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치조정 접근법을 통한 상악동 거상술을 동반한 임플란트 식립 후 발생한 구강피부누공의 치험례

Orocutaneous Fistula after Implant Placement with Sinus Floor Elevation via Transalveolar Approach: A Case Report

대한구강악안면임플란트학회지 2019년 23권 3호 p.170 ~ 175
김지현 ( Kim Ji-Hyun ) - 인제대학교 상계백병원 구강악안면외과

박관수 ( Park Kwan-Soo ) - 인제대학교 상계백병원 구강악안면외과

Abstract


There have been several case reports about a formation of orocutaneous fistula associated with odontogenic or implant infection. This case is about a rapid formation of an orocutaneous fistula, which hardly can be seen, only 7 days after implant placement with sinus floor elevation via transalveolar approach. It was completely healed after incision and drainage, followed by administration of suitable antibiotics without removal of implant fixture. Trauma during the operation and opportunistic infection by normal oral flora might be the cause of the fistula. It is important to maintain an aseptic environment before and during an operation with minimal invasive approach for prevention of complications including an orocutaneous fistula.

키워드

Implant placement; Orocutaneous fistula; Sinus elevation; Transalveolar approach
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