{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:46Z","timestamp":1787071126079,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale:<\/jats:title>\n                    <jats:p>This case series evaluates the effectiveness of the buccal advancement flap and buccal pad of fat for treating oroantral fistula (OAF) in uncontrolled diabetic patients, focusing on healing, complications and success rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Concern:<\/jats:title>\n                    <jats:p>OAF is a condition marked by abnormal communication between the oral cavity and maxillary sinus, often leading to infections, purulent discharge, nasal regurgitation and discomfort. Diabetic patients face additional healing challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis:<\/jats:title>\n                    <jats:p>OAF is commonly caused by posterior maxillary teeth extractions with symptoms exacerbated by chronic sinus infection, especially in uncontrolled diabetics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Treatment:<\/jats:title>\n                    <jats:p>Two surgical techniques were employed: the buccal advancement flap and buccal pad of fat. Both aim to enhance fistula closure and minimise complications in diabetic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>Both approaches achieved successful fistula closure with satisfactory healing despite the patients\u2019 impaired healing capacity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take-away Lessons:<\/jats:title>\n                    <jats:p>Buccal advancement flap and buccal pad of fat provide effective and reliable solutions for OAF management in uncontrolled diabetic patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ams.ams_144_24","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T06:00:37Z","timestamp":1742277637000},"page":"115-117","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Oroantral Fistula Management in Diabetic Patients - A Case Report"],"prefix":"10.4103","volume":"15","author":[{"given":"H. T Arvind","family":"Rao","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firdous Abdul","family":"Sathar","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin K.","family":"Harekal","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagadish","family":"Chandra","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"R1-20250710","first-page":"102817","article-title":"Management of oro-antral fistula: Two case reports and review","volume":"69","author":"Mainassara","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"R2-20250710","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ncl.2024.05.016","article-title":"Headaches due to nasal and paranasal sinus disease","volume":"42","author":"Marmura","year":"2024","journal-title":"Neurol Clin"},{"key":"R3-20250710","doi-asserted-by":"crossref","first-page":"58","DOI":"10.5125\/jkaoms.2020.46.1.58","article-title":"Closure of oroantral fistula: A review of local flap techniques","volume":"46","author":"Kwon","year":"2020","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"key":"R4-20250710","doi-asserted-by":"crossref","first-page":"14543","DOI":"10.3390\/ijerph192114543","article-title":"Selecting the best surgical treatment methods in oro-antral communications","volume":"19","author":"Bereczki-Temistocle","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"R5-20250710","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/00006534-199001000-00006","article-title":"The anatomy and clinical applications of the buccal fat pad","volume":"85","author":"Stuzin","year":"1990","journal-title":"Plast Reconstr Surg"},{"key":"R6-20250710","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/S0301-0503(77)80117-3","article-title":"Utilization of the buccal fat pad for closure of oro-antral and\/or oro-nasal communications","volume":"5","author":"Egyedi","year":"1977","journal-title":"J Maxillofac Surg"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_144_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:52Z","timestamp":1787067712000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_144_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_144_24","relation":{},"ISSN":["2231-0746","2249-3816"],"issn-type":[{"value":"2231-0746","type":"print"},{"value":"2249-3816","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-08-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}