Evaluation 79 patients with oroantral and oronasal fistula

Document Type : Original

Authors

1 Department of oral and maxillofacial surgery, Dental School, Islamic Azad University of Medical Sciences, Tehran, Iran

2 Assistant Professor, Department of Oral, Maxillofacial Pathology, Mashhad University of Medical Sciences

3 dentist

Abstract

Introduction: Various methods for closure of oroantral communication (OAC) and oronasal communication (ONC) have been reported. These are different based on the skill of surgeon, type of communication, size and location of defect and other factors. The purpose of this study was to evaluate the etiologic factors, location, type of treatment and surgical results in patients with oronasal and oroantral communications.
Materials and Methods: In this descriptive study, between 2005-2007, 79 patients with OAC or ONC were evaluated for aforementioned factors. The data were statistically analyzed by Chi-square and Odd’s ratio tests. 
Results: Seventy nine patients including 9 patients with ONC and 70 patients with OAC were studied. The main etiologic factor for both OAC and ONC was tooth extraction. The surgical technique most frequently used for treatment of both OAC and ONC was suturing. Surgical failure occurred in 4 cases with OAC and 3 cases with ONC after first surgery.
Conclusion: According to the results of this study, tooth extraction was the most etiologic factor for OAC and ONC. Suturing for small communications and use of a buccal fat pad flap for larger defects, seem to be the best choices for treatment.
 

Keywords

References

1- Eppley B, Scaroff A. Oro-nasal fistula secondary to maxillary augmentation. Int J Oral Surg 1984; 13(6): 535-8.
2- Skoglund LA, Pederson S, Hoist E. Surgical management of 85 perforations to maxillary sinus. Int J Oral Surg1983; 12(1): 1-5.
3- Hanazawa Y, Itoh K, Mabashi  Ato K. Closure of oroantral communication using a pedicle buccal fat pad  graft. J Oral Maxillofac Surg 1995; 5(8): 771-5.
4- Awang MN. Closure of oroantral fistula. Int J Oral Maxillofac Surg 1988; 17(20): 110-5.
5- Haraji A, Zareh R. [The use of buccal fat pad for oroantral communication closure]. Journal of Mashhad dental school 2007; 31: 9-11. (Persian)
6- Bichat FM. [Anatomic generale appliqué a la physiologic eta la medicine paries]. France, Grossen: Gabon et cie: 1802. (French)
7- Egyedi P. Utilization of buccal fat pad for closure of oroantral and oronasal communications. J Maxillofac Surg 1977; 5(3): 241-4.
8- Axhausen G. [Zur methodic des vers chlusses von defeken im alveolarforsat oberkiefer]. Deutsche Monatschrift fur Zahnheilkunde 1930; 48: 193-6. (German)
9- Wowern NV. Closure of oroantral fistula with buccal flap. Rahrmann versus Moczair. Int J Oral Surg 1982; 11(20): 156-65.
10- Rahrmann A. [Eine methode zur schlies-sung von kieferhohlenperforationen]. Dtsch Zahanarztl Z 1936; 39: 1136-9. (German)
11- Welty CF. Closure of fistulous opening through alveolar process in antrum of Hitgmore. J Am Med Assoc 1920; 75: 867-9.
12- Kruger GO. Textbook of oral and maxillofacial surgery. 6th ed. St Louis: Mosby; 1984: 291-2.
13- Ashley RE. A method of closing antroalveolar fistulae. Ann Otol Rinno Laryngol 1993; 48(7): 632-5.
14- Steiner M, Gould AR, Madion DC, Abraham MS, Loeser JG. Metal plates and foils for closure of oroantral fistula. J Oral Maxillofac Surg 2008; 66(7): 1551-5.
15- Larossa DD, Losee JE. Repair of oronasal fistula with a cellular dermal matrices. J Plast Reconstr Surg 2006; 118(6): 1431-40.
16- Punwutikorn J, Wailkakul A, Pairuchvej V. Clinically significant oroantral communication-a study of incidence and site. Int J Oral Maxillofac Surg 1994; 23(1): 19-21.
17- Hori M, Takana H, Matsumoto I, Mutsunaga S. Application of the interseptal  alveolotomy for closing the oroantral fistula. J Oral Maxillofac Surg 1998; 53(14): 1392-6.
18- Gamer JM, Wein RO. Use of the palatal flap for closure of an oronasal fistula. Am J Otolaryngol 2006; 27(4): 268-70.
19- Anavi Y, Gal G, Silfen R, Calderon S. Palatal rotation-advancement flap for delayed repair of oroantral fistula: A retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol 2003; 96(6): 527-34.
20- Martin-Granizo P, Naval L, Corta A, Goizueta C, Rodriguez F, Monje Munoz M, et al. Use of buccal fat pad to repair intraoral defects: Review of 30 cases. Br J Oral Maxillofac Surg 1997; 35(1): 81-4.
21- Saman N, Cheung LK, Tideman H. The buccal fat pad in oral reconstraction. Int J Oral Maxillofac Surg 1993; 22(1): 2-6.
22- de Moraes EJ. Closure of oroantral communication with buccal fat pad flap in zaygomatic implants surgery: A case report. Int Oral Maxillofac Implants 2008; 23(1): 143-6.
23- Baumann A, Ewers R. Application of buccal fat pad in oral reconstruction. Oral Maxillofac Surg 2000; 58(4): 389-92.
24- Sedwick HJ. Form, size and position of the maxillary sinus at various ages studied by means of Roentgenograms of the skull. Am J Roengenol 1934: 32(2): 154-60.
25- Rapidis AD, Alexanderidis CA, Flefthriadis E, Angelaopoulos AP. The use of buccal fat pad for reconstruction of oral defects: Review of the literature and report of 15 cases. J Oral Maxillofac Surg 2000: 58(3): 158-63.
Iranian Journal of Otorhinolaryngology
Volume 20, Issue 53 - Serial Number 53
May and June 2008
Pages 133-138

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