THE USE OF THE CHEEK Adipose Body FOR TREATMENT OF SINUSAL COMMUNICATION: LITERATURE REVIEW

• DOI: 10.22533/at.ed.1593142327025

• Palavras-chave: “Oral Surgery”, “Oral Fistula” and “Cheek Adipose Body”

• Keywords: “Oral Surgery”, “Oral Fistula” and “Cheek Adipose Body”

• Abstract:

  Bucosinusal communication is a complication that may occur in the transoperative period of upper molar extraction, in which the maxillary sinus ruptures. This complication can cause sinusitis, bone defects and other consequences, requiring treatment so that it is completely covered with the help of the oral mucosa of adjacent tissues. The adipose body of the cheek is popularly known as Bichat's ball, located laterally to the buccinator muscle and on the anterior border of the masseter muscle, and is often used as a graft to close intraoral defects, such as fistulas and oroantral communications. The use of the adipose body of the cheek to close the bucosinusal communication prevents food or salivary contamination in the region, which can lead to a bacterial infection. In view of the above, the objective of this study was to carry out a literature review on the use of the cheek fat pad for the treatment of oroantral communication. The research took place through a literature review of the narrative type, with a qualitative approach. Searches were carried out in the databases: Scielo, BVS, PubMed and selected articles in Portuguese and English with a temporal coverage from 2008 to 2021. It is concluded that the cheek fat pad has a versatile use in oral and maxillofacial surgery in terms of location and application, and can be used alone or in combination with other techniques.