Closure of large oroantral communication using coronoid process pedicled on temporalis muscle flap: a new alternative approach

Proximity of maxillary molar teeth roots to the maxillary sinus floor can potentiate oroantral communication (OAC) after extraction. Considering the defect size and situation, surgical treatment may become essential. Surgical treatment modalities are variable and would be indicated in special clinic...

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Veröffentlicht in:The Journal of craniofacial surgery 2013-07, Vol.24 (4), p.1399-1402
Hauptverfasser: Pourdanesh, Fereydoun, Mohamadi, Mansoureh, Samieirad, Sahand, Banimostafaee, Hamed, Sadeghi, Hassan Mir Mohammad
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container_issue 4
container_start_page 1399
container_title The Journal of craniofacial surgery
container_volume 24
creator Pourdanesh, Fereydoun
Mohamadi, Mansoureh
Samieirad, Sahand
Banimostafaee, Hamed
Sadeghi, Hassan Mir Mohammad
description Proximity of maxillary molar teeth roots to the maxillary sinus floor can potentiate oroantral communication (OAC) after extraction. Considering the defect size and situation, surgical treatment may become essential. Surgical treatment modalities are variable and would be indicated in special clinical circumstances.In this article, a chronic case of OAC with a size of 25 × 15 mm(2) in a 30-year old man with history of heavy smoking and drug abuse was treated with combination of buccal fat pad (for covering sinus floor), coronoid process pedicled on temporalis flap, and mucosal closure. There was no complication during and after operation. Short- and long-term follow-up revealed success of this novel technique despite the patient's poor compliance.
doi_str_mv 10.1097/SCS.0b013e3182997184
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ispartof The Journal of craniofacial surgery, 2013-07, Vol.24 (4), p.1399-1402
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source MEDLINE; Journals@Ovid Complete
subjects Adipose Tissue - transplantation
Adult
Bone Transplantation - methods
Cheek - surgery
Dentistry
Follow-Up Studies
Graft Survival
Humans
Male
Mandible - surgery
Maxillary Sinus - surgery
Molar - surgery
Oroantral Fistula - surgery
Smoking
Substance-Related Disorders
Surgical Flaps - transplantation
Temporal Muscle - transplantation
Tooth Extraction - adverse effects
Transplant Donor Site - surgery
Treatment Outcome
title Closure of large oroantral communication using coronoid process pedicled on temporalis muscle flap: a new alternative approach
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