Surgical options for oro-antral communications closure

Nikolovski, Bruno (2023) Surgical options for oro-antral communications closure. In: 26th BaSS Congress, 11-14 May 2023, Skopje, North Macedonia.

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Abstract

An oro-antral communication is defined as a permanent pathological connection between the maxillary sinus and the septic oral cavity. This unfavorable event is usually associated with odontogenic maxillary sinusitis that can be caused by tooth extractions, infection, osteomyelitis, trauma, failed maxillary sinus lifts, bone grafts, poor positioning of dental implant fixtures, and other iatrogenic complications.
Oroantral fistula (OAF) often develops after extraction of posterior maxillary teeth and requires surgical closure. Nevertheless, even gentle extraction does not always guarantee against OAF formation, so a surgeon should be capable of treating this complication.
This lecture considers the main concepts and methods of plastic surgery directed at reconstructing the tightness of the mouth. Moreover, the advantages and disadvantages of presented methods among themselves and appreciated long-term results and aftermath of different ways of surgical techniques.
The purpose of this lecture is to introduce the approach algorithm for the treatment of OAF; and review the fundamental surgical techniques for fistula closure, a comparative analysis of various methods for the plastic correction of the oroantral fistula with the use of the mucosal flap (buccal flap, palatal flap, combination techniques), buccal fat pad, tooth replantation, and the osteoplastic materials based on the data from the literature and online publications. The characteristics of an ideal material for the plastic correction of the oroantral fistula and the conditions for carrying out this surgery will be presented.

Item Type:	Conference or Workshop Item (Lecture)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	27 Oct 2023 08:50
Last Modified:	27 Oct 2023 08:50
URI:	https://eprints.ugd.edu.mk/id/eprint/32451

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