Diagnostic and surgical treatment of patients with perforated chronic maxillary sinusitis on the basis of osteoplastic xenogenic collagen material application.

Diachkova E.Yu., Tarasenko S.V., Serova N.S., Medvedev U.A.

Purpose. To improve the treatment of patients with perforated chronic maxillary sinusitis through the using of xenogenic collagen osteoplastic material "Collost". Material and methods. On the basis of the clinic of maxillofacial surgery of the I.M. Sechenov First MSMU and dental clinic of private profile from 2010 to 2017 20 patients with perforated chronic maxillary sinusitis were surgically treated. Material "Collost" was used in the form of membrane 15x15 mm and 60х50 mm, seals-bundles. All patients underwent surgery: sinusotomy. Elimination of the oroantral fistula using material "Collost". In the pre-and postoperative period at 1, 3, 6 months X-ray (orthopantomography) and control examinations were carried out. Results. Postoperative period in all patients was uneventful. The sutures were re-moved in 7 to 9 days. During the observation period (1 year) recurrences of sinusitis have not been identified. After 6 months there were visible signs of the formation of bone tissue in the implantation area of the material "Collost" during the control orthopantomograms and CT examination. In recent years, the problem of patient’s treatment with perforated chronic maxillary sinusitis increasingly requires an interdisciplinary approach to provide skilled medical care. The primary goal of surgical intervention for the complex treatment of this disease is the elimination of the inflammatory lesion in the sinus, removal of oroantral fistula and the for-mation of conditions for restoration of the alveolar bone for subsequent dental implantation and rational prosthetic dentistry. Conclusion. Within the surgical treatment of patients with chronic sinusitis with the oroantral fistula the operation of sinusotomy with plastic of oroantral fistula using local tis-sues and collagen material "Collost" is the method of choice.
1 - I.M. Sechenov First Moscow State Medical University (Sechenov University).
2 - A.I. Yevdokimov Moscow State University of Medicine and Dentistry. Moscow, Russia.


 

 

 

 

 

 

Keywords:perforated maxillary sinusitis, osteoplastic xenogenic material, oroantral fistula, tooth extraction.

 

Corresponding author: Diachkova E.Yu., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript /p>

 

For citation: Diachkova E.Yu., Tarasenko S.V., Serova N.S., Medvedev U.A. Surgical treatment of patients with perforated chronic maxillary sinusitis on the basis of osteoplastic xenogenic collagen material application. REJR 2017; 7(4):15-22. DOI:10.21569/2222-7415-2017-7-4-15-22

Received: 03.10.2017 Accepted: 25.11.2017