Godfrey P M
St Vincent's Hospital and Medical Center, New York.
Br J Plast Surg. 1993 Jun;46(4):341-2. doi: 10.1016/0007-1226(93)90019-8.
This report describes a patient with chronic oro-antral fistula resulting from tooth extraction. Several local flap procedures failed to close the fistula, which was complicated by chronic sinusitis. Ultimately, cure was achieved via antral obliteration using vascularised temporoparietal fascia, sparing remaining maxillary alveolar bone. Total, trans-buccal maxillary sinus obliteration with fascia should be considered for the treatment of oro-antral communications refractory to treatment with intraoral tissues.
本报告描述了一名因拔牙导致慢性口腔上颌窦瘘的患者。多次局部皮瓣手术未能闭合瘘口，且并发慢性鼻窦炎。最终，通过使用带血管蒂的颞顶筋膜进行上颌窦闭塞术实现了治愈，保留了剩余的上颌牙槽骨。对于经口内组织治疗难治的口腔上颌窦交通，应考虑采用带筋膜的经颊全上颌窦闭塞术进行治疗。
