SU858790A1 - Method of treating maxillary sinusitis - Google Patents

Description

(54) METHOD FOR TREATING HYMORITIS

one

The invention relates to medicine, in particular to dentistry, and can be used in the surgical treatment of sinusitis that occurs when there is a message with the oral cavity.

Closest to the present invention is a method for treating maxillary sinusitis by sinusitis, closing the perforation hole in the bottom of the maxillary sinus with a diepithelized mucous-fat tissue. In a known manner, the free end of the flap is attached to the front wall of the maxillary sinus 1.

The disadvantage of the operative closure of the perforation is the formation of extensive postoperative Cicatricial deformities on the vestibular surface and crest of the alveolar process, which complicates and removes the prosthesis before the scarring process is completed in this area.

The purpose of the invention is to reduce postoperative cicatricial changes.

This aim is achieved in that in a method of treating sinusitis by maxillary sinusotomy, closing the perforation openings in the bottom of the maxillary sinus diepitelizirovannym muco-fatty flap, the latter is carried out through the perforation in the wall and bottom of the maxillary sinus in the oral cavity and affixed its free end to the soft fabric m

The method proceeds as follows.

After performing radical sinus surgery in the oral cavity below the projection of the duct of the parotid salivary gland, an incision is made to the level of the maxilla tuber and cut out a mucous-fatty flap

10 on the leg with cheek 2-4 cm long and 1.5 cm wide. Produces diepithelization of the flap. Mucous - fatty flap is conducted through a perforation hole in the wall and bottom of the maxillary sinus into the oral cavity. The free end of the flap is attached to soft gum tissue using ligatures. Thereafter, the edges of the wound are raised.

The proposed method operated on 7 patients aged 22-63 years. The average long inpatient treatment is not 8-10 days. On the 4-5th day, patients can take regular food. In the postoperative period no protective devices are required. Watching

operated on immediately after treatment and 1.5–2 years after surgery show good results. In the operated individuals, there is no marked Cicatricial deformity on the alveolar process of the maxilla, approximation of the prosthetic time is achieved, prosthetics can be performed immediately after the wound has healed. No recurrence of perforation is observed.

The application of the proposed method allows to significantly reduce postoperative cicatricial deformity of the vestibule of the oral cavity, which allows prosthetics after the healing of an operative wound.

Clinical trials allow to obtain specific data confirming the effectiveness of the proposed method, and to make a positive prediction of relative

but its further use in dental practice.

Claims (1)

Invention Formula A method of treating maxillary sinusitis, closing the perforation hole in the bottom of the maxillary sinus with a dietepitalized mucous-fatty flap, characterized in that, in order to reduce postoperative cicatricial changes, the mucous-fatty flap is passed through the perforation in the wall and bottom of the toothpastes, and the toothpastes change through the perforation in the wall and bottom of the laryngeal laryngeal changes through the perforation in the wall and the bottom of the tooth, the mucous-fatty flap is guided through a perforation in the wall and the bottom of the tooth, in order to reduce postoperative cicatricial changes, through a perforation in the wall and the bottom of the tooth, in order to reduce postoperative cicatricial changes. attach its free end to soft fabrics. Sources of information taken into account in the examination 1. USSR author's certificate 596228, cl. A 61 B 17/00, 1976.