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Published on: October 18, 2021
Access to the maxillary sinus using a bone flap on a mucosal pedicle: preliminary report
Federico Biglioli1, Mario Goisis
1Cattedra e Divisione di Chirurgia Maxillo-Facciale, Ospedale S. Paolo, Milano, Italy. roberto.brusati@unimi.it
Summary
This study introduces a novel surgical technique for accessing the maxillary sinus, offering an easier and quicker alternative for removing lesions and foreign bodies under local anesthesia.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Techniques
- Anatomy
Background:
- Describes an alternative surgical approach to the maxillary sinus.
- Highlights the need for minimally invasive sinus access procedures.
Purpose of the Study:
- To detail a new technique for harvesting a bone flap using an antral mucosal pedicle.
- To evaluate the advantages and disadvantages of this specific surgical method.
Main Methods:
- The study involved four patients undergoing surgery for foreign body or odontogenic cyst removal.
- A novel bone flap harvesting technique based on an antral mucosal pedicle was employed.
Main Results:
- Successful removal of all foreign bodies and cysts was achieved in all four patients.
- The technique facilitated easy and uncomplicated lesion extraction.
Conclusions:
- The described procedure preserves the maxillary sinus's structural and functional integrity.
- This technique is characterized by its simplicity, speed, and suitability for local anesthesia.

