DOI: https://doi.org/10.36347/sjmcr.2026.v14i02.015

Pages: 241-244

Oroantral communications (OACs) are frequently iatrogenic, most commonly occurring after the extraction of maxillary posterior teeth in close proximity to the maxillary sinus. They may also result from tumor surgery, implant placement, trauma, or orthognathic surgery involving the maxilla. An untreated OAC creates a pathological communication between the oral cavity and the maxillary sinus, often leading to maxillary sinusitis and a significant deterioration in the patient’s quality of life. Numerous surgical techniques have been described for the management of OACs, ranging from mucosal flap procedures to the use of bone substitutes or highly conservative alternative methods. However, recurrence after treatment has been reported, and selecting the most appropriate technique according to the clinical situation remains challenging. This study aims to highlight the usefulness of a pedicled buccal fat pad flap in the reconstruction of oroantral communications.