20 years post oroantral fistula

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Posted on 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

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


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Are you planning for implants?


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?


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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?


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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


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thank you Jawad and I wish you all the best


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