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Related Experiment Video

Updated: Jul 3, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Maxillary sinus osteoplasty with vascularized pedicled bone flap.

Nicolas Lazaridis1, Ioannis Tilaveridis, Gregory Venetis

  • 1Department of Oral and Maxillofacial Surgery, Aristotle University, Thessaloniki, Greece.

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|July 29, 2008
PubMed
Summary

This study introduces a novel technique using a vascularized bone flap for maxillary sinus osteoplasty. The procedure offers excellent access and visibility for sinus procedures, with successful outcomes in patients.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Innovation
  • Maxillary Sinus Reconstruction

Background:

  • Maxillary sinus osteoplasty is crucial for treating various pathologies.
  • Existing techniques may have limitations in access and visibility.
  • The schneiderian membrane plays a vital role in sinus health.

Purpose of the Study:

  • To describe a new surgical technique for maxillary sinus osteoplasty.
  • To evaluate the efficacy of a superiorly based vascularized pedicled bone flap.
  • To assess the flap's utility in improving surgical access and closure of oroantral communications.

Main Methods:

  • A rectangular bony window, pedicled on the schneiderian membrane, was created on the anterior maxillary wall.
  • Sinus pathology was addressed after creating the window.

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  • The pedicled bony window was repositioned and secured with sutures.
  • The technique was applied to 9 maxillary sinuses in 9 patients, with a nasoantral window created in all cases.

    • Main Results:

    • Follow-up ranged from 12 to 38 months.
    • All patients experienced uneventful healing.
    • One patient reported temporary infraorbital nerve hypoesthesia.

    Conclusions:

    • The described pedicled bone flap technique provides excellent visibility and access to the maxillary sinus.
    • This method facilitates the use of an advancement buccal pedicled flap for oroantral communication closure.
    • The technique demonstrates a safe and effective approach for maxillary sinus reconstruction.