| 颊脂垫修复口腔上颌窦瘘 |
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| 引用本文： | 张晔,金建秋,苑绪光,李天竹.颊脂垫修复口腔上颌窦瘘[J].口腔颌面修复学杂志,2016(4):229-231. |
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| 作者姓名： | 张晔 金建秋 苑绪光 李天竹 |
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| 作者单位： | 1. 中日友好医院口腔医学中心·口腔颌面外科 北京 100029;2. 北京医院口腔科 北京 100831 |
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| 摘 要： | 目的:评价颊脂垫修复口腔上颌窦瘘的临床效果.方法:采用前瞻性研究方法,以颊脂垫修复15例上颌窦瘘,其中男性12例,女性3例;年龄中位数53岁;右侧口腔上颌窦瘘8例,左侧口腔上颌窦瘘7例;拔牙术后14例,颌骨囊肿刮治术后1例;即刻修复11例,延期修复4例.结果:15例患者中成功修复13例(87％),失败2例(13％),其中1例为术后1.5月伤口裂开,另1例为并发急性上颌窦炎致伤口裂开.术后1个月,颊脂垫表面完全黏膜化.结论:颊脂垫是方便可靠的修复口腔上颌窦瘘的方法,而且牙槽骨保存利于后期种植牙修复.
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| 关 键 词： | 口腔上颌窦瘘 颊脂垫 拔牙 |
Fifteen cases with closure of oro-antral communication/fistula using buccal fat pad: a clinical report |
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| ZHANG Ye;JIN Jian-qiu;YUAN Xu-guang;LI Tian-zhu.Fifteen cases with closure of oro-antral communication/fistula using buccal fat pad: a clinical report[J].Chinese Journal of Prosthodontics,2016(4):229-231. |
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| Authors: | ZHANG Ye;JIN Jian-qiu;YUAN Xu-guang;LI Tian-zhu |
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| Institution: | ZHANG Ye;JIN Jian-qiu;YUAN Xu-guang;LI Tian-zhu;Department of oral and maxillofacial surgery, Center of Stomotology, China-Japan Friendship Hospital; |
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| Abstract: | Objective:To investigate the application of buccal fat pad (BFP) in management of ora-antral communication/fistula (OAC/OAF).Methods:Fifteen patients with OAC/OAF (12 men and 3 women;age range from 32 to 80 yr) were involved,8 cases of the up-right posterior molar region and 7 cases of the up-left posterior molar region.Tooth extraction was the most common reason for OAC/OAF (14cases,93％) followed by maxilla odontogenic cyst (1 case,7％).Results:15 patients underwent surgery,11 cases with immediate repair and 4 cases with delayed repair using BFP.13 patients were successfully closed,and 2 patients failed.All the flaps were epithelialized within 1 month after surgery.Conclusion:BFP is a simple and reliable method for the closure of OAC/OAF. |
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| Keywords: | ora-antral fistula buccal fat pad tooth extaction |
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