PMC6710802_01
Clinical picture showing fistulous opening with identifiable bony defect.
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fig1
Intraorally, a fistulous opening round in shape with normal surrounding mucosa and an obvious bony defect was seen along the maxillary alveolus molar region (Figure 1).
Panoramic X-ray demonstrating the underlying osseous defect.
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The bony defect of size 2 x 1.8 cm along the sinus floor was confirmed (Figure 2).
Harvested buccal fat+chin graft press fit into the bony defect.
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Then, the BFP was mobilized to cover the graft, and finally, the mucoperiosteal flap was repositioned and sutured in place (Figures 3 and 4).
Three-layered closure achieved.
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fig4
Then, the BFP was mobilized to cover the graft, and finally, the mucoperiosteal flap was repositioned and sutured in place (Figures 3 and 4).
Mucosalisation of BFP noted at 1 week.
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Mucosalisation of the fat pad was noticed at follow-up visits after 1 week and 1 month later (Figures 5 and 6).
Complete healing after 1 month.
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Mucosalisation of the fat pad was noticed at follow-up visits after 1 week and 1 month later (Figures 5 and 6).
Radiograph showing chin graft well in place.
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Postoperative radiograph showed bone graft well in place (Figure 7).