The Role of Tactics of Surgical Procedures and Selection of Biomaterials in Case of Maxillary Sinus Perforating

Syrak S. V.
Doctor of Medicine, Professor, Head, Department of Stomatology¹

Sletov A. A.
Doctor of Medicine, Professor, Department of Surgical Dentistry and Maxillofacial Surgery¹

Shchetinin E. V.
Doctor of Medicine, Professor, Head, Department of Pathophysiology¹

Koshel I. V.
PhD, Assistant Professor, Department of Otorhinolaryngology¹

1 - Stavropol State Medical University

The results of a yearly monitoring of the conditions of 94 patients who underwent plastic surgery of the alveolar bone of the upper jaw during perforation of the maxillary sinus are presented. The choice of the method of plastic closure of oro-antral perforations depends on the size of the defect of the bone tissue, the dimensions of which must be determined by means of computed tomography. The use of combinations of osteoplastic materials of various origins and new methods of bone plasticity allows to achieve accelerated recovery of patients, to prevent postoperative complications and their relapse.

sinusitis, oro-antral anastomosis, biomaterials, plastic

1. Bocharova, I.A. Restoration of bone tissue of the alveolar process with perforation of the maxillary sinus in conditions of directed tissue regeneration. Abstract. Dis. Cand. Med. Sciences. Voronezh., (2008): 24 p.

2. Zeker'yaev, R.V., and S.V. Sirak. Experience in the use of osteoplastic materials for plastyc of the defect of the alveolar bone of the upper jaw with perforation of the maxillary sinus. Sovremennie problemi nauki i obrazovaniya, no. 2 (2003): 88.

3. Ivanov, S.Yu., A.F. Bizyaev, M.V. Lomakin et al. Clinical results of the use of various osteoplastic materials in sinus lifting. Novoe v stomatologii, no.5 (2009): 51-53.

4. Koshel, I.V., E.V. Shchetinin, end S.V. Sirak. Pathophysiological mechanisms of odontogenic maxillary sinusitis. Rossiyskaya otorinolaringologiya, no. 5 (2016): 36-42.

5. Rasmusson, L.A. Closure of local defects of the alveolar process. Novoe v stomatologii, no.5 (2011): 40-43.

6. Sirak, S.V., A.B. Akkalayev, end A.A. Sletov. Perforation of the maxillary sinus with the removal of teeth and endodontic interventions: methods of treatment and prevention. Endodontiya Today, no. 2 (2014): 45-49.

7. Sirak, S.V., E.V. Shchetinin, end A.A. Sletov. Subanthral augmentation with porous titanium in an experiment and in a clinic. Stomatologiya 95, no. 1 (2016): 55-58.

8. Grimm, W.-D., M. Ploger, I. Schau, et al. Complex, three-dimensional reconstruction of the critical size of the lesions following delayed implant placement using stem cell-containing subepithelial connective tissue graft and allogenic human bone blocks for horizontal alveolar bone augmentation: a case report as proof of clinical study principles. Medical news of North Сaucasus 9, no.2 (2014): 131-133. doi: 10.14300/mnnc.2014.09037

9. Grimm, W.-D., M. Ploger, I. Schau, et al. Рrefabicated 3D allogenic bone block in conjunction with stem cell-containing subepithelial connective tissue graft for horizontal alveolar bone augmentation: a case report as proof of clinical study principles. Medical news of North Сaucasus 9, no. 2 (2014): 175-178. doi: 10.14300/mnnc.2014.09050