Maxillectomies often result in anatomical defects that need to be reconstructed. In partial maxillectomies, the most significant defect is the formation of an oronasal or oral-antral fistula. This creates discomfort and needs to be addressed secondarily with local or regional flaps. Here, we describe a technique adopted in 8 patients in which limited maxillectomies are carried out in a way that preserves the nasal and sinus mucosa, preventing the formation of fistulas and allowing the use of flaps that would normally carry a high risk of fistula formation. Contemporary bone reconstruction with grafts was used in 2 patients. Sparing the sinus and nasal mucosa during maxillectomies is an easy, safe procedure that can prevent a number of complications and can be recommended in selected cases.

Sinus lift access in partial maxillectomies / G. Colletti, L. Autelitano, D. Rabbiosi, R. Bazzacchi, S. Marelli, A. Bardazzi, F. Biglioli. - In: ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY AND ORAL RADIOLOGY. - ISSN 2212-4403. - 117:3(2014 Mar), pp. e233-e237. [10.1016/j.oooo.2012.05.004]

Sinus lift access in partial maxillectomies

G. Colletti;R. Bazzacchi;S. Marelli;A. Bardazzi;F. Biglioli
2014

Abstract

Maxillectomies often result in anatomical defects that need to be reconstructed. In partial maxillectomies, the most significant defect is the formation of an oronasal or oral-antral fistula. This creates discomfort and needs to be addressed secondarily with local or regional flaps. Here, we describe a technique adopted in 8 patients in which limited maxillectomies are carried out in a way that preserves the nasal and sinus mucosa, preventing the formation of fistulas and allowing the use of flaps that would normally carry a high risk of fistula formation. Contemporary bone reconstruction with grafts was used in 2 patients. Sparing the sinus and nasal mucosa during maxillectomies is an easy, safe procedure that can prevent a number of complications and can be recommended in selected cases.
Settore MED/29 - Chirurgia Maxillofacciale
29-ago-2012
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/204110
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