11/35. Use of the serratus anterior free flap to treat a recurrent oroantral fistula.We describe the successful use of the serratus anterior free muscle flap to obliterate a recurrent oroantral fistula in a 39-year old male who 19 years before this surgery had sustained a high velocity impact to his right face with multiple subsequent corrective surgeries. There was no complication from the serratus anterior free flap surgery and no postoperative scapular winging. The serratus anterior muscle is a versatile flap and ideal for various defects. It should be considered for obliteration of oroantral fistulas when no local or regional tissue is available because of previous surgery or trauma.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
12/35. Palatal perforation associated with intranasal prescription narcotic abuse.BACKGROUND: Palatal perforation resulting from insufflation of cocaine has been well documented. In comparison, reports of destructive orofacial lesions resulting from intranasal abuse of prescription narcotics are rare. We present the clinical and histologic findings in a case of palatal perforation arising in a patient abusing a prescription opioid drug. The patient denied any history of cocaine use but admitted to habitually crushing and snorting a hydrocodone/acetaminophen preparation.Study design The patient presented to our clinic seeking resolution of speech difficulties associated with an oroantral fistula. Surgical repair of the defect had been attempted unsuccessfully in the past. In addition to blood and chemistry panels, endoscopic examination was conducted, with removal of several biopsy specimens for histologic evaluation and flow cytometry. biopsy specimens included both lesional and perilesional tissue from within the oral and nasopharyngeal cavities. culture and cytology for fungal organisms were also performed. RESULTS: Histopathologic examination revealed normal mucosa with diffuse and focal inflammatory changes and no evidence of malignancy. Polarizable foreign material was noted in the specimens. The absence of lymphoid neoplasia was confirmed by flow cytometric analysis. The toxicology panel was positive for the presence of opiates in the blood. culture and cytology were positive for candidal organisms. A palatal obturator was fabricated for the patient, producing significant improvement in the quality of speech. CONCLUSIONS: This may represent a case of palatal perforation resulting from abuse of a drug other than cocaine. The potential for drugs other than cocaine to produce destructive orofacial lesions should be considered.- - - - - - - - - - ranking = 0.16666666666667keywords = fistula (Clic here for more details about this article) |
13/35. A new surgical management for oro-antral communication: the resorbable guided tissue regeneration membrane--bone substitute sandwich technique.This paper describes a new technique for the closure of oro-antral fistula/communication, in which both hard tissue (bone) and soft tissue closure is achieved. The sandwich technique utilizes a suitable bone grafting material sandwiched between two sheaths of Biogide (a resorbable membrane) for the hard tissue closure of oro-antral communication post traumatic exodontia. The bone grafting material utilized for this case was Bio-oss. The result obtained was excellent with regeneration of sufficient bony tissue to allow placement of an endosseous implant. This sandwich technique is a simple and excellent technique for the closure of oro-antral communication, especially when subsequent placement of endosseous implant is considered without the need of donor site surgery for bone grafting. The otorhinolaryngologists and oral and maxillofacial surgeons should find this technique very useful in the closure of oro-antral fistulae.- - - - - - - - - - ranking = 0.33333333333333keywords = fistula (Clic here for more details about this article) |
14/35. Chronic odontogenic maxillary sinusitis.The aim of the present study was to estimate average age of the patients in both sexes treated for MS, distribution by sex, amount of dexter and sinister MS with and without the fistulas into the maxillary sinus, with and without the foreign-bodies, length of stay in the Department of Maxillofacial Surgery at Kaunas Hospital of University of medicine during the period from 1999 till 2004. The retrospective data analysis of the patients' treated from chronic MS was made. 346 patients (213 females and 133 males) were treated for chronic MS. 55 cases of chronic dexter MS with a fistula into maxillary sinus, 98 cases of chronic dexter MS without a fistula, 45 cases of chronic sinister MS with a fistula, 112 cases chronic sinister MS without a fistula, 16 cases of foreign-bodies in dexter maxillary sinus, 20 cases of foreign-bodies in sinister maxillary sinus have been detected. The main age of the female was 46.6 /-15.0, the main age of the men was 42.1 /-14.4. Statictically significant difference in the age difference of the women and the men was found (p=0.0024). It was determined, that females diagnosed and treated with chronic MS were 1.6 times more than males during the period from 1999 till 2004 in Kaunas Hospital of University of medicine. Females treated for chronic MS were 4.5 years older than males.- - - - - - - - - - ranking = 0.83333333333333keywords = fistula (Clic here for more details about this article) |
15/35. Oro-antral fistula: an unusual complication of hiv-associated periodontal disease.Oral lesions have been reported frequently in patients seropositive for human immunodeficiency virus. A case is reported of hiv-associated periodontitis complicated by necrotising stomatitis and the development of an oro-antral fistula; the role of extractions in the management of this condition is highlighted.- - - - - - - - - - ranking = 0.83333333333333keywords = fistula (Clic here for more details about this article) |
16/35. Herniation of the antral membrane through an extraction site. Report of a case.A case of herniation of the antral membrane through a recent extraction site is presented. The lesion was initially diagnosed as a tumor by the referring dentist. Oroantral fistulas are not an uncommon finding after dental extractions. It is rare, however, to see herniation of the antral membrane with large polyps extending through the fistula into the oral cavity. A search of the literature revealed only two other such cases. Surgical removal of the polyps and closure of the oroantral fistula by means of a buccal sliding flap technique is discussed.- - - - - - - - - - ranking = 0.5keywords = fistula (Clic here for more details about this article) |
17/35. A new approach for repair of oro-antral-nasal fistulae. The anteriorly based buccinator myomucosal island flap.Oral-antral-nasal fistula (OAN) is a commonly encountered clinical problem. The literature is filled with a plethora of methods described for closing a persistent OAN. Local flaps are available to close minor to moderate defects, however, large fistulae can be a very challenging reconstructive problem. Various areas of the oral cavity have been used for closure of OAN. We describe a technique to reconstruct the oral cavity, in this case an OAN. The anteriorly based buccinator myomuosal island pedicle flap (BMIP) provides an alternative method for reconstructing the oral cavity. An extensive review of the literature as well as the anatomy of the buccinator, its reconstructive capabilities, and two case reports are included.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
18/35. Treatment of an oroantral fistula with chronic sinusitis: a case report.A patient with an oroantral fistula of seventeen years' duration presented clinically complaining of symptoms suggesting recurring episodes of acute maxillary sinusitis. After control of the acute sinusitis, the defect was repaired using a buccal flap procedure and the sinus was enucleated via a Caldwell-Luc approach. The sinus contents included what appeared to be a chicken bone. The patient healed uneventfully. A discussion of the management of chronic oroantral fistulas and a case report are presented.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
19/35. Orthodontic treatment in adults with cleft lip and palate.A conventional orthodontic treatment method for typical malocclusions of adult patients will be described. Over 100 patients have undergone this treatment during the last decade in our cleft centre. The method involves four stages: I) orthodontics, expansion of the upper dental arch with modified quad-helix and edge-wise appliances and alignment of the teeth; II) bone grafting and closure of the oronasal fistula; III) prosthodontics, bridgework in the upper dental arch; IV) soft tissue correction of the lip and nose. The method is easy, cheap, safe and rapid enough if the forces of the quad-helix appliance are modified individually. The orthodontic, surgical and prosthodontic treatment result in a permanently balanced dental occlusion.- - - - - - - - - - ranking = 0.16666666666667keywords = fistula (Clic here for more details about this article) |
20/35. tongue flap repair of oro-nasal fistulae in cleft palate patients. A review of 20 patients.At University College Hospital, between 1980 and 1985, sixty patients with cleft lip and palate deformity underwent transpalatal maxillary advancement for the correction of mid-face hypoplasia. One third of these patients subsequently required closure of oro-nasal fistulae and we present the results of these twenty cases where anteriorly based dorsal tongue flaps were used. Seventeen were successful and the causes of three failures are discussed.- - - - - - - - - - ranking = 0.83333333333333keywords = fistula (Clic here for more details about this article) |
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