ABSTRACT
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Subject(s)
Humans , Female , Middle Aged , Plasmacytoma/diagnosis , Frontal Sinus/pathology , Paranasal Sinus Neoplasms/surgery , Diagnosis, Differential , Tomography, X-Ray ComputedABSTRACT
Una fístula oroantral es una solución de continuidad patológica entre el seno maxilar y la cavidad oral, producida frecuentemente tras una extracción dentaria, en la mayoría de los casos, del primer o segundo molar. El síntoma más común que provoca es una sinusitis aguda, que evolucionará a la cronicidad si la fístula permanece. El diagnóstico se realiza mediante endoscopia transalveolar, ortopantografía o tomografía computarizada dental. Su cierre quirúrgico es necesario cuando la fístula tiene más de 3 mm, o no sella por sí misma en 3 semanas. Existen, para ello, varias técnicas, usando distintos materiales y colgajos, cuyo fin es ocluir, tanto el defecto óseo, como el mucoso, para solucionar así a la vez la fístula y el problema sinusal(AU)
The oroantral fistula is a solution of pathological continuity between the maxillary sinus and the oral cavity, frequently produced after a teeth extraction in most of cases of the first or second molars. The commonest symptom provoked is an acute sinusitis evolving to chronicity if the fistula remains. The diagnosis is made by transalveolar, orthopantography or dental computerized tomography. Its surgical closure is necessary when the fistula has more than 3 mm or not seal by itself in three weeks. For it, there are some techniques using different materials and flaps where its objective is to occlude the bone defect as well as the mucous one thus solving the fistula and the sinus problem(AU)
Subject(s)
Humans , Male , Middle Aged , Surgical Flaps/adverse effects , Tooth Extraction/adverse effects , Maxillary Sinusitis/diagnosis , Tomography Scanners, X-Ray Computed/statistics & numerical data , Oroantral Fistula/pathologyABSTRACT
Introducción: Para solucionar determinados problemas que nos surgen en la cirugía del implante coclear, de los senos paranasales y de la base de cráneo hemos introducido en nuestro servicio el uso de un cemento óseo (PolyBone®). Con el objetivo de lograr la elaboración de cementos óseos de uso quirúrgico, la unión de factores de crecimiento óseo y polifosfatos ha permitido el estudio de estos materiales biológicos. Material y resultados: Presentamos un total de 28 pacientes con edades comprendidas entre 2 y 69 años, y una edad media de 29,2 años en los que el PolyBone® nos ha servido como un arma terapéutica más en el área quirúrgica de la ORL. En dos de los pacientes (7,4%) aparecieron complicaciones. Una menor que solucionamos con tratamiento conservador y una complicación mayor, que requirió una cirugía de extracción del material y explantación del implante. En los otros 26 (92,6%) pacientes se obtuvieron excelentes resultados. Conclusiones: Existen diferentes materiales autólogos y aloplásticos que nos sirven de gran utilidad para el manejo de fístulas, relleno de cavidades, u obliteración de senos entre otros. El cirujano debe conocer las propiedades biológicas, características fundamentales, técnica de obtención y posibles aplicaciones quirúrgicas para ser capaz de prevenir futuras complicaciones. Entre estos materiales, el cemento óseo (PolyBone®) es una alternativa eficaz a tener en cuenta en el manejo quirúrgico de nuestra patología (AU)
Introduction: To solve certain problems that arise in cochlear implant, sinus and skull base surgery, the use of bone cement (PolyBone®) has been introduced in our department. With the goal of making use of surgical bone cements, combining bone growth factors and polyphosphates has allowed the study of these biological materials. Materials and Results: We present a total of 28 patients aged between 2 and 69 years (mean age of 29.2 years) in whom PolyBone® has been used as an additional therapeutic tool in the ENT surgical area. Complications occurred in 2 patients (7.4%). One was minor, solved with conservative treatment; one was a major complication that required surgery to extract the material and remove the implant. In the other 26 patients (92.6%), excellent results were achieved. Conclusions: Different autogenous and alloplastic materials are of great utility for fistula management, cavity filling or sinus obliteration, among other uses. The surgeon must understand their biological properties, fundamental characteristics, production technique and potential surgical applications to be able to prevent future complications. Among these materials, bone cement (PolyBone®) is an effective alternative that should be considered in surgical management of ENT pathology (AU)
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Cochlear Diseases/surgery , Cochlear Implants/standards , Skull Base/surgery , Paranasal Sinuses/surgery , Bone Substitutes/adverse effects , Postoperative Complications , Retrospective StudiesABSTRACT
INTRODUCTION: To solve certain problems that arise in cochlear implant, sinus and skull base surgery, the use of bone cement (PolyBone®) has been introduced in our department. With the goal of making use of surgical bone cements, combining bone growth factors and polyphosphates has allowed the study of these biological materials. MATERIALS AND RESULTS: We present a total of 28 patients aged between 2 and 69 years (mean age of 29.2 years) in whom PolyBone® has been used as an additional therapeutic tool in the ENT surgical area. Complications occurred in 2 patients (7.4%). One was minor, solved with conservative treatment; one was a major complication that required surgery to extract the material and remove the implant. In the other 26 patients (92.6%), excellent results were achieved. CONCLUSIONS: Different autogenous and alloplastic materials are of great utility for fistula management, cavity filling or sinus obliteration, among other uses. The surgeon must understand their biological properties, fundamental characteristics, production technique and potential surgical applications to be able to prevent future complications. Among these materials, bone cement (PolyBone®) is an effective alternative that should be considered in surgical management of ENT pathology.
