대한치과의사협회지 (The Journal of the Korean dental association)

  • 제54권1호
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  • Pages.49-56
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  • 2016
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

상악동 점막의 복구를 통한 만성 구강-상악동 누공의 폐쇄 : 증례 보고

Closure of chronic oroantral fistula with repair of the Schneiderian membrane : Report of three cases

  • 정희섭 (전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원) ;
  • 이차기 (전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원) ;
  • 김영수 (전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원) ;
  • 임대호 (전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원)
  • Jung, Hee-Seop (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Lee, Cha-Ki (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Kim, Yong-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital)
  • 투고 : 2015.09.23
  • 심사 : 2015.11.19
  • 발행 : 2016.01.01
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초록

An oro-antral fistula(OAF) is one of the most common complications after procedures at the maxillary posterior area. The purpose of this study was to introduce the closure of OAF with repair of the Schneiderian membrane. This case report includes three patients with OAF arising after dental surgery on molar region of maxilla. Under general anesthesia, fistulectomy was achieved in all three patients and the full thickness flap around OAF was raised. After removal of inflammatory tissue, the Schneiderian membrane was repaired with suture or application of fibrin sealant. Additional closures were then performed with a buccal fat pad flap and a buccal mucoperiosteal flap. All OAF in three patients enrolled in this study were closed successively without recurrence of fistula. Treatment of oroantral fistula using repair of the Schneiderian membrane is a good alternative option for patients with OAF accompanied by chronic maxillary sinusitis.

키워드

참고문헌

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