Lazaridis Nicolas, Tilaveridis Ioannis, Venetis Gregory, Lazaridou Maria
Department of Oral and Maxillofacial Surgery, Aristotle University, Thessaloniki, Greece.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Dec;106(6):828-32. doi: 10.1016/j.tripleo.2008.05.030. Epub 2008 Jul 25.
This article describes the use of a vascularized pedicled bone flap, superiorly based on schneiderian membrane, for osteoplasty of maxillary sinus.
A rectangular bony window was created on the anterior maxillary wall and pedicled from its inner surface with the schneiderian membrane attached to it and left intact superiorly. After the sinus pathology was addressed, the pedicled bony window was repositioned and stabilized with sutures. This technique was performed in 9 maxillary sinuses in 9 patients. A nasoantral window was opened in all of the cases.
The follow-up ranged between 12 and 38 months. Healing in all patients was uneventful. In 1 case, a temporary hypoesthesia of the infraorbital nerve was recorded.
The procedure provides excellent visibility and access in the maxillary sinus, permitting the use of an advancement buccal pedicled flap for closure of an existing oroantral communication.
本文描述了一种以上颌窦黏膜为蒂的带血管蒂骨瓣在上颌窦骨成形术中的应用。
在上颌前壁制作一个矩形骨窗，从其内表面带蒂，附着上颌窦黏膜且上方保持完整。处理鼻窦病变后，将带蒂骨窗重新定位并用缝线固定。该技术应用于9例患者的9个上颌窦。所有病例均打开了鼻-鼻窦窗。
随访时间为12至38个月。所有患者愈合顺利。1例记录有眶下神经暂时感觉减退。
该手术能在上颌窦提供良好的视野和操作通道，允许使用推进式颊侧带蒂瓣关闭现有的口腔-鼻窦瘘。
