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口腔上颌窦交通的手术治疗方法。病例报告。

Surgical approach to management of oroantral communications. Case report.

作者信息

Salas Edgar, Ladino Luis Gabriel

机构信息

Private Practice in Oral Surgery, Calle 13 # 1E - 81 los Caobos, Cúcuta, Colombia.

Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, Cundinamarca, Colombia.

出版信息

J Surg Case Rep. 2024 Nov 16;2024(11):rjae700. doi: 10.1093/jscr/rjae700. eCollection 2024 Nov.

DOI:10.1093/jscr/rjae700
PMID:39554382
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11570113/
Abstract

One of the most frequent post-extraction complications of posterior maxillary teeth is oroantral communication, which consists of direct communication between the maxillary sinus and the oral cavity. The recommendation is to make an immediate closure within the first 48 hours to avoid possible complications that may include an oroantral fistula or chronic sinus disease. Currently, different techniques have been described for closing communication, including various types of materials. Some of the techniques are exclusively oriented toward closure, while others seek to achieve bone regeneration by using bone substitutes for the subsequent placement of dental implants. The aim of this study is to describe a simple surgical technique for managing oroantral communication using a collagen sponge with hydroxyapatite and ribose and covering it with overlapping double layers of ribose cross-linked collagen membrane without fixation.

摘要

上颌后牙拔除术后最常见的并发症之一是口腔上颌窦交通，即上颌窦与口腔之间的直接连通。建议在48小时内立即封闭，以避免可能出现的并发症，如口腔上颌窦瘘或慢性鼻窦疾病。目前，已描述了多种封闭交通的技术，包括各种类型的材料。有些技术专门用于封闭，而另一些技术则试图通过使用骨替代物来实现骨再生，以便随后植入牙种植体。本研究的目的是描述一种简单的手术技术，使用含有羟基磷灰石和核糖的胶原海绵处理口腔上颌窦交通，并在不固定的情况下用核糖交联胶原膜双层重叠覆盖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/57e26dfcf99e/rjae700f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/dacf29252a6a/rjae700f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/f3afafa577ba/rjae700f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/d389a292c333/rjae700f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/588344e350cf/rjae700f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/88063f94edad/rjae700f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/b5af1794ffa0/rjae700f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/06857f57598a/rjae700f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/60e61e0097a1/rjae700f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/57e26dfcf99e/rjae700f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/dacf29252a6a/rjae700f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/b69294b14bc4/rjae700f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/f3afafa577ba/rjae700f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/d389a292c333/rjae700f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/588344e350cf/rjae700f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/88063f94edad/rjae700f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/b5af1794ffa0/rjae700f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/06857f57598a/rjae700f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/60e61e0097a1/rjae700f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/11570113/57e26dfcf99e/rjae700f10.jpg

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J Periodontol. 2022 Nov;93(11):1691-1700. doi: 10.1002/JPER.22-0149. Epub 2022 Jul 1.
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