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Journals / Annals of Medical Research / 2021 / Cilt: 28 - Sayı: 1

Causes and treatments of oroantral communications: Experience with 103 cases

Burak CEZAİRLİ
Fatih TAŞKESEN
Nuray YILMAZ ALTINTAŞ
Pages
204–209
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Surgeons should choose the correct approach or modify it in accordance with the characteristics of the particular OAC.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: In this study, we aimed to evaluate the etiologic factors, location and surgical technique for patients with oroantral communications (OAC).Materials and Methods: A total of 103 patients who had chronic or acute OAC and underwent surgical correction were reviewed retrospectively.
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Key Findings & Data:Results: Extraction of the first molar is associated with the highest incidence (41.75%) of OACS.
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Conclusion & Impact:Surgeons should choose the correct approach or modify it in accordance with the characteristics of the particular OAC.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: In this study, we aimed to evaluate the etiologic factors, location and surgical technique for patients with oroantral communications (OAC).Materials and Methods: A total of 103 patients who had chronic or acute OAC and underwent surgical correction were reviewed retrospectively. The data that was recorded included gender, age, fistula location, fistula size, duration of the fistula, etiology, treatment modality, and any related complications. Results: Extraction of the first molar is associated with the highest incidence (41.75%) of OACS. Complete healing was observed in 68 patients with suturing. Surgical intervention was necessary for 35 patients. The surgical methods used for closure of the OACS included palatal-rotational flaps (PRF) in two patients, buccal flaps (BF) in 18 patients, and Bichat’s buccal fat pad (BFP) in 15 patients. Treatment in 5 cases resulted in failure, and four of these patients received a second treatment. In one case the patient refused any further surgical intervention and was treated with an obturator prosthesis. Conclusion: Location, size of the defect, and duration of the OAC are essential factors in the choice of technique. Surgeons should choose the correct approach or modify it in accordance with the characteristics of the particular OAC.

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Cite This Article

CEZAİRLİ, B., TAŞKESEN, F., ALTINTAŞ, N. Y. (2022). Causes and treatments of oroantral communications: Experience with 103 cases. Annals of Medical Research, Cilt: 28 - Sayı: 1, 204–209. https://ajindex.com/articles/445730

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References (16)

  1. Skoglund LA, Pedersen SS, Holst E. Surgical management of 85 perforations to the maxillary sinus. Int J Oral Surg 1983;12:1-5
  2. Abuabara A, Cortez AL, Passeri LA, et al. Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases. Int J Oral Maxillofac Surg 2006;35:155-8
  3. Anavi Y, Gal G, Silfen R, et al. Palatal rotationadvancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:527-34
  4. Rehrmann A. Eine methode zur Schliessung von Kieferhohlenperforationen. Dtsch Zahnarztl Z 1936:1136-9
  5. Ashley R. A method of closing antroalveolar fistulae. Ann Otol Rhinol Laryngol 1939:632–5
  6. Bichat F. Anatomie générale appliquée á la physiologie et á la médecine. Paris: Grosson, Gabon et Cie, 1802
  7. Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula:experience with 27 cases. Am J Otolaryngol 2003;24:221-3
  8. Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. J Oral Maxillofac Surg 2010;68:1384-91
  9. Del Junco R, Rappaport I, Allison GR. Persistent oral antral fistulas. Arch Otolaryngol Head Neck Surg 1988;114:1315-6
  10. Egyedi P. Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. J Maxillofac Surg 1977;5:241-4
  11. Von Bondsdorff P. Untersuchungen uber Massverhaltnisse des Oberkiefers mit spezieller Berucksichtigung der Lagebeziehungen zwischen den Zahnwurzeln und der Kieferhohle. Ph.D. dissertation, Helsinki, 1925
  12. Punwutikorn J, Waikakul A, Pairuchvej V. Clinically significant oroantral communications--a study of incidence and site. Int J Oral Maxillofac Surg 1994;23:19-21
  13. Guven O. A clinical study on oroantral fistulae. J Craniomaxillofac Surg 1998;26:267-71
  14. Hirata Y, Kino K, Nagaoka S, et al. A clinical investigation of oro-maxillary sinus-perforation due to tooth extraction. Kokubyo Gakkai Zasshi 2001;68:249-53
  15. Sedwick. H. Form, size and position of the maxillary sinus at various ages studied by means of roentgenograms of the skull. AmJ Roetgenol 1934;32:154–60. 16. von Wowern N. Correlation between the development of an oroantral fistula and the size of the corresponding bony defect. J Oral Surg 1973;31:98
  16. Sokler K, Vuksan V, Lauc T. Treatment of Oroantral Fistula. Acta Stomat Croat 2002;135-140. 18. von Wowern N. Frequency of oro-antral fistulae after perforation to the maxillary sinus. Sc