FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely - to surgical dentistry and is for maxillary bone cyst removal. A trapezoidal section of the mucosa from the mucogingival fold shall be performed. A complete mucoperiosteal flap shall be made, with its base turned to the transitory fold of the mucogingival fold. Using Piezosurgery apparatus with the 3D oscillation frequency 24-29 KHz in the plane of the anterior wall of the maxillary antrum, perform osteotomy as a round-shaped aperture with the diameter to 1 cm. Bone cutting shall be performed with the angle of 35°C. The cyst content shall be evacuated. Use rigid endoscopes with the look-up angle of 0° and 30° for sinus visualization. A polypropylene cylinder in its non-activated state shall be introduced into the obtained aperture. Then the cylinder shall be activated by pressurizing an antiseptic drug - chlorhexidine bigluconate 0.02%. The flap cyst envelope and the pathological content of the maxillary sinus shall be removed after the cylinder removal. Wash the bone cavity by stream infusion, with dioxydine solution 0.1% for 3 minutes, then treat with miramistine solution 0.05% via the Optodan channel for 3 minutes. The intervention shall be concluded with stitching in the mucous membrane cut area, from the mucogingival fold side. EFFECT: method enables cyst envelope removal with least surgical trauma, reduce the number of postoperative complications and the rehabilitation terms due to the hydropreparation and integrity of all essential anatomical structures of the maxillary antrum.
1 dwg, 1 dwg, 4 ex
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Authors
Dates
2012-02-10—Published
2010-11-25—Filed