What is maxillary sinus?
The maxillary sinus is an air-filled anatomical cavity symmetrically located on the upper jawbone on both sides of the nasal cavity. The Maxillary sinus, also known as the Highmore Cavity, first described by Nathaniel Highmore, begins to form in the womb. It grows downward and forward into the jawbone and becomes pyramid form until it becomes adult after birth. The maxillary sinus, which is close to the oral and posterior teeth, has tasks such as contributing to the sound resonance, reducing the pressure and weight in the skull, heating and humidifying the inhaled air.
HOW DO THE MAXILLES OPEN AFTER SINUSAL TEETH EXTRACTION? / Oroantral Fistula
In the upper jaw, the roots of small and large molars are sometimes in the sinus. During shooting, the sinus floor is opened and an opening is formed between the sinus and the oral cavity. There is no improvement in the attraction cavity due to the inability to clot and there is an opening. This phenomenon is called oroantral fistula. The treatment is surgical closure.
WHAT IS OROANTRAL FISTULA, CLEARANCE, PERFORATION?
Maxillary sinus opening during extraction is one of the most common complications encountered by dentists. Because the molars in the upper jaw and the big molars are adjacent to the maxillary sinus, the barrier between the sinus and the oral cavity is lifted and pathological convergence occurs after the tooth extraction. This is called an oroantral fistula (oroantral opening, oroantral perforation). If an oranthral fistula occurs, the food consumed by the patient during eating may escape into the nasal cavity. So it must be closed without wasting time. If it is noticed during the shooting, treatment is simple and easy, but surgical treatment is required to close it in the late period.
OROANTRAL CLEARANCE, HOW TO TREAT FISTULES?
The oroantral fistula caused by traction will heal spontaneously if the patient's sinus is healthy and smaller than 1-2 mm. However, surgery should be performed if there is a larger patency. Various methods have been developed for the closure of Oroantral fistulas. These methods can be classified as distant flaps, local flaps and grafting. Local flaps are used in small openings, distant flaps and graft materials are used in large openings. The most commonly used closure methods are buccal flap and palatal flap. Palatal islet flap is used most frequently in our clinic. It is a very successful technique and there is no problem with the prosthesis to be made in the future when there is no constriction of soft tissue on the cheek side of the fistula. Other techniques for the closure of oro-central fistulas are;
Closure with Interseptal Alveolectomy (Modified DEAN Technique)
Closure Method with Monocortical Bone Graft
Autogenous Graft Method
Closure with Fibrin Adhesives
Closure with Lyophilized Dura Mater and Faysa Lata
It is the use of Intraoral Membranous Bone Grafts.
WHAT SHOULD BE CONSIDERED AFTER THE OPENING OF THE OROANTRAL OPENING?
- During the healing process, the hygiene of the operation area should be paid attention, the teeth should be brushed and gargled with a soft brush (except the first day).
- In order to reduce postoperative edema, ice compresses should be performed on the first day at intervals of 5-10 minutes.
The first 48 hours should not be consumed, hot food and drink should not be consumed, alcohol, spicy, acidic foods should be avoided, absolutely no smoking
- No water should be drawn into the nose, nose cleaning should not be done with pressure, sucked, mouth open sneezed, valsalva maneuver should not be done. (Valsalva maneuver, squeezing the nostrils is the process of squeezing.)
- Shower should not be taken on the first day, bathing at high temperature for 2 weeks. There should not be a bath and sauna.
- You should not travel for 2-3 weeks
- No sports, no swimming and no swimming in the first week
- No diving for 2-3 weeks
- Medications recommended by the physician should be used regularly.
OROANTRAL CLEARANCE, FISTULAR OPERATING PRICES WHAT?
For more information about orantral opening, fistula closure treatment fees, you can contact us at +90 216 363 36 36 for Bağdat Street Clinic, 0 212 280 88 00 for Levent Clinic, 0 216 485 90 30 for Acarkent Clinic. For more information, please send your e-mail address in the E-Newsletter section below.
28AXX
Vicks Sinex Severe Original Ultra Fine Mist Sinus Nasal Spray Twin Pack, 2 x .5 Fl oz, Total 1 Fl oz
