title: Maxillary Reconstruction for Sinus Lift Complications With Oro-Antral Fistula: The Le Fort I Approach.
abstract: Although sinus lift procedures are reliable, some complications can lead to serious maxillary sequelae, including the development of oro-antral fistula (OAF). Maxillary reconstruction in such patients presents a challenge owing to sinus floor alterations, graft remnants, chronic infection, and morbidity from the original sinus lift approach. The current study describes our technique of maxillary reconstruction using a Le Fort 1 approach following major sinus lift complications with associated residual OAF. This technique provides excellent access for sinus curettage, OAF closure, and osseous reconstruction. It allowed a successful rehabilitation in our patients, with no implant loss and good functional and esthetic results.
authors.affiliation: Oral and Maxillofacial Department, Lille University Hospital, Lille, France.
authors.forename: Pénélope
authors.initials: P
authors.lastname: Pigache
authors.forename: Namrata
authors.initials: N
authors.lastname: Anavekar
authors.forename: Gwénaël
authors.initials: G
authors.lastname: Raoul
authors.forename: Joël
authors.initials: J
authors.lastname: Ferri
mesh_terms: D000328:Adult; D064592:Autografts / Q000637:transplantation; D016025:Bone Transplantation / Q000379:methods; D003475:Curettage / Q000379:methods; D015921:Dental Implants; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008439:Maxillary Diseases / Q000601:surgery; D008443:Maxillary Sinus / Q000601:surgery; D015523:Maxillary Sinusitis / Q000601:surgery; D008875:Middle Aged; D009297:Nasal Mucosa / Q000601:surgery; D009957:Oroantral Fistula / Q000209:etiology / Q000601:surgery*; D010000:Osteitis / Q000601:surgery; D019340:Osteotomy, Le Fort / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D059546:Sinus Floor Augmentation / Q000009:adverse effects*
chemical_list: D015921:Dental Implants