Antral Communication With 10 Months Follow-Up-A Case Study

作者：Weinstock Robert J^*; Nikoyan Levon; Dym Harry

来源：Journal of Oral and Maxillofacial Surgery, 2014, 72(2): 266.e1-266.e7.

DOI：10.1016/j.joms.2013.09.022

Purpose: We propose a 3-layer composite closure technique for an oral antral communication (OAC) while avoiding secondary donor site morbidity.
Patients and Methods: A patient had developed a 1-cm OAC after extraction of right maxillary first molar. The patient subsequently developed acute maxillary sinusitis. The patient was taken to the operating room, and a Caldwell-Luc procedure was performed. The bony window from the Caldwell-Luc was ``press fit'' over the bony OAC defect. Soft tissue closure was then achieved with a buccal fat pad flap and a buccal mucosal advancement flap. The patient was examined on postoperative day 5 and 1, 2, 3, 6, and 10 months postoperatively.
Results: The acute sinusitis had resolved. The soft tissue closure was successful. The bone graft remained intact, prevented sinus pneumatization, and restored continuity to the floor of the maxillary sinus.
Conclusions: The presented technique for 3-layer closure of OACs allows for the stability of a doublelayer closure of OAC with the added benefit of bone grafting from single operative site, achieving stable oral antral closure, bone grafting, and the avoidance of secondary donor site morbidity.

• 出版日期2014-2
• 单位上海市精神卫生中心