带蒂颊脂垫移植充填术在修补口腔上颌窦瘘中临床应用.doc

带蒂颊脂垫移植充填术在修补口腔上颌窦瘘中临床应用【摘要】目的 评估带蒂颊脂垫移植充填技术在修补口腔上颌窦瘘中的临床疗效。方法 对10例口腔上颌窦瘘患者采用带蒂颊脂垫移植充填技术进行治疗，分析临床资料及其临床效果，总结临床应用经验。结果 10例中男性7例、女性3例。年龄23岁～57岁，平均37岁。10例中拔牙术后7例；囊肿术后2例，上颌窦根治术1例。瘘口位于磨牙区牙槽突，缺损范0.7cm×1.8cm-1.5cm×2.1cm。有9例伴发上颌窦炎；其中有4例上颌窦根治术与瘘口修复术同时进行。10例中除1例瘘口未愈合经检查为糖尿病史外均Ⅰ期愈合。结论 带蒂颊脂垫移植充填技术，具有较强的抗感染和组织修复能力，易成活，颊脂垫解剖恒定，易于切取，且操作相对简单、安全，效果确切，是治疗口腔上颌窦瘘的良好方法。优于传统的颊侧粘骨膜滑行瓣修补术及带蒂腭侧粘骨膜瓣修补术。 【关键词】口腔上颌窦瘘 带蒂颊脂垫 移植充填 中图分类号：R783文献标识码：A文章编号：1005-0515（2011）3-008-03 Pedicle BuccalFatPad oral maxillar sinus fistula mending the clinical application HU Xingzhou （Department of Stomatology, Jin-tang Xian People s Hospital） 【Abstract】Objectives to evaluate pedicle BuccalFatPad transplant filling technology in repairing the maxillary sinus fistula in oral clinical curative effect. Methods: 10 cases of oral maxillar sinus fistula using pedicle BuccalFatPad transplant filling technology treatment, clinical data and clinical effect analysis, summarize clinical application experience. Results 10 cases of male 7cases, 3cases of women. 57~23years of age, the average 37. 10 cases of tooth postoperative 7cases, Cyst postoperative in 2 cases, 1 case vesssed maxillar sinus. Fistula in molar area alveolar turkestan, defect range 1.8cm×0.7cm ~ 1.5cmx×2.1cm. There are 9cases of comorbid maxillar sinus, There are 4 cases underwent with maxillar sinus fistula prosthetics simultaneously. 10 cases in all the cases fistula non-union through inspection for diabetes history Ⅰ period healing. All outside. Conclusion pedicle BuccalFatPad transplant filling technology, have stronger fight infection and tissue repair ability, easy to survive, cheeks fat pad anatomical constant, easy to operate, and cut take relatively simple, safe and effective exact, is the treatment of oral maxillar sinus fistula in a good method. Superior to the traditional buccal sticky periosteal taxiing disc suture and pedicle palatal side stick periosteal flap suture. 【Key words】oral maxillar sinus fistula Pedicle BuccalFa