Surgical rapair of oro-antral fistula with drainage of the sinus by Foley's catheter

This study included twenty-seven patients with oroantral fistulae and complicating difficult dental extraction of the upper molars. Clinical and radiological examination showed signs and symptoms of chronic sinusitis. All these cases were surgically treated by removal of the diseased maxillary sinus mucosa and closure of the fistula advancement buccal flap associated with drainage of the maxillary sinus by Foley's catheter. The results were excellent for both recurrent and primary cases

Blow out orbital fracture reconstruction with using autogenous cancellous iliac bone graft, a modified technique

Twenty-three patients were having blow out orbital fractures. All of these cases were evaluated clinically and radiologically. Exploration of the orbital floor was indicated. The orbital floor was explored through either infra-orbital or blepharoplasty incision or through the traumatic wound; the defect in the orbital floor was reconstructed by cancellous bones graft harvested from the iliac bone. The results showed that using the cancellous iliac bone graft minimized the postoperative limbing, pain and markedly reduced the hypoesthesia of the lateral cutaneous nerve of the thigh. The second important advantage is the fact that being rapidly revascularized, there is no need for over correction with its temporary discomfort to the patient

Management of congenital parotid gland fistula

Four cases with congenital glandular parotid gland fistula were presented by dripping of saliva during mastication, no history of infection or trauma to the parotid gland. All were admitted, investigated and managed surgically by a new simple safe technique including fistulectomy and water tight repair of the parotid gland capsule and subcutaneous tissue in different lines in addition to postoperative compression, mucolytics, anticholenergic and antibiotic. The results were excellent