Sadaf Rahman

A gest o de v rias les es patol gicas dos maxilares exige frequentemente a ressec o parcial ou total juntamente com as estruturas circundantes, produzindo defeitos de tamanhos vari veis. Tais defeitos podem tamb m resultar devido a traumas maxilo-faciais, queimaduras, etc. Areconstru o de tais defeitos importante em muitos aspectos que incluem a restaura o da fun o e reabilita o est tica. H muitas formas diferentes documentadas para a reconstru o da regi o oral e maxilofacial (OMF), entre as quais a utiliza o de abas (locais ou distantes) geralmente praticada em todo o mundo

Die Behandlung verschiedener pathologischer L sionen des Kiefers erfordert h ufig eine teilweise oder vollst ndige Resektion der umgebenden Strukturen, wodurch Defekte unterschiedlicher Gr e entstehen. Solche Defekte k nnen auch durch ein Kiefertrauma, Verbrennungenusw. entstehen. DieRekonstruktion solcher Defekte ist in vielerlei Hinsicht wichtig, u. a. f r die Wiederherstellung der Funktion und der sthetik. F r die Rekonstruktion der Mund-, Kiefer- und Gesichtsregion gibt esviele verschiedene dokumentierte Methoden, von denen die Verwendung von Lappen (lokal oder entfernt) weltweit am h ufigsten praktiziert wird

La prise en charge de diverses l sions pathologiques des m choires n cessite souvent une r section partielle ou totale avec les structures environnantes, produisant des d fauts de tailles variables. De tels d fauts peuvent galement r sulter d'un traumatisme maxillo-facial, de br lures, etc. Il existede nombreuses m thodes document es pour la reconstruction de la r gion orale et maxillo-faciale (OMF), parmi lesquelles l'utilisation de lambeaux (locaux ou distants) est couramment pratiqu e dans le monde entier.

La gestione di varie lesioni patologiche dei mascellari spesso richiede una resezione parziale o totale insieme alle strutture circostanti, producendo difetti di varie dimensioni. Tali difetti possono essere causati anche da traumi maxillo-facciali, ustioni, ecc. Laricostruzione di tali difetti importante per molti aspetti, tra cui il ripristino della funzione e la riabilitazione estetica. Esistonodiversi metodi documentati per la ricostruzione della regione orale e maxillo-facciale (OMF), tra cui l'uso di lembi (locali o a distanza) comunemente praticato in tutto il mondo.

Management of varied pathologic lesions of the jaws often demands resection in partial or total along with the surrounding structures, producing defects of varying sizes. Such defects may also result due to maxillofacial trauma, burns, etc. Reconstruction of such defects is important in many respects that include restoration of function and aesthetics rehabilitation. There are many different ways documented for reconstruction of oral and maxillofacial (OMF) region among which the use of flaps (local or distant) is commonly practiced worldwide

Oro-antral communications and fistulas are complications frequently encountered by oral and maxillofacial surgeons and its repairing is one of the most challenging and difficult problem. The author present the problem, microbiology of oro-antral fistula and possibilities of surgical treatment. known and less known method operative methods are described and their advantages and disadvantages are analysed.