20 years post oroantral fistula

31 Rating(s).

Posted on 01.23.2014 04:28 PM By r t In Sinus Augmentation

20 years post rt maxillary oroantral fistula corrected by palatal flap a 60 years old patient seeking for a solution.
addressing the continuity defect and sinus lift at the same time.
no post op complications
ct one year post op attached

preop

post op 1 year

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6 Comments

Maurice Salama says on 01.23.2014 07:48 PM

Great result. How did you do it? What was secret to success?
Dr. Salama

Maurice Salama says on 01.23.2014 07:49 PM

Are you planning for implants?

r t says on 01.25.2014 12:55 PM

r t says on 01.23.2014 11:15 PM

thank you
I think it is the separation of 3 layers attached:
palate+periost-sinus membrane+bucal flap with only 2-3 mm tear of sinus memvrane+PRF.
no temporary at all
and a little help from the almighty...
do planning on implants
should I remove the mesh or drill through?

Jawad Abu Tair says on 02.02.2014 05:54 PM

I think the mesh should be taken out, because it is easly accessable, the bone most probably is hard enough to preserve it's continuity and bulk (Mostly if it had been a combination between allograft and a xenograft), and third to prevent future complications in the area like perimplantitis induced infection spread to the whole mesh

r t says on 02.05.2014 04:34 PM

thank you Jawad and I wish you all the best