; BARROS, A. V. M. de; RODRIGUES, Éwerton D. R.; SANTOS, K. R.; VASCONCELOS, B. C. do E.; BARBIRATO, D. da S. Surgical closure of oroantral communication with L-PRF: a case report. Research, Society and Development, [S. l.], v. 9, n. 10, p. e2359108502, 2020. DOI: 10.33448/rsd-v9i10.8502. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/8502. Acesso em: 8 aug. 2022.

Issue

Section

Health Sciences