Closure of a persistant oroantral fistula with nasoseptal cartilage as a complication of lateral sinus lifting: A case report
Oroantral fistül, posterior maksillada diş çekimi, enfeksiyon veya cerrahi işlemlere bağlı olarak gelişebilir. Oroantral fistülün kapatılmasına yönelik pek çok cerrahi teknik tanımlanmıştır. Bütün bu tekniklerin kendine özgü avantaj ve dezavantajları vardır. Bu olguda raporunda lateral sinüs yükseltme işlemine bağlı gelişen oroantral fistül sunulmuştur. Geleneksel cerrahi yöntemlerle (bukkal ilerletme flebi, palatal flep, Bichat bukkal yağ dokusu) kapatılamayan defekt, son olarak otojen septal kıkırdak grefti uygulanarak başarıyla kapatılabilmiştir
Lateral sinus yükseltme komplikasyonu olarak oluşan inatçı oroantral fistülün nazoseptal kıkırdak ile kapatılması: Bir olgu sunumu
Oroantral fistula may develop due to tooth extraction, infection or surgical interventions in the posterior maxilla. Several surgical techniques have been described for oroantral fistula closure. All these techniques have different advantages and disadvantages. This report presents an oroantral fistula case, which occurred, following lateral sinus lifting procedure. Traditional surgical techniques (buccal advancement flap, palatal flap, and Bichat's buccal fat pad) were performed to close the oroantral fistula, but could not to be managed. Finally, closure was succeeded with septal cartilage graft placed over the bony defect
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- Lazow SK. Surgical management of the oroantral fistula flap procedures. Oper Tech Otolaryngol Head Neck Surg ; 10: 148-152.
- Punwutukorn C, Waikakul A, Pairuchvej V. Clinically significant oroantral communications - a study of inci- dence and site. Int J Oral Maxillofac Surg 1994; 23: 19-21.
- Kiran Kumar Krishanappa S, Prashanti E, Sumanth KN, Naresh S, Moe S, Aggarwal H, Mathew RJ. Interventions for treating oro-antral communications and fistulae due to dental procedures. Cochrane Database Syst Rev 2016; : CD011784.
- Procacci P, Alfonsi F, Tonelli P, Selvaggi F, Menchini Fabris GB, Borgia V, De Santis D, Bertossi D, Nocini PF. Surgical Treatment of Oroantral Communications. J Cra- niofac Surg 2016; 27: 1190-1196.
- Dergin G, Emes Y, Delilbasi C, Gurler G. Management of Oroantral Fistula. In: A Texbook of Advanced Oral and Maxillofacial Surgery. Volume 3. Chapter: Management of Oroantral Fistula, 367-385 pp, Intecch Publisher, 2016.
- Mohanna PN, Kangesu L, Sommerlad BC. The use of conchal-cartilage grafts in the closure of recurrent palatal fistulae. Br J Plast Surg 2001; 54: 274.
- Al-Sibahi A, Shanoon A. The use of soft polymethyl- methacry- late in the closure of oro-antral fistula. J Oral Maxillofac Surg 1982; 40: 165-166.
- Kansu L, Akman H, Uckan S. Closure of oroantral fistula with the septal cartilage graft. Eur Arch Otorhinolaryngol ; 267: 1805-1806.
- Saleh EA, Issa IA. Closure of large oroantral fistulas using septal cartilage. Otolaryngol Head Neck Surg ;148:1048-1050.
- Nezafati S, Vafaii A, Ghojazadeh M. Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg ; 41: 624-628.