Travma Sebebiyle Meydana Gelmiş Oronazal Fistülün Cerrahi Tedavisi: Vaka Raporu

Year 2020, Volume: 6 Issue: 3, 8 - 11, 31.12.2020

Barış Demirtaş , Uğur Gülşen

Abstract

Bu vaka raporunda travma sebebiyle oronazal fistül gelişen hastanın cerrahi olarak tedavi edilmesi olgusu sunulmuştur. Otuz yedi yaşındaki erkek hasta çocukluk çağında sert damak bölgesine çivi batması sonrası oluşan, birkaç defa dış merkezde opere edilmiş fakat kapanmayan fistül ve nazal konuşma şikayetiyle Bülent Ecevit Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilimdalına başvurdu. Yapılan intraoral muayene ve bilgisayarlı tomografi değerlendirmelerinde oronazal fistül tespit edildi. Hastanın bilgilendirilmesinden sonra genel anestezi altında two-flap cerrahisi ve iki tabakalıı yumuşak doku kapatması sağlandı. Hastanın post-op 3. Gün, 1. Hafta, 1. Ay ,3. Ay ve 6. Ay kontrollerinde herhangi bir açıklık ve komplikasyona rastlanmadı. Hastanın şikayetleri cerrahi sonrasında ortadan kaldırıldı. Kullanılan iki tabakalı kapatma yöntemiyle başarılı bir sonuca ulaşıldı.hastanın fonasyonunda iyileşme meydana geldi.

Keywords

Oronazal fistül, Two-flap, Fonasyon

Surgical Treatment of Traumatic Oronasal Fistula: Case Report

Abstract

In this case report, surgical treatment of a patient who developed an oronasal fistula due to trauma was presented A thirty-seven year old patient was referred to Zonguldak Bülent Ecevit University Oral and Maxillofacial Surgery department who has oronasal fıstula on middle palate. He had a travma history with a nail on his palate when he was child. The patient had operated several times before referred to our department. Oronasal fistula was detected in intraoral examination and computed tomography evaluations. After informing the patient, we performed two-flap under general anesthesia. Two-layer closure was performed for the treatment of the defect. Post-op 3rd, 7th, day and 1, 3, 6 months controls done and there were no complications found. The patient´s complaints solved after surgery. Closure of oronasal fistula by two layers of mucoperiosteal flaps was succesfull and the patient had better fonation.

Keywords

Oronasal fistula, Two-flap, Fonasyon

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