The oroantral fistula is one of the complications most common after dental extractions in posterior maxillary RESUMOA fístula bucosinusal ou oro-antral é uma das complicações mais comuns, após extrações dentárias na região posterior de maxila, principalmente em região de segundo e terceiro molares permanentes. O diagnóstico se baseia em sinais e sintomas clínicos, nos quais pode-se destacar: dor, febre, hiposmia e drenagem de secreção purulenta. Os exames complementares como a endoscopia sinonasal e a tomografia computadorizada melhoram a precisão diagnóstica. Assim, é de suma importância, o correto diagnóstico e tratamento precoce, evitando dessa maneira a instalação de sinusites, infecções e disfonia. Diversas técnicas cirúrgicas têm sido propostas na literatura, para o fechamento da fístula bucossinusal, dentre elas, a utilização do corpo adiposo de Bichat tem se tornado uma alternativa bem sucedida. O objetivo deste trabalho é relatar dois casos clínicos de fechamento de fístulas bucossinusais através do retalho da bola de Bichat, realizados pelo Departamento de Cirurgia e Traumatologia Bucomaxilofacial do Hospital da Face e Hospital da Restauração em Recife, Pernambuco. Ainda, descrever acerca de sua técnica cirúrgica, características, indicações e peculiaridades. Termos de indexação:Fistula bucoantral. Procedimentos cirúrgicos bucais. Retalhos cirúrgicos.

The nasal airway underwent a positive change following surgically assisted maxillary expansion. Moreover, the nasal valve angle is suggested as a new parameter for the analysis of this improvement.

Bars and steel wires are the most commonly used methods to achieve maxillomandibular fixation, although there are numerous alternatives described for this same purpose. In cases of edentulous candidates for the conservative treatment of facial fractures, none of the conventional methods can be instituted for maxillomandibular fixation. Fixation in such cases is achieved with the aid of the total dentures of the patient or the confection of splints, but these methods lead to eating and oral hygiene problems. This article reports the case of an edentulous patient with a comminuted mandible fracture treated with a rarely described technique in which intermaxillary fixation was achieved with titanium miniplates.

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Background:The purpose of the present study is to report twenty cases of children with facial fractures admitted to the department of Oral and Maxillofacial Surgery at Hospital da Restauração/FUSAM -Recife/Brazil and review the English medical literature. Methods and Findings:A retrospective case series study was developed. A total of 20 fractures were treated. Male was the main gender with average age of 8.7 years old. Motor vehicle accident was the main cause of injury (35%). Mandible fracture was the most common type of fracture (80%) and it was unilateral in 75% of cases. The sites most often affected were the symphysis (44%) and condyle (38%). Conclusion: Facial fractures in pediatric patients present importantrepercussions of functional and aesthetics nature. The socioeconomic and environmental aspects directly influence the incidence of facial trauma in this period of life. The parental supervision directly affects the etiologic factors (fall and motor vehicle accidents) and can be used as a factor to prevent these conditions.