Treatment of Oral Fistulas

The term “fistula” can be defined as an improper connection between different body compartments. It can occur in different parts of the body. Although, fistulae mostly develop due to untreated chronic infections, traumatic injuries and congenital deformities, specific infections or diseases, and post-surgical healing abnormalities can also cause fistula formation. Although, there is a general classification system made by the World Health Organization to identify fistulae, specifically, in this chapter oral fistulae are divided into four different categories, namely dentoalveolar, oroantral, oronasal and orocutaneous fistulae. The diagnosis and the treatment protocols for oral fistulas are described using this specific classification and with additional new techniques introduced for the correction of the lesions. Conventional surgical methods also are summarized. The importance of the radiological examination is emphasized and the practitioners are informed of possible complications

Nasopalatin duct cysts: Report of ten cases and review of literature

Nasopalatine duct cyst is the most common non-odontogenic cyst. It develops in the midline of the anterior maxilla. It is usually asymptomatic and sometimes it can be overlooked or misdiagnosed. We present 10 patients who applied to Istanbul University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery

Nasopalatin Cysts: 9 Case Review

Objective: Nasopalatine duct cyst is the most common non-odontogenic developmental cyst.Nasopalatine duct cysts, which are more common in men than women, usually develop in themidline of the anterior maxilla at 4-6 decades.It takes its origin from the embryological residues ofthe nasopalatine canal.When it drains, it can create a salty taste sensation in the mouth.Radiograph shows a well-defined, radiolucent, oval or heart-shaped image. Enucleation is preferreddue to low recurrence rate. In this case series, nasopalatine canal cysts were examined in 9patients (7 male and 2 female) who applied to Istanbul University Department of Oral andMaxillofacial Surgery.Case: The ages of patients vary between 34-66. Nasopalatine channel cyst which wasasymptomatic in 2 patients, caused salty water sensation in 2 patients and caused palatine swellingin 5 patients. Panoramic radiograph showed heart-shaped (7 patients) and oval shaped (2 patients)radiolucent image. In the oral and radiological examinations, it was found that the related teethwere devital in 2 patients, the implant was located in the cyst in one patient, one patient wastoothless and the related teeth were vital in 5 patients. The lesions were enucleated and thepatients were followed-up. The age, gender, complaints, radiographic image and the status of therelated teeth are consistent with the literature.Conclusion: Nasopalatine duct cysts are usually asymptomatic. panoramic radiography as well asassisted diagnostic methods such as dental volumetric computed tomography, periapical graphy,vitality test should be used. The definitive diagnosis is determined by histopathologicalexamination

Botulinum Toxin Applications in Dentistry

Objective: Botulinum toxin applications are used for treatment in dentistry such astheir medical use. In conditionslike; gummy smile correction, benign masseter hypertrophies, facial asymmetries and bruxism (in cases which can’t be managed by medical therapies, occlusal splint therapies or physiotherapy) satisfactory results can be achieved by these injections. Case: In presented cases botulinum toxin injections made with both clinical marking method and under the guidance of ultrasound imaging. Patients grouped by their indications, age, used units and evaluated by their pre and post-injection photographs. It is noticed that gingival exposure decreased within 20 days after injection in gummy smile patients. And it is also noticed that in masseter applications, masseter muscle thicknessin ultrasound images decreased in 6-month period following injection. Patients were pleasant due to pain relief and thinner face appearance zas a consequence of decreased masseter thickness. Conclusion: Consequently, botulinum toxin injections are concluded as effective and successful as long as correct indication

Management of Squamous Cell Carcinoma with Inferiorhemi- maxillectomy and Reconstruction of Defect with Fibular Osteocutaneous free- flap.

Objective: Aesthetically and functionally evaluation of using fibular osteo-cutaneous free-flap in hemi-maxillectomy defect.Case: Squamous cell carcinomas constitute %90-95 of oral malign neoplasms. Carcinomas which include alveolar mucosa, gum andpalatinal mucosa are seen frequently. To treat this tumors inferior or hemi maxillectomy is being performed according to its borders. Forreconstruction the defect which occurs after resection, micro-vascular flaps from variable areas are being used.Conclusion: In this case; reconstruction is being performed by using fibular osteo-cutaneous free-flap which has high cortical bone support and shows low donor site morbidity.We achieved functionally and aesthetically pleasing results and there was no problem observed in control sessions