Abstract

DIAZ FERNANDEZ, José Manuel; AGUERO DIAZ, Alejandro Francisco; FERNANDEZ FERNANDEZ, Héctor  and  VIVES FOLGAR, Carmen Beatriz. Interseptal alveoloplasty: a renewed technique for closing communications and oral-antral fistula. MEDISAN [online]. 2014, vol.18, n.4, pp.459-468. ISSN 1029-3019.

A descriptive, prospective and therapeutic intervention in 11 patients with communication and/or oral-antral fistula, treated with the interseptal alveoloplasty technique was carried out in the Maxillofacial Surgery Service from "Saturnino Lora Torres" Clinical Surgical Teaching Provincial Hospital in Santiago from Cuba in the period 2010-2012, aimed at describing the obtained results with this therapeutic method. Among the analyzed variables there were: age, sex, cause, affected tooth, condition of the maxillary sinus, preoperative treatment, magnitude of the complication, duration of the clinical course, surgical complications and postoperative clinical course. In the series the excellent results prevailed in communications and oral-antral fistula, with dimensions between 3 and 5 mm, located in edentulous areas or with a single adjacent tooth, located in the alveolar edge, without damaging the oral or palatine walls or both, and with alveolar edge with adequate trophism. This technique provides a bony base with pedicle of soft tissue, which facilitates a faster scaring, with lower risk of postoperative complications

Keywords : surgical technique; interseptal alveoloplasty; communication; oral-antral fistula; tooth extraction; maxillary sinus.

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