Modern approaches to plastics of bone defects of the paranasal sinuses
https://doi.org/10.51922/1818-426X.2022.2.12
Abstract
In modern clinical otorhinolaryngology, there are different opinions regarding the choice of the surgical approach for interventions on the paranasal sinuses. There are two main options for access to the paranasal sinuses – these are extra- and endonasal approaches, each of which has advantages and disadvantages. In some cases, when using open access, a bone defect of the anterior sinus wall occurs, leading to the development of various pathological conditions. Analyzing the possible outcomes of postoperative changes in the sinuses, many researchers are unanimous in the opinion that the presence of postoperative defects in the walls of the sinuses larger than 1 cm lead to the development of scar changes in the mucous membrane, deformation of the sinus, the development of postoperative neuralgia of the second branch of the trigeminal nerve associated with compression of the nervous ending with a postoperative scar. Variants of using various materials for plastics of postoperative bone defects of the paranasal sinuses are considered, the main advantages and disadvantages of using materials based on autobone, allogeneic bone and cartilage grafts, and various materials of non-biological origin are analyzed. Clinical experience of using allogeneic materials for plastics of facial bone defects is presented.
About the Authors
E. V. Kochуna
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
P. A. Zatoloka
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
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Review
For citations:
Kochуna E.V., Zatoloka P.A. Modern approaches to plastics of bone defects of the paranasal sinuses. Medical Journal. 2022;(2):12-16. (In Russ.) https://doi.org/10.51922/1818-426X.2022.2.12
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