Colgajo palatino pediculado de tejido conectivo submucoso en el tratamiento de la comunicación bucosinusal
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2019-09-11
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Se analiza una complicación del sistema estomatognático que se presenta como una urgencia en el área de odontología como es la comunicación bucosinusal; debido a la atribución de diversos factores relacionados a procesos traumáticos, iatrogénicos, y asociados a otras patologías, se produce una vía común en la que se comunica la cavidad bucal con el seno maxilar, exponiendo esta estructura anatómica al medio oral, impidiendo la buena fonética, masticación, respiración y deglución de los alimentos, donde se expone a que se pueda ocurrir una infección a ese nivel; este es un problema muy común en odontología siendo la extracción dentaria el factor de mayor incidencia, prevaleciendo en los primeros y segundos molares superiores. El objetivo del presente trabajo es restablecer la función del sistema estomatognático alterada por la comunicación bucosinusal empleando la técnica quirúrgica de colgajo palatino pediculado de tejido conectivo submucoso en un paciente de la facultad piloto de Odontología de la Universidad de Guayaquil Conclusiones: El cierre de la comunicación bucosinusal mediante la técnica quirúrgica de colgajo palatino pediculado de tejido conectivo submucoso a pesar de que toma más tiempo clínico y tiene cierta complejidad para el cirujano, brinda una gran elasticidad al momento de rotar el tejido, un post operatorio menos traumático para el paciente y una mejor recuperación gracias a que queda todo el área totalmente cubierta y muy estable promoviendo una epitelización más rápida.
A complication of the stomatognathic system that is presented as an emergency in the area of dentistry such as oroantral communication is analyzed; due to the attribution of various factors related to traumatic, iatrogenic processes, and associated with other pathologies, a pathway is produced common in which the oral cavity is communicated with the maxillary sinus, exposing this anatomical structure to the oral environment, preventing good phonetics, chewing, breathing and swallowing food, where it is exposed to an infection can occur at that level; This is a very common problem in dentistry, with dental extraction being the factor with the highest incidence, prevailing in the first and second upper molars. The objective of this study is to restore the function of the stomatognathic system altered by oroantral communication using the pedicle palatal flap surgical technique of submucosal connective tissue in a patient treated at the dentistry faculty of the University of Guayaquil. In all, the closure of the oroantral communication by means of the surgical technique of pedicle palatal flap of submucosal connective tissue although it takes more clinical time and has some complexity for the surgeon provides great elasticity at the time of rotating the tissue. This procedure is less traumatic on the patient due to the fact that the entire area is completely covered and very stable that promotes faster epithelialization.
A complication of the stomatognathic system that is presented as an emergency in the area of dentistry such as oroantral communication is analyzed; due to the attribution of various factors related to traumatic, iatrogenic processes, and associated with other pathologies, a pathway is produced common in which the oral cavity is communicated with the maxillary sinus, exposing this anatomical structure to the oral environment, preventing good phonetics, chewing, breathing and swallowing food, where it is exposed to an infection can occur at that level; This is a very common problem in dentistry, with dental extraction being the factor with the highest incidence, prevailing in the first and second upper molars. The objective of this study is to restore the function of the stomatognathic system altered by oroantral communication using the pedicle palatal flap surgical technique of submucosal connective tissue in a patient treated at the dentistry faculty of the University of Guayaquil. In all, the closure of the oroantral communication by means of the surgical technique of pedicle palatal flap of submucosal connective tissue although it takes more clinical time and has some complexity for the surgeon provides great elasticity at the time of rotating the tissue. This procedure is less traumatic on the patient due to the fact that the entire area is completely covered and very stable that promotes faster epithelialization.
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SENO MAXILAR - CIRUGIA, COLGAJOS QUIRURGICOS, TEJIDO CONECTIVO