Akut ve kronik oroantral açıklıkların cerrahi tedavisi: 33 vakalık klinik çalışma

Mehmet Cihan Bereket, İsmail Şener, Enes Özkan, Mustafa Kaynar, Erman Şenel
2.755 1.278

Abstract


Oroantralcomunicationsare known as pathological connections occuring between the oralcavity and maxillary sinus. Early treatment of thiscondition prevents the development of sinusitis andfistula, as well as the need for more complexmethods of treating patients and the possibility ofrecurrence. In this study; age, sex, etiologic factors,location of the opening, methods of treatment andearly complications of 33 patients that surgicallytreated in Ondokuz Mayıs University, Faculty ofDentistry, Oral and Maxillofacial Surgery Clinicbetween 2005-2011 were examined. 18 (54.54%) oforoantral openings were treated withbuccaladvancement flap, 4 (12.12%) of them were treatedwith palatal rotational flap, 8 (24.24%) of themwere treated with iodoform gauze pack strip and theremaining 3 (9.09%) cases were treated with buccalfat pad, double-tunnel method and primary closure.In all cases, tooth extraction was the only etiologicfactor. 100% (20/20) success was achieved in allpatients with acute openings, while the rate was77% (13/10) in patients with oroantral fistula.

Keywords


Oroantral opening, oroantral fistula,buccal advancement flap, palatal flap.

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DOI: http://dx.doi.org/10.7126/cdj.2012.1610

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