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Register a new userEvaluate the effectiveness of the use of cheek Flap in the closure of the vestibular oro-nasal fistulas and alveolar clefts
تقييم فعالية استخدام الشريحة الخدية في إغلاق النواسير الأنفية الفموية الدهليزية و الشقوق السنخية
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Aِl-Baath University ورقة بحثية
Publication date
2017
fields
Dentistry
and research's language is
العربية
Created by
Shamra Editor
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إن النواسير الأنفية الفموية الدهليزية و الشقوق السنخية تترافق مع شقوق الشفة و قبة الحنك, تستخدم الشرائح المزاحة عادة لإغلاق هذه النواسير يمكن استخدام الشريحة الخدية لإغلاقها كبديل للشريحة المزاحة.
vestibular oro-nasal fistulas and alveolar clefts associate with cleft lip and palate. Sliding flaps are the most used flaps and often the sole method for closure of vestibular oro-nasal fistulas and alveolar clefts. cheek flap can be used instead of Sliding flaps.
References used
Patrick W T, 2005-Grant’s Dissector. Lippincott Williams & Wilkins, thirteenth edition, United States of America, p 155
Cleft lip and palate.leukoplakia,SRM university,1956,p5
Ramon L, Bernard J, 2004-Reconstruction of cleft lip and palate: Secondary Procedures In: Michael Miloro. Peterson's principles of oral and maxillofacial surgery, second Edition , vol. (2). London: BC Decker Inc, 872 – 878p
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Residual palatal fistulas are common after repair of palatal cleft
and tumar incision in palate and nasal cavity.
Repair of residual oronasal fistula is not always successful. Twolayer
closure techniques that close these fistulas with soft tissue
are a common practice. Turnover flaps are the most used flaps
and often the sole method for nasal side closure of fistula.
Anteriorly based inferior turbinate flap can be used to provide soft
tissue for nasal-side closure when turnover flaps will not provide
sufficient tissue for this purpose.
The aim of the study was to evaluate the effectiveness of platelet-rich fibrin (PRF)
for closer of oroantral communication (OAC) during two months of clinical and
radiographical follow-up. Eleven patients of both sexes(45.5% males ,54.5% females)
included in this study who had (OAC) after dental extraction. The closer was done by
using fibrin clot which was plugged into the alveolar socket of the extraction site that
contains the communication, and then we sutured the fibrin membrane to the gingival
borders above it. The results revealed that (PRF) can close the oroantral communication
successfully in 81.8% of the sample with the following complications :pain 27.3% , edema
18.2% , dehiscence 18.2%. We conclude that platelet-rich fibrin can close oroantral
communication that results from dental extraction when it has been used as a clot and
membrane together with simple complicated subsequent clinical symptoms and without
radiographical signs of inflammation of the maxillary sinus.
the lapse of rhinoplasty results in cleft lip patients is considered one of the
challenges which limit of plastic surgery in oral facial deformities
This research aimed to evaluate the usage of two kinds of nasal stints (plastic and acrylic) at the results of
rhinoplasty in cleft lip patients.
Nasal reconstruction is considered as one of the difficult reconstructive
problems to solve. That is due to the importance of the cosmetic appearance of the nose, the several types
of tissues forming the nose and the complexity of the anatomy of th
e nose.
Due to the small nostrils, delicate tissue and lack of surrounding tissues enough for reconstruction, this
problem becomes more difficult to in the reconstruction of children’s noses,
The aim of this research is to look at the cases of nasal reconstruction in children at Mouassat university
hospital, and to suggest a new modification on the forehead flap, which leads to lengthening the flap by
recruiting a piece of the Galea as a facial flap connected to the distal end of the forehead flap. This flap
will be covered with a split thickness skin graft, then it will be folded to reconstruct the inner surface of
the nose.
A prospective study included eighty tow patients (57 male) the range
ages were (42 year) underwent surgery and developed postoperative
enterocutaneous fistulas in the department of general surgery in Alasad
and Almuasat Universitiys Hospitals betw
een 2014 and 2016 .After the
diagnosis performed ,They were approached according to specific strategy,
and determined the onset of developing the enterocutaneous fistulas
from the surgical procedure. the rate of developing in the first week
was 68.2%. Accompanied symptoms and resulted complications were
studied and classified according to an essential criteria.
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