Application of hemostatic adhesive compositionin complex treatment of sinus cortica defects

Abstract

One of the most frequent complication of removal of the upper jaw teeth is sinus cortica perforation that may cause the development of maxillary sinusitis. The main type of sinus cortica defects treatment is the surgery aimed at elimination of oroantral connection. During the surgical treatment of sinus cortica defects, one of the common complications is suture line disruption and oroantral connection recurrence. To improve the treatment results, glue hemostatic adhesive composition is used for elimination of defects. 100 patients aged 15–74 with various sinus cortica defects were examined and operated on; 50 patients had acute maxillary sinus cavity perforation and 50 patients had chronic perforative maxillary sinusitis. It has been revealed that in most cases the perforation had been localized in the first and second molars’ alveolar sockets areas. During the operation an extensive defect of gum, walls and bottom of alveolar sockets had always been found. It indicates that the reason of sinus cortica perforation is not only the anatomic features, but also traumatizing tooth removals as well. The article describes two surgery techniques and defines indication for maxillary sinusotomy. A course of drug therapy has been performed at the pre­surgery periods and after the surgical treatment. The follow-up examination of patients was performed in 1, 3 and 6 months. No disease relapse, including suture line disruption was observed at the follow-up period. Good surgical treatment results let us recommend the use of hemostatic adhesive composition in treatment of sinus cortica defects.