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KMID : 0390219990100020273
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Journal of Clinical Otolaryngology, Head and Neck Surgery
1999 Volume.10 No. 2 p.273 ~ p.276
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Removal of Dentogenous Osteoma Using Osteoplatic Flap
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Abstract
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Once, C-L, operation was a fundmental treatment of chronic maxillary sinusitis.
However nowadays, the effectiveness of the operation has decreased because of some
problems such as facial asymmetry, numbness, and tenderness. Functional endoscopic
sinus surgery has substituted the procedure, but still the C-L, operation is useful for
some diseases. The problems were caused by the removal of mucosa and the bony wall
of the sinus. To prevent such complications, the authors gave C-L operation to a patient
through the osteoplastic technique. The procedure has been performed on dentogenous
osteoma patient. Anterior bony wall of maxillary sinus was incised using the drill,
oscillating saw, and osteotome. Then, pathologic lesions in the sinus were completely
removed which increased visual held and preserved the sinus mucosa. Finally, the
window on the sinus was closed with the bone lid from the original site. The surgical
field was good enough to complete removal of the diseases and preserve the sinus
mucosa. There were no complications and recurrence. We suggest that the osteoplastic
technique is needed in certain diseases which C-L operation would provide to give
better visual fields and less opportunity of complications.
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