頁籤選單縮合
題名 | Four-Layered Reconstruction of Oroantral Fistula--A Case Report=四層瓣膜術式重建口竇瘻管--病例報告 |
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作者姓名(中文) | 陳怡潔; 陳志魁; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 27:1 2016.03[民105.03] |
頁次 | 頁55-65 |
分類號 | 416.95 |
關鍵詞 | 口竇瘻管; 鼻竇黏膜; 頰脂墊; 頰辦; 自體骨移植; Qroantral fistula; Sinus membrane; Buccal fat pad; Buccal advancement flap; Bone graft; |
語文 | 英文(English) |
中文摘要 | 口竇相通指的是鼻竇和口腔之間產生了病理性的通道。比較大的口竇相通開口如果沒有被診斷出來或治療,大都不可能自行痊癒,之後就會演變成口竇瘻管。目前有很多術式被提出來可以用來關閉口竇瘻管,但並無法證實哪種方法是最好的,因爲每種方法各有其優缺點。本篇病例報告是一位六十歲男性因爲上顎右侧第二大臼齒拔牙造成口竇瘻管。我們合併利用鼻竇黏膜、磨牙後區域的自體骨、頰脂墊及頰瓣共四層來修補病人的口竇瘻管。經過八個月的觀察,手術部位有完整的上皮化。從斷層掃描可以看到病人原本有的 右侧鼻竇黏膜水腫消失以及移植的自體骨和上顎骨接合在一起。 |
英文摘要 | Oroantral communication is a pathological communication between oral cavity and the maxillary antrum. Larger oroantral defects that are not diagnosed or are left untreated rarely heal, and subsequent formation of an oroantral fistula (OAF) becomes inevitable. Numerous surgical techniques have been described for the closure of OAFs, but none of these methods has been proved to be superior to the others. Certain advantages and disadvantages exist among them. We present a case of 60-year-old male with OAF which was caused by right maxillary second molar extraction. The defect was reconstructed by four-layer technique, which combined sinus membrane reconstruction, autogenous retromolar bone graft, pedical buccal fat pad flap, and Rehrmannfs buccal advancement flap. After 8 months follow up, complete epithelization of operation site was observed. The postoperative computer tomography scan showed resolution of haziness in right maxillary sinus and bone union between bone graft and maxilla. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。