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Stefan Schultze-Mosgau / Friedrich Wilhelm Neukam / Gerd H. Basting

Surgical Techniques for Closure of Oro-Antral Communications

Surgical Techniques for Closure of Oro-Antral Communications26 Minutes

Category: Surgery
Language(s): English, German
Publication year: 1999
Video source: Oral Surgery
Series: Oral Surgery

Content
With a maxillary sinus recess reaching far into the alveolar process of the maxilla, the maxillary sinus can sometimes be opened when maxillary incisors are extracted. An oro-antral communication is determined by a nose-blowing test or by sounding out of the alveolus with blunt probes. After an inflamed, cystic, or tumorous maxillary sinus illness has been excluded, an oro-antral communication should be closed immediately with plastic surgery within the first 24 hours after extraction to prevent the germ-free maxillary sinus from being contaminated. Plastic covering by plastic surgery using a cheek flap with vestibular stem is demonstrated. After a mucoperiosteal flap with vestibular stem has been formed, the flap is lengthened by slitting the periosteum so that a tension-free sealing of the opened maxillary sinus will be possible without endangering the flap's blood flow at the same time.

Outline

  • Diagnostics of an oro-antral communication
  • Exclusion of inflammatory, cystic, or tumorous maxillary sinus illnesses
  • Cheek flap plastic surgery for plastic covering of an oro-antral communication
    • Cutting direction for the formation of a mucoperiosteal flap with vestibular stem
    • De-epithelalization of wound margins
    • Mobilization of the flap by slitting the periosteum
    • Periosteal holding stitches for tension-free closure of the oro-antral communication
    • Stitching technique for saliva-proof wound closure
  • Demonstration of buccal flap plastic surgery
  • Demonstration of bridge flap plastic surgery
  • Demonstration of palatal flap plastic surgery
  • Postoperative reaction measures

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available since: 16. Jul 2008

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Techniken des plastischen Verschlusses einer Mund-Antrum-Verbindung

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Operative Therapiekonzepte zur Entfernung retinierter unterer Weisheitszähne

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