Vonchibeni Kithan

Management of varied pathologic lesions of the jaws often demands resection in partial or total along with the surrounding structures, producing defects of varying sizes. Such defects may also result due to maxillofacial trauma, burns, etc. Reconstruction of such defects is important in many respects that include restoration of function and aesthetics rehabilitation. There are many different ways documented for reconstruction of oral and maxillofacial (OMF) region among which the use of flaps (local or distant) is commonly practiced worldwide

Oro-antral communications and fistulas are complications frequently encountered by oral and maxillofacial surgeons and its repairing is one of the most challenging and difficult problem. The author present the problem, microbiology of oro-antral fistula and possibilities of surgical treatment. known and less known method operative methods are described and their advantages and disadvantages are analysed.