Aladag Ibrahim, Gunhan Fatih, Songu Murat, Imre Abdulkadir, Pinar Ercan
Department of Otorhinolaryngology, Izmir Katip Celebi University, Ataturk Training and Research Hospital.
Department of Oral and Maxillofacial Surgery, Izmir Katip Celebi University Faculty of Dentistry, Izmir, Turkey.
J Craniofac Surg. 2018 May;29(3):703-705. doi: 10.1097/SCS.0000000000004305.
In this article, a novel endoscopic technique used to close oro-antral fistulas will be described. In the technique described here, 24 cases were surgically treated between May 2011, and November 2014. Under endonasal endoscopic examination following partial inferior uncinectomy, the natural ostium of the maxillary sinus was identified; through this tract, a curved aspirator was advanced into the sinus. If present, we extracted endoscopically tissues causing obliteration of the ostium through the Caldwell-Luc antrostomy, taking care to preserve the integrity of the natural ostium. In the technique described here, endoscopic examination using the Caldwell-Luc approach, the inside of the maxillary sinus is explored fully, existing infection and polyps are eliminated locally, and natural patency of the maxillary sinus ostium can be achieved. The graft used to obliterate the oroantral fistula can be easily harvested from the bone of the anterior wall of the maxillary sinus by accessing the surgical entry tract.
在本文中，将描述一种用于闭合口腔上颌窦瘘的新型内镜技术。在此描述的技术中，2011年5月至2014年11月期间对24例患者进行了手术治疗。在部分下鼻甲切除术之后进行鼻内镜检查时，确定上颌窦的自然开口；通过该通道，将弯曲的吸引器推进到窦内。如果存在，我们通过柯-陆氏上颌窦切开术经内镜取出导致开口闭塞的组织，注意保留自然开口的完整性。在此描述的技术中，采用柯-陆氏入路进行内镜检查，对上颌窦内部进行充分探查，局部清除现有的感染和息肉，并可实现上颌窦开口的自然通畅。用于闭塞口腔上颌窦瘘的移植物可通过进入手术入路轻松从上颌窦前壁的骨中获取。
