If a sinus exposure is suspected or occurs, the oral surgeon will confirm the communication through a gentle test. X-Rays or a CT scan may be used to assess the size and health of the surrounding bone. You will be prescribed antibiotics and a special decongestant to manage any pre-existing sinus issues. Pre-operative instructions will strictly prohibit blowing your nose or sneezing forcefully, as this can worsen the opening.
The repair is performed under Local Anesthesia, often with sedation for patient comfort. The surgeon begins by gently trimming and preparing the edges of the opening. A soft tissue flap (a piece of gum tissue from the surrounding area) is carefully lifted and mobilized to be placed over the opening. The flap is positioned to fully cover the exposed area and is sutured firmly into place. The goal is to achieve a tight, stable, and tension-free closure to allow for successful healing.
Post-operative care for sinus exposure repair is critical to success. You will be instructed to take all prescribed antibiotics and decongestants. It is paramount that you avoid creating any pressure changes between your mouth and nose: no sneezing, no blowing your nose, no using straws, and no smoking. Swelling is managed with ice, and a soft diet is required. We will monitor the closure closely over the first few weeks to ensure the tissue heals completely.
