[Emergency care in suppurative odontogenic cysts].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to V I Filippenko.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
In 1974-1991 the authors followed up 402 and 220 patients with odontogenic and rhinogenic maxillary sinusitis, respectively. It is confirmed that the leading cause of odontogenic sinusitis is periapical inflammation, while perforation of the sinus base in removal of the tooth is the sequela. In dissection of the sinus base free of sinusitis suturing of the hole or its closure with mucoperiosteal graft may warrant the clot persistence in the hole. Injuries of the sinus base are divided into chance and suspected, recognizable and missed, complicated and noncomplicated, perforation with complete and incomplete tooth removal. Therapeutic policy should be designed on the individual basis depending on the odontogenic cause.
A method of repair of the maxillary sinus anterior wall after radical sinusotomy is presented. The defect is replaced by an osseomucosal autotransplant of an elongated shape cut out of the anterior sinus wall. After sinus revision the complex graft is placed transversely so that its edges overlap sinusal bone wound and fixed with sutures. Our results demonstrated the simplicity, reliability, and efficacy of the operation.