Yeditepe J Dent. 2017; 13(2): 51-54 | DOI: 10.5505/yeditepe.2017.43434

Lateral sinus yükseltme komplikasyonu olarak oluþan inatçý oroantral fistülün nazoseptal kýkýrdak ile kapatýlmasý: Bir olgu sunumu

Gökhan Gürler¹, Emrah Dilaver¹, Erkan Soylu², Tuba Develi¹, Çaðrý Delilbaþý^1
1Ýstanbul Medipol Üniversitesi Diþ Hekimliði Fakültesi Aðýz, Diþ ve Çene Cerrahisi Anabilim Dalý
²Ýstanbul Medipol Üniversitesi Týp Fakültesi Kulak Burun Boðaz Anabilim Dalý

Oroantral fistül, posterior maksillada diþ çekimi, enfeksiyon veya cerrahi iþlemlere baðlý olarak geliþebilir. Oroantral fistülün kapatýlmasýna yönelik pek çok cerrahi teknik tanýmlanmýþtýr. Bütün bu tekniklerin kendine özgü avantaj ve dezavantajlarý vardýr. Bu olguda raporunda lateral sinüs yükseltme iþlemine baðlý geliþen oroantral fistül sunulmuþtur. Geleneksel cerrahi yöntemlerle (bukkal ilerletme flebi, palatal flep, Bichat bukkal yað dokusu) kapatýlamayan defekt, son olarak otojen septal kýkýrdak grefti uygulanarak baþarýyla kapatýlabilmiþtir.

Anahtar Kelimeler: Oroantral fistül, sinus yükseltme, septal kýkýrdak, komplikasyon

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Closure of a persistant oroantral fistula with nasoseptal cartilage as a complication of lateral sinus lifting: A case report

Gökhan Gürler¹, Emrah Dilaver¹, Erkan Soylu², Tuba Develi¹, Çaðrý Delilbaþý^1
1Istanbul Medipol University School of Dentistry Department of Oral And Maxillofacial Surgery
²Istanbul Medipol University School of Medicine Department of Ear-Nose-Throat

Oroantral fistula may develop due to tooth extraction, infection or surgical interventions in the posterior maxilla. Several surgical techniques have been described for oroantral fistula closure. All these techniques have different advantages and disadvantages. This report presents an oroantral fistula case which occurred following lateral sinus lifting procedure. Traditional surgical techniques (buccal advancement flap, palatal flap, and Bichat’s buccal fat pad) were performed to close the oroantral fistula, but could not to be managed. Finally, closure was succeeded with septal cartilage graft placed over the bony defect.

Keywords: Oroantral fistula, sinus lifting, septal cartilage, complication

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