[The first experience of using an autograft from the wide fascia of the thigh for closing oroantral fistula].

The aim the study: Improving the effectiveness of treatment of patients with recurrent oroantral fistula in conditions of local tissue deficiency and chronic odontogenic maxillary sinusitis using a free autograft from the wide fascia of the hip (fascia lata).

Materials and methods: Surgical treatment was performed in 6 patients with scarring of soft tissues, absence of an oral vestibule, chronic odontogenic maxillary sinusitis after repeated unsuccessful attempts at surgical treatment of oroantral fistulas (OAS). To eliminate OAS and maxillary sinusitis, a free autograft from the wide fascia of the thigh was used.

Results: In all patients, 3 months after surgical treatment, closure of the oroantral anastomosis of the maxillary sinus and oral cavity with complete epithelialization in the postoperative area was observed, as well as the elimination of symptoms of chronic odontogenic sinusitis.

Conclusion: The experience of clinical use of an autograft from the wide fascia of the hip can serve as a basis for its further study in the reconstruction of other defects of the oral cavity and maxillofacial region.