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首页> 外文期刊>The Journal of craniofacial surgery >Closure of Oroantral Fistula With Buccal Fat Pad Flap and Endoscopic Drainage of the Maxillary Sinus
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Closure of Oroantral Fistula With Buccal Fat Pad Flap and Endoscopic Drainage of the Maxillary Sinus

机译：用口腔脂肪垫皮瓣和内窥镜引流闭合上颌窦闭合

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摘要

Oroantral fistula (OAF) is a pathologic communication between the oral cavity and the maxillary sinus. It is usually associated with maxillary sinusitis, where drainage of sinus infection is a mandatory step during closure of the fistula. The flap used for closure of OAF should be tension free, broadly based and well vascularized. The aim of this study was to assess the effectiveness of closure of OAF using buccal fat pad (BFP) flap with concomitant endoscopic middle meatal antrostomy for maxillary sinus drainage. Nineteen patients with chronic OAF were included in the study. Closure was performed using BFP with endoscopic middle meatal antrostomy. Preoperative and postoperative assessments were carried out. Patients were followed up for at least 1 year postoperatively. Complete closure of all OAFs was achieved with no recurrence or dehiscence. In conclusion, closure of OAF with BFP flap and concomitant endoscopic drainage of the maxillary sinus through the middle meatus is an effective, easy, and simple method. It has a high success rate with no effect on the vestibular depth or mouth opening.
机译：oroantral瘘（OAF）是口腔和上颌窦之间的病理通信。它通常与上颌窦炎有关，其中窦感染引流是瘘管闭合期间的强制性步骤。用于关闭OAF的襟翼应该是无张力，广泛的和良好的血管化。本研究的目的是评估OAF闭合使用口腔脂肪垫（BFP）瓣的闭合伴有上颌窦引流的内窥镜中肉瘤菌患者的有效性。 19名慢性OAF患者纳入研究。使用具有内窥镜中间肉瘤的BFP进行闭合。进行术前和术后评估。患者术后至少1年。完成所有OAF的完全关闭，无需复发或裂开。总之，通过中间肉类将OAF与BFP皮瓣伴随着上颌窦的内窥镜引流是一种有效，简单，简单的方法。它具有高成功率，对前庭深度或口腔开口没有影响。

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