PLASMA RICO EM FIBRINA (PRF) COMO OPÇÃO DE RECOBRIMENTO APÓS ROTAÇÃO DE RETALHO PALATINO PARA TRATAMENTO DE FÍSTULA BUCOSSINUSAL

2020 ◽  
Author(s):  
Rafael Mérola Corrêa
Keyword(s):  
Clinical Case ◽  
Oral Surgery ◽  
Maxillary Sinusitis ◽  
Platelet Rich Fibrin ◽  
Mucosal Flap ◽  
Oroantral Fistula ◽  
Donor Area ◽  
Chronic Maxillary Sinusitis ◽  
Autogenous Grafts ◽  
Fibrin Membrane

ResumoO desenvolvimento de uma fístula bucossinusal, a partir de uma comunicação gerada entre a cavidade oral e o seio maxilar, pode ser favorecido por um não fechamento espontâneo ou por uma sinusite maxilar crônica já instalada. O tratamento da fístula bucossinusal depende de fatores que podem beneficiar ou dificultar o prognóstico dos casos, como a localização, causa e o tamanho do defeito gerado. Diferentes técnicas são descritas na literatura para o tratamento destes defeitos orosinusais, como retalhos locais deslizantes ou rotacionados, enxertos autógenos ou o uso da bola de gordura bucal.  O objetivo do presente trabalho é apresentar o caso clínico de uma fístula bucossinusal pós exodontia há aproximadamente 05 anos, não corrigida imediatamente, tratada através de retalho mucoso palatino rotacionado. Como coadjuvante para a cicatrização da área doadora foi utilizado membrana de fibrina rica em plaquetas. A técnica do retalho palatino mostrou-se uma opção favorável para o fechamento da fístula bucossinusal e o uso dos fatores de crescimento permitiu vascularização adequada na área doadora e no retalho rotacionado, o que favoreceu a hemostasia vascular e estimulou a recuperação dos tecidos moles adjacentes.Palavras-chave: Seio maxilar, fístula bucoantral, cirurgia bucal, fibrina rica em plaquetas.          AbstractThe development of a bucosinusal fistula from a communication generated between the oral and maxillary cavity may be favored by a spontaneous unblocked or an existing chronic maxillary sinusitis. The treatment of bucosinusal fistula depends on factors that may benefit or hinder the prognosis of cases, such as location, cause and size of the defect used. Different techniques are described in the literature for the treatment of these oral defects, such as sliding or rotating local flaps, autogenous grafts or the use of the buccal fat ball. The aim of the present study is to present the clinical case of a post-extraction bucosinusal fistula approximately 05 years ago, not immediately corrected, treated through a rotated palatal mucosal flap. As an adjunct to the healing of the donor area, a platelet-rich fibrin membrane was used. The palatal flap technique proved to be a favorable option for the closure of the bucosinusal fistula and the use of growth factors allowed adequate vascularization in the donor area and in the rotated flap, which favored vascular hemostasis and stimulated the recovery of adjacent soft tissues.Key-words: Maxillary sinus, oroantral fistula, oral surgery, platelet-rich fibrin  

scholarly journals PLASMA RICO EM FIBRINA (PRF) COMO OPÇÃO DE RECOBRIMENTO APÓS ROTAÇÃO DE RETALHO PALATINO PARA TRATAMENTO DE FÍSTULA BUCOSSINUSAL

2020 ◽  
Author(s):  
Rafael Mérola Corrêa
Keyword(s):  
Clinical Case ◽  
Oral Surgery ◽  
Maxillary Sinusitis ◽  
Platelet Rich Fibrin ◽  
Mucosal Flap ◽  
Oroantral Fistula ◽  
Donor Area ◽  
Chronic Maxillary Sinusitis ◽  
Autogenous Grafts ◽  
Fibrin Membrane

ResumoO desenvolvimento de uma fístula bucossinusal, a partir de uma comunicação gerada entre a cavidade oral e o seio maxilar, pode ser favorecido por um não fechamento espontâneo ou por uma sinusite maxilar crônica já instalada. O tratamento da fístula bucossinusal depende de fatores que podem beneficiar ou dificultar o prognóstico dos casos, como a localização, causa e o tamanho do defeito gerado. Diferentes técnicas são descritas na literatura para o tratamento destes defeitos orosinusais, como retalhos locais deslizantes ou rotacionados, enxertos autógenos ou o uso da bola de gordura bucal.  O objetivo do presente trabalho é apresentar o caso clínico de uma fístula bucossinusal pós exodontia há aproximadamente 05 anos, não corrigida imediatamente, tratada através de retalho mucoso palatino rotacionado. Como coadjuvante para a cicatrização da área doadora foi utilizado membrana de fibrina rica em plaquetas. A técnica do retalho palatino mostrou-se uma opção favorável para o fechamento da fístula bucossinusal e o uso dos fatores de crescimento permitiu vascularização adequada na área doadora e no retalho rotacionado, o que favoreceu a hemostasia vascular e estimulou a recuperação dos tecidos moles adjacentes.Palavras-chave: Seio maxilar, fístula bucoantral, cirurgia bucal, fibrina rica em plaquetas.          AbstractThe development of a bucosinusal fistula from a communication generated between the oral and maxillary cavity may be favored by a spontaneous unblocked or an existing chronic maxillary sinusitis. The treatment of bucosinusal fistula depends on factors that may benefit or hinder the prognosis of cases, such as location, cause and size of the defect used. Different techniques are described in the literature for the treatment of these oral defects, such as sliding or rotating local flaps, autogenous grafts or the use of the buccal fat ball. The aim of the present study is to present the clinical case of a post-extraction bucosinusal fistula approximately 05 years ago, not immediately corrected, treated through a rotated palatal mucosal flap. As an adjunct to the healing of the donor area, a platelet-rich fibrin membrane was used. The palatal flap technique proved to be a favorable option for the closure of the bucosinusal fistula and the use of growth factors allowed adequate vascularization in the donor area and in the rotated flap, which favored vascular hemostasis and stimulated the recovery of adjacent soft tissues.Key-words: Maxillary sinus, oroantral fistula, oral surgery, platelet-rich fibrin  

scholarly journals Platelet Rich Fibrin (PRF) Application in Oral Surgery

Platelets ◽  
2020 ◽  
Author(s):  
Alper Saglanmak ◽  
Caglar Cinar ◽  
Alper Gultekin
Keyword(s):  
Alveolar Bone ◽  
Oral Surgery ◽  
Treatment Success ◽  
Patient Comfort ◽  
Sinus Augmentation ◽  
Platelet Rich Fibrin ◽  
Oroantral Fistula ◽  
Soft Tissue Regeneration ◽  
Oral Ulcers ◽  
Negative Beliefs

Platelet rich fibrin (PRF) is an autologous biological product which becomes popular day by day and available in a wide variety of fields in medicine. Platelet concentrates which are introduced at the early 90s have evolved over the years. The use such autologous materials have become trendy in recent years to encounter demanding expectations of patients, improve treatment success and maximize patient comfort. Despite its increasing use in dentistry and oral surgery, the most indications and effects are still being discussed. PRF is easily accepted by patients because of its low cost, easy to receive, low donor morbidity, low postoperative complication and infection rate. This biomaterial may be a solution for patients who have strong negative beliefs about the use of allografts and xenografts or who are afraid of complications during the grafting procedure. The objectives of these technologies are to use their synergistic effect to improve the hard and soft tissue regeneration. PRF in oral surgery are used for alveolar bone reconstruction, dental implant surgery, sinus augmentation, socket preservation, osteonecrosis, oroantral fistula closure, struggling with oral ulcers, preventing swelling and edema constitution. This chapter aims to review the clinical applications of platelets in oral surgery and the role of molecular components in tissue healing.

scholarly journals ROTAÇÃO DE RETALHO PALATINO COMO ALTERNATIVA DE TRATAMENTO PARA FÍSTULA BUCOSSINUSAL

2019 ◽  
Author(s):  
Eugênio Braz Rodrigues Arantes
Keyword(s):  
Maxillary Sinus ◽  
Oral Surgery ◽  
Maxillary Sinusitis ◽  
Direct Path ◽  
Surgical Time ◽  
Oroantral Fistula ◽  
Common Causes ◽  
Anatomical Relationship ◽  
Relationship Of ◽  
Keratinized Mucosa

ResumoA fístula ou comunicação bucossinusal consiste na formação de um trajeto direto entre a cavidade oral e o seio maxilar diagnosticada tardiamente após epitelização da mucosa formando um canal bucossinusal permanente. Na maioria das vezes, essa complicação ocorre em função da relação anatômica do seio maxilar intimamente relacionado com o ápice das raízes dos dentes superiores posteriores. Procedimentos cirúrgicos inadequados relacionados à exodontia dos elementos dentários envolvidos ou extensa pneumatização do seio maxilar podem ser as causas mais comuns dessa patologia. O objetivo do presente trabalho é apresentar um relato de caso clínico de uma fístula bucossinusal pós exodontia e não corrigida imediatamente, tratada através de retalho mucoso palatino vascularizado e rotacionado para fechamento primário. A técnica do retalho palatino mostrou-se uma opção favorável para o fechamento do defeito sinusal em um único tempo cirúrgico, preservando a mucosa queratinizada e a anatomia do sulco vestibular.Palavras-chave: Seio maxilar, sinusite maxilar, fístula bucoantral, cirurgia bucal.AbstractThe bucosinusal fistula or communication consists in the formation of a direct path between the oral cavity and the maxillary sinus diagnosed late after epithelialization of the mucosa forming a permanent bucosinusal canal. Most often, this complication occurs due to the anatomical relationship of the maxillary sinus closely related to the apex of the roots of the posterior superior teeth. Inadequate surgical procedures related to the extraction of the involved dental elements or extensive pneumatization of the maxillary sinus may be the most common causes of this pathology. The aim of the present study is to present a case report of an immediately uncorrected post-extraction bucosinusal fistula treated with a vascularized palatine mucous flap and rotated for primary closure. The palatal flap technique proved to be a favorable option for closing the sinus defect in a single surgical time, preserving the keratinized mucosa and the buccal sulcus anatomy.Key-words: Maxillary sinus, maxillary sinusitis, oroantral fistula, oral surgery.

scholarly journals Chronic Maxillary Sinusitis Caused by Denture Lining Material

2016 ◽  
Vol 10 (1) ◽  
pp. 261-267
Author(s):  
Tsutomu Sugiura ◽  
Kazuhiko Yamamoto ◽  
Chie Nakashima ◽  
Kazuhiro Murakami ◽  
Yumiko Matsusue ◽  
...  
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Second Molar ◽  
Oroantral Fistula ◽  
Good Shape ◽  
Posterior Maxilla ◽  
Lining Material ◽  
Chronic Maxillary Sinusitis ◽  
The Right

We report a case of chronic maxillary sinusitis caused by denture lining material entering through an oroantral fistula after tooth extraction. The patient was an 80-year-old female who visited us with a complaint of pus discharge from the right posterior maxilla. She had extraction of the upper right second molar and had her upper denture relined with silicone lining material. The patient noticed swelling of the right cheek and purulent rhinorrhea 20 days before her first visit to our clinic. Oral examination showed an oroantral fistula with a diameter of 3 mm in the posterior alveolar ridge of the right maxilla. Computed tomography revealed a hyperdense foreign body in the right maxillary sinus and thickening of the mucosal lining. Under diagnosis of maxillary sinusitis caused by a foreign body, endoscopic maxillary surgery was performed simultaneously with the removal of the foreign body. The foreign body removed was 12 × 6 mm in size, oval in shape, light pink in color, and compatible with silicone denture lining material. During the follow-up it was observed that the oroantral fistula closed spontaneously after the removal of the foreign body. The maxillary sinus was in a good shape without recurrence of sinusitis seven months after surgery.

scholarly journals Chronic maxillary sinusitis of dental origin and oroantral fistula: The results of combined surgical approach in an Italian university hospital

2020 ◽  
Author(s):  
Massimo Galli ◽  
Giulia De Soccio ◽  
Fabrizio Cialente ◽  
Francesca Candelori ◽  
Francesca Romana Federici ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Maxillary Sinusitis ◽  
Combined Treatment ◽  
Case Series ◽  
University Hospital ◽  
Sinus Surgery ◽  
Oroantral Fistula ◽  
Dental Origin ◽  
Chronic Maxillary Sinusitis

Unilateral chronic maxillary sinusitis is a possible complication of odontogenic disease or dental treatment and is mainly due to the development of an oroantral fistula (OAF). The management of chronic maxillary sinusitis of dental origin requires a combined treatment via endoscopic sinus surgery (ESS) and intraoral surgical treatment of the odontogenic source. The aim of this study is to present the results of our university hospital unit in the treatment and follow-up of a case series of 34 patients treated with combined surgical approach for chronic maxillary sinusitis of dental origin due to OAF. All patients were treated with ESS combined with an intraoral approach. No intraoperative or immediate postoperative complications were observed; nasal synechia was found in 3 patients (8.82%). The overall success rate after primary intervention was 94.12%; recurrence was observed in 2 cases (5.88%), both were suffering from diabetes mellitus and were tobacco smokers. Our results confirm that simultaneous surgery with a combination of an intraoral and endoscopic approach can be considered the best strategy for the long-term restoration of a normal sinonasal homeostasis in selected patients with chronic odontogenic sinusitis and OAF, guaranteeing an effective treatment with minimal complications in the short and long term.

scholarly journals Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Yunus Feyyat Şahin ◽  
Togay Muderris ◽  
Sami Bercin ◽  
Ergun Sevil ◽  
Muzaffer Kırıs
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Maxillary Sinusitis ◽  
Surgical Removal ◽  
Oroantral Fistula ◽  
Unusual Foreign Body ◽  
Dental Procedures ◽  
Chronic Maxillary Sinusitis ◽  
Left Maxillary Sinus

Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.

Maxillary sinusitis of dental origin due to oroantral fistula, treated by endoscopic sinus surgery and primary fistula closure

2010 ◽  
Vol 124 (9) ◽  
pp. 986-989 ◽  
Author(s):  
J Hajiioannou ◽  
E Koudounarakis ◽  
K Alexopoulos ◽  
A Kotsani ◽  
D E Kyrmizakis
Keyword(s):  
Alveolar Bone ◽  
Treatment Approach ◽  
Maxillary Sinusitis ◽  
Case Series ◽  
Current Treatment ◽  
Sinus Surgery ◽  
Oroantral Fistula ◽  
Dental Origin ◽  
Odontogenic Sinusitis ◽  
Chronic Maxillary Sinusitis

AbstractAim:To present the current treatment approach for oroantral fistula causing maxillary sinusitis.Design:Case series. Four cases of oroantral fistula (diameters: 6, 9, 11 and 13 mm) due to chronic maxillary sinusitis were treated by excision of all diseased oroantral fistula tissue, followed by endoscopic creation of a large middle antrostomy and closure of the fistula using buccal flaps. A synthetic surgical glue and local alveolar bone were used.Results:Patients were followed up for six months to three years; all were considered cured.Conclusion:Most surgeons use buccal or palatal flaps, combined with the Caldwell–Luc procedure, to treat chronic odontogenic sinusitis and to repair fistulae more than 5 mm in diameter. This study supports the hypothesis that an endoscopic technique could be successfully used in patients with oroantral fistula causing chronic maxillary sinusitis of dental origin, instead of the Caldwell–Luc procedure, at least in patients with a small to medium-sized oroantral fistula.

scholarly journals FIBRINA RICA EM PLAQUETAS (PRF) COMO ALTERNATIVA DE TRATAMENTO PARA GRANULOMA PIOGÊNICO RECIDIVANTE: RELATO DE CASO

2020 ◽  
Author(s):  
Pâmella Santana Nunes
Keyword(s):  
Tissue Regeneration ◽  
Clinical Case ◽  
Healing Process ◽  
Pyogenic Granuloma ◽  
Outpatient Setting ◽  
Platelet Rich Fibrin ◽  
Postoperative Control ◽  
Frequent Relapses ◽  
Treatment Prognosis ◽  
Fibrin Membrane

ResumoO Granuloma Piogênico é descrito como um aumento de volume não neoplásico, de crescimento acelerado e indolorque ocorre em resposta reacional a irritantes locais ou traumáticos, com frequentes recidivas.Apresenta-se como uma lesãode superfície lisa ou lobulada, base normalmente pediculada, intensa vascularização e predileção pela gengiva. A fim de minimizar o defeito cirúrgico e melhorar o processo de cicatrização, a utilização de Fibrina Rica em Plaquetas (PRF) para recobrimento local após a exérese da lesão é uma alternativa favorável ao prognóstico do tratamento. Trata-se de uma membrana de fibrina autógena, rica em leucócitos, plaquetas e fatores de crescimento, obtida através do sangue do paciente que passa por um processo de centrifugação.O objetivo do presente trabalho érelatarum caso clínico da paciente C.S.G.T, leucoderma, sexo feminino, 50 anos de idade, que compareceu à Faculdade de Odontologia da Universidade Federal Fluminense, com um quadro clínico de Granuloma Piogênico recidivante tratadocom exérese da lesão e PRF. O procedimento cirúrgico foi realizado sob anestesia local em ambiente ambulatorial, sem intercorrências e segue em controle pós-operatório com cerca de 2 meses, com boa evolução.Palavras-chave:granuloma piogênico; fibrina rica em plaquetas; regeneração tecidualAbstractPyogenic Granuloma is described as a painless, fast-growing, non-neoplastic swelling that occurs in reaction to local or traumatic irritants, with frequent relapses. It presents as a lesion with a smooth or lobulated surface, usually pediculated base, intense vascularization and predilection for the gum. In order to minimize the surgical defect and improve the healing process, the use of Platelet Rich Fibrin (PRF) for local coverage after lesion excision is a favorable alternative to treatment prognosis. It is an autogenous fibrin membrane, rich in leukocytes, platelets and growth factors, obtained through the patient's blood that goes through a centrifugation process. The objective of the present study is to report a clinical case of a 50-year-old female patient, CSGT, leucoderma, who attended the Fluminense Federal UniversityDentistry School, with a clinical picture of recurrent pyogenic granuloma treated with excision and PRF. The surgical procedure was performed under local anesthesia in an outpatient setting, uneventful and the same follows in postoperative control with about 2 months, with good evolution.Keywords: pyogenic granuloma; platelet-rich fibrin; tissue regeneration

scholarly journals Oral surgery as risk factor of odontogenic maxillary sinusitis

2006 ◽  
Vol 134 (5-6) ◽  
pp. 191-194 ◽  
Author(s):  
Alek Racic ◽  
Jelena Dotlic ◽  
Ljiljana Janosevic
Keyword(s):  
Foreign Bodies ◽  
Oral Surgery ◽  
Pathological Condition ◽  
Maxillary Sinusitis ◽  
Common Cause ◽  
Oroantral Fistula ◽  
Pathological Conditions ◽  
Odontogenic Sinusitis ◽  
Oroantral Communication ◽  
Upper Molar

In order to determine the risk factors of odontogenic maxillary sinusitis, a total number of 40 patients with this pathological condition was examined in three-year period. Oroantral communication was detected in 40% of patients, oroantral fistula in 25%, sinus foreign bodies in 15% and other pathological conditions in 10% of cases. The extraction of the upper lateral teeth was the cause of odontogenic sinusitis in 65% patients. Given the specific tooth, the first upper molar was the most common cause of the condition, i.e. in 40% of cases. It may be concluded that odontogenic sinusitis is the complication of the oral cavity surgery in 85% of patients, what should be taken into consideration in prevention.

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