Bobylev Nikolaj Gennadevich,Бобылев Николай Геннадьевич,Bobylev Anatolij Gennadevich,Бобылев Анатолий Геннадьевич,Bobylev Denis Anatolevich,Бобылев Денис Анатольевич,Garmaeva Svetlana Budozhapovna,Гар
申请号:
RU2015127343
公开号:
RU0002625897C2
申请日:
2015.07.07
申请国别(地区):
RU
年份:
2017
代理人:
摘要:
FIELD: medicine.SUBSTANCE: midline incision of the mucosa and periosteum is made in the hard palate area, in the anterior part, ten mm behind the alveolar process of the upper jaw and to the hard palate posterior edge. The mucosal-periosteal flaps on both sides are prepared in the lateral directions in the anterior and middle regions, eight mm each, prepared to the alveolar processes of the upper jaw and circular ligaments of the eighteenth and twenty-eighth teeth in the posterior sections with formation of subperiosteal tunnels. Then the mucosa and the periosteum incisions are made in the region of the upper jaw transitional, intermittently from the twenty-eighth tooth to the twenty-fifth tooth, from the twenty-third tooth to the upper lip bridle, stopping five mm away from it. Then, five mm apart from the other side of the brodle, to the thirteenth tooth and from the fifteenth tooth to the eighteenth tooth. Mucosal-periosteal flaps are prepared up and down, five mm each. In the anterior sections, the lower lateral sections of the pyriform aperture and the anterior nasal spine are reached, in the posterior sections, the eighteenth and twenty-eighth teeth are completely released from the circular ligaments. Then the eighteenth and the twenty-eighth teeth are removed, followed by maxillary sinus anterior walls osteotomy, in the pyriform aperture area, five mm above the anterior nasal spine, from two sides, with preliminary nasal cavity mucosa exfoliation on the lower lateral and lower medial walls, five mm each, continuing backwards to the projection of the eighteenth and twenty-eighth teeth holes using endoscopic devices. Then, using the sinus lifting instrumentation, the maxillary sinus mucosa is exfoliated in the area of the lower walls, medial and lateral walls up to five mm. Then the front transverse palatal osteotomy is begun in the hard palate area stepping five mm backward from the incisor opening in the transverse direction along the edges from the hard pala