Tratamiento mediante el colgajo de lengüeta de paladar para una comunicación bucosinusal : revisión sistemática.

Abstract

Introduction: The oroantral communication or also called oroantral communication is a pathological state where a continuity of the oral cavity and the maxillary sinus is seen through the complete loss of hard and soft tissues. It is usually caused by cysts, tumors, infections or trauma, being the extraction of the molars the most frequent. The objective of this study is to provide a systematic review on the clinical diagnosis of oro-sinus communication, its possible risk factors, palate flap surgical techniques as a treatment for an oro-sinusal communication and complications. Methodology: Systematic, descriptive and analytical review, to obtain the key words: bucosinusal communications, oroantral fistula, palatal flap and mucoperiosteal pedicle; the P.I.C.O. and metasearch engines such as: Pubmed, Scielo, Cochrane and Web of science; A universe of 50 articles was obtained, by inclusion and exclusion criteria, 33 scientific articles remained. Results: It was determined that the main cause of an oro-sinus communication is the most frequent tooth extraction, followed by trauma and displacement towards the maxillary sinus. Conclusion: The palate tongue flap contains many advantages and disadvantages, risk factors and complications that the dentist must have the knowledge to achieve closure of an oro-sinus communication.