Palatal Rotation Flap in Management of Oroantral Fistula with Left Maxillary Sinusitis

The oroantral fistula (OAF) is a pathological communication between the maxillary sinus and oral cavity lined by epithelium. This condition mostly follows dental extraction of molar and premolar maxilla teeth. OAF may leads to sinusitis. Adequate management should be performed include closing the OAF and elimination of sinus infection to provide good healing and prevent recurrences. Several methods were use to close OAF but local flap mostly common choice for the surgeon such as palatal rotation flap. Antrostomy, FESS or Caldwel-Luc are procedures to eliminate maxillary pathology. A case of oroantral fistula with left maxillary sinusitis was treated by using palatal rotation flap after performed left antrostomy for maxillary sinusitis. Result : The postoperative healing was satisfactory and 7 weeks follow up there was no complain anymore. Discussion : The choice of appropriate management for OAF should consider the width and presence or absence of sinus infections. OAF with sinus infection, must be cured and pathologic tissue in sinus cavity must be removed to avoid impaired healing OAF closure. The use of palatal rotational flap for closing OAF is an acceptable and reliable alternative in OAF management. [JuKe Unila 2014;4(7):12-21]