| 상악동 점막의 복구를 통한 만성 구강-상악동 누공의 폐쇄 : 증례 보고 |
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정희섭1, 이차기2, 김영수3, 임대호4 |
1전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원
2전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원
3전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원
4전북대학교 치과병원 구강악안면외과, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원 |
| Closure of chronic oroantral fistula with repair of the Schneiderian membrane : Report of three cases |
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Hee-Seop Jung1, Cha-Ki Lee2, Yong-Soo Kim3, Dae-Ho Leem4 |
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital
2Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital
3Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital
4Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital |
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| Abstract |
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An oro-antral fistula(OAF) is one of the most common complications after procedures at the maxillary posterior area. The purpose of this study was to introduce the closure of OAF with repair of the Schneiderian membrane. This case report includes three patients with OAF arising after dental surgery on molar region of maxilla. Under general anesthesia, fistulectomy was achieved in all three patients and the full thickness flap around OAF was raised. After removal of inflammatory tissue, the Schneiderian membrane was repaired with suture or application of fibrin sealant. Additional closures were then performed with a buccal fat pad flap and a buccal mucoperiosteal flap. All OAF in three patients enrolled in this study were closed successively without recurrence of fistula. Treatment of oroantral fistula using repair of the Schneiderian membrane is a good alternative option for patients with OAF accompanied by chronic maxillary sinusitis. |
| Key Words:
Oroantral fistula;Fistula closure;Schneiderian membrane;Buccal flap;Buccal fat pad; |
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