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Article
Nasal Layer Lengthening in Cleft Palate Repair Outcome of Two Techniques.

Authors: Zakaria Y. Arajy --- Dhafir Dawood Hanoon
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 2 Pages: 133-137
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Cleft palate repair aims at producing closure of the cleft with reasonably lengthy palate in order to have competent velopharyngeal closure. Various procedures have been described and used for this purpose. Primary lengthening of the nasal layer is one of these procedures.OBJECTIVE:The aim of this study is to evaluate two procedures of primary nasal layer lengthening, with or without a turned in buccal flap.METHODS:The total number of our patients is 36. Twelve patients of our study did not undergo nasal layer lengthening technique and considered as control ( group A). Twenty four patients underwent lengthening of nasal layer technique.In 12 of them (group B) the raw area of nasal layer was covered only by oral layer flaps and 12 cases of them (group C) the raw area of nasal layer was covered by unilateral buccal flap.RESULT:All patients who had this technique (group B&C) obtained an acceptable lengthening of the palate and it approached the posterior pharyngeal wall. Three patients to whom we used nasal layer lengthening technique without buccal flap developed complications; two fistulas and one case of infection, while patients with nasal layer lengthening with buccal flap and patient without nasal layer lengthening technique showed lower level of complications.CONCLUSION:Nasal layer lengthening technique is a favorable technique for palatal lengthening in cleft palate repair if accompanied by buccal flap.


Article
Oroantral communication - A clinical and radiographic retrospective study of 39 Iraqi patients

Author: Dr. Jamal A. Mohammed B.D.S., M.SC. * د. جمال محمود
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2013 Volume: 10 Issue: 1 Pages: 88-97
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: oroantral communication (OAC) is abnormal connection between oralcavity and maxillary sinus. OAC is a rare, well known complication, mostlyoccurs after the extraction of upper posterior teeth, and if not treated lead toformation of oroantral fistula (OAF) and many complications .surgical repair isvery necessary to prevent further complications .The aim of this study to evaluateand analyze the clinical, radiographic aspects of 39 Iraqi patients with oroantralfistula.Materials and methods :the study was carried on 39 patients with oroantral fistulareported to the Department of oral and maxillofacial surgery ,college of dentistry,University of Baghdad ,and private practice from 1983 to 2010 .data regarding theage ,sex , cause ,site ,radiographic features and types of radiographs ,signs andsymptoms ,duration ,relation to the adjacent teeth , sinus disease ,methods oftreatment .Results: 39 cases of OACs, 26 male, 13 female, the age range was20-65 with a meanage 44.5 year. Highest incidence was seen in the third and fourth decade of life61.4%. The highest frequency of OACs was seen in relation to upper first molar48.7% .the commonest cause was complicated extraction 51.2% .pain andtenderness was the most prominent symptoms 80%, escape of fluid from the nosewas the most prominent sign 75.6%.there was a long delay in the diagnosis andtreatment .most of the OACs occurs near the edentulous areas, occipitomentalradiograph was not reliable in detection of displaced roots. Buccal advancementflap was the main method in treatment 81.2%.Conclusions: OACs a rare complication, its management need good clinical andradiological experience, and the treatment should be individualized to have goodresults.

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