• 제목/요약/키워드: Oro-antral fistula

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상악골 악성종양환자에서 상악동점막거상술과 피부이식술을 이용한 구강-상악동누공의 폐쇄 : 증례보고 (CLOSURE OF ORO-ANTRAL FISTULA USING SINUS LIFTING AND SKIN GRAFT IN MAXILLARY MALIGNANT CASES : CASE REPORT)

  • 김일규;강호식;최진호;류승현;오남식
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권1호
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    • pp.86-90
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    • 2002
  • Sinus lifting was introduced for prosthetic reconstruction in 1960 decades by Boyne and is specifically used for implant surgery in maxillary posterior region with insufficient bony height and has been indicated for reconstruction of oro- antral and palato-alveolar cleft. We report that subtotal maxillectomy using sinus lifting and skin graft in mild maxillary cancer cases results in good prevention of oro-antral and oro-nasal fistula by preserving intact maxillary sinus mucosa and improves better functional outcome after maxillectomy.

치과 수술에서 유경 협지방대의 이용: 증례보고 (The Use of Pedicled Buccal Fat Pad Graft in Dental Surgery: Case Reports)

  • 김영균;윤필영;이창수
    • 대한치과의사협회지
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    • 제41권9호통권412호
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    • pp.637-646
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    • 2003
  • Euccal fat pad is special fat tissue which is different from subdermal fat. Anatomically, buccal fat pad is easy to harvest in the course of dental surgery procedure. In 1802, it was introduced by Bichat, Since Egyedi used buccal fat pad flap for the closure of oro-antral fistula and oro-nasal fistula, it has been widely used as an alternative method for the reconstruction of small to medium-sized intraoral defects in oral and mzxillofacial surgery. Kim et al. reported successful results in the all cases they applied buccal fat pad for the reconstruction of intraoral defect from their 31 months follow-up data. Because intraonal wounds are difficult to complete the layered suture and there are high risks of infection related with wound dental implant surgery, double layer closure using some kind of local flaps or other procedure is recommended. So we are to introduce the useful applications of the pedicled buccal fat pad in the dental surgery procedure from the various case presentations.

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원발성 상악동 국균증 치험예 (A CASE REPORT OF PRIMARY MAXILLARY SINUS ASPERGILLOSIS)

  • 오승환;김여갑;류동목;이상철
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권4호
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    • pp.462-467
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    • 1991
  • Aspergillus is a fungus of Ascomycetes class that occurs world wide and found in many of the molds on foods, frutis, grains and plants. Its ubiquitous spores, present in dust, enter the respiratory system of man, where, under proper condition, they become pathogenic. We present a case of primary maxillary sinus aspergillosis developed from a 52-year old male patient when has oroantral fistula after extraction of maxillary Lt. 1st molar tooth. The treatment composed with Caldwell-Luc's operation, Oro-antral fistula closure and associated anit-fungal treatment with Amphoatrisin B.

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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;이차기;김영수;임대호
    • 대한치과의사협회지
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    • 제54권1호
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    • pp.49-56
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    • 2016
  • 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.

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치성상악동염의 치유과정에 관한 연구 (STUDY OF THE HEALING PROCESS IN THE ODONTOGENIC MAXILLARY SINUSITIS)

  • 김수경
    • 대한치과의사협회지
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    • 제19권11호통권150호
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    • pp.937-941
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    • 1981
  • A case of Aged 37, Female involving Odontogenic Maxillary Sinusitis I left maxillae Caine, premolars and molars region. patients complained Dull pain of Caine, premolars and molars upper left side of Face. Clinical finding was swelling, Dull pain sensitivity of Caine, premolars and molars, pus discharge in nasal cavity Involved in Caine, premolars and molars to Antrum. Roentgenographic examination was Caine, premlars and molars involved in maxillary sinus in left side and Radiopaque in same Antrm. This underwent caldwell-Lue approach the Extracted Caine, premolars and molars and Curettage maxillary sinus walls and Closed primary sutured under Diagnosis of Odontogenic maxillary Sinusitis and Therapeutic principles. Patients had healed Completely one year after operation and no complaints and no Oro-Antral fistula.

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A lateral approach to the maxillary sinus for simultaneous extraction of an ankylosed maxillary molar and sinus graft: a case report

  • Hwang, Jae-Ho;Choi, Hee-Seung;Kim, Kee-Deog;Doh, Re-Mee;Park, Won-Se
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제38권2호
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    • pp.110-115
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    • 2012
  • Ankylosed tooth is defined as 'the discontinuance of normal passive tooth eruption without any mechanical barrier'. Ankylosed tooth treatment is a challenge to dental clinicians. In treatment of maxillary molar ankylosis cases there are risks of oro-antral fistula, displacement of root fragments into the maxillary sinus, as well as the necessity for providing additional sinus bone augmentation for future implant placement. In this study, we suggested a new technique using a piezoelectric device and a lateral side approach to the maxillary sinus leading to the simultaneous removal of the ankylosed maxillary molar and sinus grafting for the purpose of implant site development.

Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery

  • Mitra, Geeti Vajdi;Bajaj, Sarwpriya Sharma;Rajmohan, Sushmitha;Motiwale, Tejas
    • 대한두개안면성형외과학회지
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    • 제18권4호
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    • pp.243-248
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    • 2017
  • Background: To evaluate the versatility and reach of modified nasolabial flap used in reconstruction of defects created in and around the oral cavity. Methods: A total number of 20 cases were selected. Out of which 13 were males and 7 females. The age of these patients ranged from 24-63 years. 29 modified nasolabial flaps were raised in twenty patients. Based on clinical and histopathological examination, out of 20 patients, 14 patients were diagnosed with oral submucous fibrosis, 3 with verrucous carcinoma, 1 with squamous papilloma, 1 with oro-antral fistula and 1 with traumatic loss of lower lip. Results: Minimum preoperative interincisal distance (IID) was 0 mm and maximum was 15 mm with mean of $6.00{\pm}4.76mm$ in patients with oral submucous fibrosis and 12 months postoperatively minimum IID was 16 mm and maximum was 41 mm with mean of $28.00{\pm}8.96mm$. In one case, dehiscence (3.4%) was noted on the anterior tip for which tip revision was done. Bulky appearance of the flap intraorally was observed in 2 cases (6.9%). Five (17.2%) among the 29 flaps had visible scar at the donor site postoperatively up to 3 months. Conclusion: Numerous reconstructive techniques have been employed in the reconstruction of small to intermediate sized defects of oral cavity. Modified nasolabial flap is a versatile flap which has robust vascularity and can be successfully used with minimal complications. It can be rotated intraorally to extend from the soft palate to the lip. Thus, it can be used efficiently to treat the small defects of the oral cavity as well as recreating lost lip structure.