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口腔上颌窦瘘及交通的管理:我们的常规实践建议

Management of Oroantral Fistulae and Communications: Our Recommendations for Routine Practice.

作者信息

Konate Mahamadou, Sarfi Dounia, El Bouhairi Mounia, Benyahya Ihsane

机构信息

Department of Oral Surgery, Université Hassan II, Casablanca, Morocco BP: 9157.

出版信息

Case Rep Dent. 2021 Dec 14;2021:7592253. doi: 10.1155/2021/7592253. eCollection 2021.

Abstract

Oroantral communication (OAC) is one of the main complications of extracting antral or sinus teeth. OAC is a gap between the maxillary sinus and the oral cavity. When left untreated, it causes maxillary sinusitis and dramatically impairs the patient's quality of life. Numerous surgical treatment techniques have been described, from mucosal techniques to using bone substitutes or very conservative alternative means. Many cases of recurrence after treatment have been reported, and the choice of the method adapted to the clinical situation remains challenging. Therefore, it is necessary to establish a correct diagnosis and choose the surgical technique best adapted to the case. This work is aimed at reviewing several techniques for the treatment of OAC and at describing our recommendations for use in daily practice for each of them through four clinical cases.

摘要

口腔上颌窦交通(OAC)是拔除上颌窦或鼻窦牙齿的主要并发症之一。OAC是上颌窦与口腔之间的间隙。若不治疗,会引发上颌窦炎并严重损害患者的生活质量。已经描述了许多手术治疗技术,从黏膜技术到使用骨替代物或非常保守的替代方法。有许多治疗后复发的病例报告,选择适合临床情况的方法仍然具有挑战性。因此,有必要进行正确的诊断并选择最适合该病例的手术技术。这项工作旨在回顾几种治疗OAC的技术,并通过四个临床病例描述我们在日常实践中对每种技术的使用建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12f6/8692004/f2de6f8eb772/CRID2021-7592253.001.jpg

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