TREATMENT OF OROANTRAL FISTULA - A STUDY

The aim of this study was to evaluate and analyze the occurrence, characteristics and treatment outcome of oroantral fistula in 29 patients from Sept 2004 to Nov 2009. These patients were examined both clinically and radio-logically for oroantral fistula. Data regarding the age, gender, cause and site of fistula and treatment outcome was evaluated and reviewed. The age range was 18-60 years with high frequency occurring in 31-40 years. Male outnumbered female. The common cause of OAF was extraction of teeth (n=25, 86.5%) followed by cysts (n=2, 6.7%). The most common involved tooth in the causation of OAF was upper first molar (n=13, 52%). Surgical technique used to close the fistula was buccal advancement flap. Recurrence of fistula occurred in 2 patients (6.7%) and were re-operated using the palatal flap. The merits and demerits of the procedure are discussed.

[1]  R. Bos,et al.  Closure of oroantral communications: a review of the literature. , 2010, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[2]  L. Gallego,et al.  Oroantral communications. A retrospective analysis. , 2010, Medicina oral, patologia oral y cirugia bucal.

[3]  Roberto Campos Meirelles,et al.  Oroantral fistula and genian mucosal flap: a review of 25 cases , 2015, Brazilian journal of otorhinolaryngology.

[4]  M. Kreibich,et al.  Closure of Oroantral Communication Using Buccal Fat Pad Graft - Case Report , 2008 .

[5]  G. Gurler,et al.  Modified connective tissue flap: a new approach to closure of an oroantral fistula. , 2007, The British journal of oral & maxillofacial surgery.

[6]  K. Grätz,et al.  Bioabsorbable root analogue for closure of oroantral communications after tooth extraction: a prospective case-cohort study. , 2006, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[7]  A. L. Cortez,et al.  Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases. , 2006 .

[8]  M. Elarbi.  THE MANAGEMENT OF AN OROANTRAL FISTULA - A CLINICAL STUDY OF 30 CASES , 2006 .

[9]  C. Ogunsalu.  A new surgical management for oro-antral communication: the resorbable guided tissue regeneration membrane--bone substitute sandwich technique. , 2005, The West Indian medical journal.

[10]  Y. Anavi,et al.  Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. , 2003, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[11]  R. Haas,et al.  A preliminary study of monocortical bone grafts for oroantral fistula closure. , 2003, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[12]  A. Suslu,et al.  Treatment of oroantral fistula:experience with 27 cases. , 2003, American journal of otolaryngology.

[13]  Y. Kuo,et al.  Repair of oroantral communications in the third molar region by random palatal flap. , 2002, International journal of oral and maxillofacial surgery.

[14]  T. Lauc,et al.  Treatment of Oroantral Fistula , 2002 .

[15]  O. Güven,et al.  A clinical study on oroantral fistulae. , 1998, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[16]  S. Berger,et al.  Oral-maxillary sinus fistula (oroantral fistula): clinical features and findings on multiplanar CT. , 1995, AJR. American journal of roentgenology.

[17]  V. Pairuchvej,et al.  Clinically significant oroantral communications--a study of incidence and site. , 1994, International journal of oral and maxillofacial surgery.

[18]  R. Bukachevsky,et al.  Management of odontogenic sinusitis with persistent oro-antral fistula. , 1991, Ear, nose, & throat journal.

[19]  M. N. Awang,et al.  Closure of oroantral fistula. , 1988, International journal of oral and maxillofacial surgery.

[20]  N. S. Amaratunga.  Oro-antral fistulae--a study of clinical, radiological and treatment aspects. , 1986, The British journal of oral & maxillofacial surgery.

[21]  N. Wowern.  Closure of oroantral fistula with buccal flap: Rehrmann versus Môczár. , 1982 .

[22]  N. von Wowern,et al.  Closure of oroantral fistula with buccal flap: Rehrmann versus Môczár. , 1982, International journal of oral surgery.

[23]  P. Egyedi.  Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. , 1977, Journal of maxillofacial surgery.

[24]  H. C. Killey,et al.  Observations based on the surgical closure of 362 oro-antral fistulas. , 1972, International surgery.