Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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REPAIR OF THE PERFORATED SINUS MEMBRANE WITH A MICRO-SUTURE TECHNIQUE : REPORT OF CASES

상악동점막 천공의 미세봉합술을 이용한 처치

  • Im, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Jang, So-Jeong (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Kim, Kyoung-A (Department of Oral and Maxillofacial Radiology, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Ko, Seong-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
  • 임대호 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소) ;
  • 장소정 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소) ;
  • 김경아 (전북대학교 치과대학 구강악안면방사선학교실, 전북대학교 구강생체과학연구소) ;
  • 백진아 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소) ;
  • 고승오 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소) ;
  • 신효근 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소)
  • Published : 2007.05.31
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Abstract

An augmentation of the maxillary sinus floor facilitates placement of dental implants in the posterior atrophic maxilla. However, a maxillary sinus augmentation has potential complications that can lead to early failure and loss of the bone graft. One specific complication is sinus membrane perforation. Especially, large perforations may cause loss of the graft materials into the sinus and infection, so, early failure of the sinus lift. Attempts at managing sinus membrane perforations are difficult because of the limited access to them and friability of the thin Schneiderian membrane. Repair of sinus membrane perforations intraoperatively may be performed using a variety of techniques and materials, including sutures, collagen membranes, fibrin glue. Inspite of various repair technique, as has been reported extensively in the literature, large perforations represent an absolute contraindication to the continuation of surgery. But, we obtained clinically favorable results in cases that show repair of the perforated sinus membrane with a micro-suture technique by 4X Loupe ($Surgitel^{(R)}$ Loupe, General Scientific Corporation) in large perforation. The objective of this presentation is to report of several cases of repair of the perforated sinus membrane with micro-suture technique using 7.0 or 8.0 suture materials, to make a brief review of the literature about various technique managing perforated sinus membrane.

Keywords

References

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