کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3167826 | 1199379 | 2010 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Access to the maxillary sinus using a bone flap with sinus mucosal and mucoperiosteal pedicles Access to the maxillary sinus using a bone flap with sinus mucosal and mucoperiosteal pedicles](/preview/png/3167826.png)
We describe a procedure for removing lesions in the maxillary sinus using bone flaps with the sinus mucosa and mucoperiosteum. The surgical design is to construct a rectangular trapdoor using 3 consecutive bur-cuts, fracture the upper margin, and lift the bone lid upward. The osteotomy site on the inferior, medial, and lateral sides of the bone lid was exposed subperiosteally, but the mucoperiosteal and sinus mucosal attachments on the superior and central areas of the lid were maintained. Then, following fracture of the upper bone margin, the lid was lifted upward. In this way, the integrity of the mucoperiosteum and sinus mucosa was maintained. Advantages of the bone flap with soft tissue pedicles technique may be quick recovery and restored integrity of the sinus wall, with a low probability of infection because of vascularization of the bone lid. To realize this, a bone flap with both sinus mucosal and mucoperiosteal pedicles is more suitable.
Journal: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology - Volume 109, Issue 2, February 2010, Pages e8–e12