口腔医学研究 ›› 2022, Vol. 38 ›› Issue (10): 997-999.DOI: 10.13701/j.cnki.kqyxyj.2022.10.021

• 研究生病例精粹——牙槽外科系列(10) • 上一篇    

腭黏骨膜旋转瓣修复口腔上颌窦瘘1例

柴茂盛, 蔡育*   

  1. 湖北省口腔基础医学重点实验室-省部共建国家重点实验室培育基地,口腔生物医学教育部重点实验室(武汉大学),武汉大学口腔医(学)院口腔颌面外科 湖北 武汉 430079
  • 收稿日期:2022-10-12 出版日期:2022-10-28 发布日期:2022-10-20
  • 通讯作者: *蔡育,E-mail:caiyu_20012@whu.edu.cn
  • 作者简介:柴茂盛(1996~ ),男,河南郑州人,硕士在读,研究方向:牙槽外科学。

Pedicled Palatal Periosteal Flap for the Closure of Oroantral Fistula: A Case Report

CHAI Maosheng, CAI Yu*   

  1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, the Department of Oral & Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2022-10-12 Online:2022-10-28 Published:2022-10-20

摘要: 上颌磨牙及前磨牙与上颌窦关系密切,拔除后创口有可能与上颌窦相通,甚至形成口腔上颌窦瘘。本文报道1例应用腭黏骨膜旋转瓣成功修复口腔上颌窦瘘的病例,通过良好的炎症控制、精确的组织瓣设计,获得良好治疗效果。

关键词: 口腔上颌窦瘘, 牙拔除术, 并发症, 腭黏骨膜旋转瓣

Abstract: The oroantral communications are usually happened after the removing of maxillary premolars and molars. Though most of these communications can heal with proper treatments, there are still a few cases with poor healing, and consequently the forming of oroantral fistula which is refractory and would cause intractable infection of maxillary sinus. This paper reported a case of oroantral fistula which was successfully repaired with palatal periosteal flap. The successful resolution of inflammation and the correct flap design might be the critical factors for the treatment.

Key words: oroantral fistula, tooth extraction, complication, palatal periosteal flap