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Combined palatal flap and titanium mesh for oroantral fistula closure.

de Souza Lopes PH, Sampaio Dde O, de Souza Menezes BL, do Nascimento DF, Torres BC - Ann Maxillofac Surg (2015 Jan-Jun)

Bottom Line: The oroantral fistula (OAF) is an epithelialized communication between the oral cavity and the maxillary sinus.In most of the cases, this communication occurs after molars and premolars extractions, but other factors may be cause of the communication, such as trauma.This article demonstrates an alternative surgical technique illustrated with a case report in which we perform the surgical treatment of OAF with palatal flap rotation combined with the use of titanium mesh in a victim of gunshot projectile wound in oral cavity.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Hospital Regional do Agreste, Caruaru, Pernambuco, Brazil.

ABSTRACT
The oroantral fistula (OAF) is an epithelialized communication between the oral cavity and the maxillary sinus. In most of the cases, this communication occurs after molars and premolars extractions, but other factors may be cause of the communication, such as trauma. This article demonstrates an alternative surgical technique illustrated with a case report in which we perform the surgical treatment of OAF with palatal flap rotation combined with the use of titanium mesh in a victim of gunshot projectile wound in oral cavity.

No MeSH data available.


Related in: MedlinePlus

Radiographic aspect immediately after firearm accident
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Figure 1: Radiographic aspect immediately after firearm accident

Mentions: A 41-year-old male patient attended the service of Oral and Maxillofacial Surgery, Hospital Regional Agreste Caruaru/PE, victim of firearm projectile wound, with perforation entrance on the palate and accommodation bullet fragmented in the midface [Figure 1]. Primary care showed no airway compromise and/or neurovascular damage. The patient was conscious, oriented, normal respiration, acyanotic and in good condition. The extraoral examination showed mild face edema, bruising and mild mouth opening limitation. Intraoral examination presented extensive oroantral communication with soft tissue laceration, traces of gray material on irregular wound borders similar to gunpowder, minor bleeding at the site and heightened mobility of left superior molars and premolars.


Combined palatal flap and titanium mesh for oroantral fistula closure.

de Souza Lopes PH, Sampaio Dde O, de Souza Menezes BL, do Nascimento DF, Torres BC - Ann Maxillofac Surg (2015 Jan-Jun)

Radiographic aspect immediately after firearm accident
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555957&req=5

Figure 1: Radiographic aspect immediately after firearm accident
Mentions: A 41-year-old male patient attended the service of Oral and Maxillofacial Surgery, Hospital Regional Agreste Caruaru/PE, victim of firearm projectile wound, with perforation entrance on the palate and accommodation bullet fragmented in the midface [Figure 1]. Primary care showed no airway compromise and/or neurovascular damage. The patient was conscious, oriented, normal respiration, acyanotic and in good condition. The extraoral examination showed mild face edema, bruising and mild mouth opening limitation. Intraoral examination presented extensive oroantral communication with soft tissue laceration, traces of gray material on irregular wound borders similar to gunpowder, minor bleeding at the site and heightened mobility of left superior molars and premolars.

Bottom Line: The oroantral fistula (OAF) is an epithelialized communication between the oral cavity and the maxillary sinus.In most of the cases, this communication occurs after molars and premolars extractions, but other factors may be cause of the communication, such as trauma.This article demonstrates an alternative surgical technique illustrated with a case report in which we perform the surgical treatment of OAF with palatal flap rotation combined with the use of titanium mesh in a victim of gunshot projectile wound in oral cavity.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Hospital Regional do Agreste, Caruaru, Pernambuco, Brazil.

ABSTRACT
The oroantral fistula (OAF) is an epithelialized communication between the oral cavity and the maxillary sinus. In most of the cases, this communication occurs after molars and premolars extractions, but other factors may be cause of the communication, such as trauma. This article demonstrates an alternative surgical technique illustrated with a case report in which we perform the surgical treatment of OAF with palatal flap rotation combined with the use of titanium mesh in a victim of gunshot projectile wound in oral cavity.

No MeSH data available.


Related in: MedlinePlus