A key to closing the oroantral opening is the dissection of the buccal flap lateral to the fistula. Paper submitted to the aborlccf sgp management publications system on december 20th. Pdf oroantral communication and fistula can occur as a result of inadequate and improper treatment. The core of tissue and the fistulous tract are excised. Alternative surgical management of oroantral fistula using auricular. Research open access versatility of the pedicled buccal fat pad flap for the management of oroantral fistula. Surgical options in oroantral fistula treatment europe pmc. Rhinosinusitis associated with postdental extraction chronic oroantral fistula. Oroantral communication closure using a pedicled buccal fat. Oroantral, fistula, flaps, grafts, maxillary sinus, complication manage ment, oral surgery, decision, oroantral communication background oroantral communication oac acts as a pathological. May 21, 2016 oroantral fistula introduction a fistula latin a pipe or tube is an abnormal communication between the lumen or surface of one organ and the lumen or surface of another or between vessels. Oroantral communication can be defined as a pathologic space created between the maxillary sinus and the oral cavity. Oroantral communication is an unnatural communication between the oral cavity and the maxillary sinus. Oroantral fistula introduction a fistula latin a pipe or tube is an abnormal communication between the lumen or surface of one organ and the lumen or surface of another or between vessels.
Rhinosinusitis associated with postdental extraction chronic. C absorbable 40 catgut suture on the right maxillary sinus mucosa. Oroantral, fistula, flaps, grafts, maxillary sinus, complication management, oral surgery. Pdf communication between the maxillary sinus and oral cavity is a common complication in oral surgery. Oroantral fistula definition of oroantral fistula by. Oroantral communication oac is the space created between the maxillary sinus and the oral cavity, which, if not treated, will progress to oroantral fistula oaf or chronic sinus disease. Alternative surgical management of oroantral fistula using. The purpose of this work is to describe two successful management of. Gendy s 2016 etiology and management of oroantral fistula. The creation of an oac is most commonly due to the extraction of a maxillary upper tooth typically a maxillary first molar closely related to the antral floor floor of the maxillary sinus. Local and distant flaps as well as combination of flaps can be used for closure of oaf. Oroantral fistula oaf is an epithelialised oroantral communication oac. The oroantral fistula oaf is the condition which makes shivers run up and down a dentists spine the condition almost commonly occurs following a complicated upper tooth extraction, when a fistulous communication develops between the oral cavity and maxillary antrum sinus. May 25, 2015 four month a go a sinus lift was performed and an oroantral communication and fistula was created.
John doran, associate specialist oral surgeon, queen victoria. An oroantral fistula is a complication of the maxillary posterior teeth that can occur after a tooth extraction that affects the maxillary sinus. Oroantral fistula is a communication between maxillary sinus and oral cavity, dental diseases has been reported recently in 30% of maxillary sinusitis cases, the. When oroantral communication is left open, epithelial tissue may develop namely oroantral fistula.
Oac refers to an abnormal connection between the oral cavity and antrum or maxillary sinus. Mar 19, 20 oroantral communication oroantral fistula oroantral communication oac is an abnormal communication between the maxillary sinus and the oral cavity. Modern management of oroantral fistula jama otolaryngology. This communication and subsequent formation of a chronic oroantral fistula is a common complication often encountered by oral and maxillofacial surgeons. Oral fistula oaf is a pathological communication between the oral cavity and maxillary sinus which has its origin either from. It may be the result of different pathological processes and often occurs following an extraction. Decisionmaking in closure of oroantral communication and. It is the purpose, therefore, of this paper to outline those modern. Oroantral fistula article about oroantral fistula by the. Saleh bakry assistant professor of oral and maxillofacial surgery 2.
Hence, the treatment of choice was closure of the oroantral fistula by giving an obturator. Jun 01, 2012 the term oroantral fistula is meant to indicate a canal lined by epithelium that may be filled by granulation tissue or by polyposis of the sinus membrane, most frequently due to iatrogenic oroantral communication. Clinical decisionmaking determines the optimal strategy in a particular clinical situation. Samir gendy consultant ent surgeon, emersons green nhs treatment centre, uk. Oral fistula oaf is a pathological communication between the oral cavity and maxillary sinus which has its origin either from iatrogenic complications or from dental infections, osteomyelitis, radiation therapy or trauma. Pdf management of oroantral communication and fistula. Oroantral communication is a pathological communication between the oral and antral cavities. Oct 01, 2010 buccal advancement flap is a simple and easy to master technique to close oroantral fistula. Oroantral fistula free download as powerpoint presentation.
Oroantral fistula is a communication between maxillary sinus and oral cavity, dental diseases has been reported recently in 30% of maxillary sinusitis cases, the pathophsiology of odontogenic maxillary sinusitis is different than inflammatory maxillary sinusitis. Many chronic oroantral fistulas treated in the past could have been prevented had certain steps been taken immediately after their occurrence. Oroantral fistula an overview sciencedirect topics. Management of oroantral communication using buccal advanced. An unnatural communication between the maxillary sinus and oral cavity is known as oroantral communicationoac and if it does not close spontaneously, it is epithelialized so that oroantral fistula develops. Closure of oroantral fistula through a combined use of buccal fat pad and buccal advancement flap is a safe and reliable method, with few complications and provides an adequate barrier to withstand a mild degree of sinus inflammation which is invariably present in the setting of an oroantral fistula. The term oroantral fistula is meant to indicate a canal lined by epithelium that may be filled by granulation tissue or by polyposis of the sinus membrane, most frequently due to iatrogenic oroantral communication.
Oroantral fistula definition of oroantral fistula by the. Case of oroantral communication closure using a pedicled buccal fat pad graft. The oroantral fistula oaf develops if the oac remains open and becomes epithelialized. The purpose of this article was to show, through a clinical case, an alternative way to manage an oroantral fistula and the bone tissue defect in the same time. Decisionmaking in closure of oroantral communication and fistula. After removal of a dental implant or extraction of a tooth in the upper jaw, the closure of an oroantral fistula oaf or oroantral communication oac can be a difficult problem confronting the dentist and surgeon working in the oral and maxillofacial region. Four month a go a sinus lift was performed and an oroantral communication and fistula was created.
Jun 01, 2010 the surgical management restoring the underlying bone defect are seldom. A late buccosinusal fistula in the 1516 tooth area. Prosthodontic management of oroantral fistula international. Jose carlos martins junior, frederico santos keim, mariana schmidt kreibich. Case series abstract oroantral fistula oroantral communications oacs is a pathological communication between the oral cavity and the maxillary sinus which has its origin either from dental infections, trauma, radiation therapy, or osteomyelitis. These complications occur most commonly during extraction of upper molar and premolar teeth 48%. Treatment of oroantral fistula with autologous bone graft and. There is a necessity for improvement in the manner in which these lesions are managed. Database study found no difference in successful closure of oroantral fistula of size 5mm by. The advantage of this method is the use of mucous membrane from the hard palate. Management of oroantral communication using buccal. What is an oroantral communication oac and an oroantral fistula oaf. If you continue browsing the site, you agree to the use of cookies on this website. Versatility of the pedicled buccal fat pad flap for the.
Alternative surgical management of oroantral fistula using auricular cartilage aydin ozkan 1, canengin durmaz 2 1 dds, phd, oral and maxillofacial surgeon, head of surgical infirmary, land forces practice center, ankara, turkey. Treatment of oroantral fistula jama otolaryngologyhead. The primary purpose is to close the communication and prevent sinusitis. Treatment of chronic oroantral fistula with plateletrich fibrin clot and. The treatment need an approach that presents the capacity to promote closure of the communication or fistula, leading to the recovery of health. Treatment of oroantral fistula a study introduction oroantral communication followed by oroantral fistula oaf is a rare surgical complication in oral and maxillofacial surgery.
The operated case had no complications and the oroantral communication was cured. Pictures and surgical repair of oroantral fistula, following upper molar extraction. However, in patients with larger oroantral communications and those with a history of sinus disease, surgical closure is often indicated 1,2. Management of oroantral communication using buccal advanced flap. Database study found no difference in successful closure of oroantral fistula of size 5mm by using the pedicle buccal fat pad flap and buccal flap. The case was send it to us in order to repair and to build a. The fistula then has an elliptical incision on each side of the opening. Oroantral communication oac acts as a pathological pathway for bacteria and can cause infection of the antrum, which further. Oroantral, fistula, flaps, grafts, maxillary sinus, complication management, oral surgery, decision, oroantral. Modern management of oroantral fistula jama network. In a study performed by larbi ms, 70% male who suffered from oroantral communication.
Acute oroantral fistula extraction of one of the upper molar teeth is the usual cause of acute oroantral fistulas. They are therefore first seen by the dentist, although the rhinologist may be consulted to help care for the sinus complication. The surgical management restoring the underlying bone defect are seldom. Surgical options in oroantral fistula management international. The case was send it to us in order to repair and to build a new condition for the implant placement. Maintaining this defect may compromise implant rehabilitation in this sector. With the presence of a fistula, the maxillary sinus is permanently open. Sinus and antrum are abbreviations for the maxillary air sinus and maxillary antrum respectivey. B circular incision around the fistula and mucosa displacement on the fistulous path. Jan 01, 2017 pdf oroantral communication and fistula can occur as a result of inadequate and improper treatment.
Plain radiography and ct with dentascan software allow to locate the fistula, evaluate its diameter, its extension and the possible complications. Miscellaneous surgical procedures page 2 of 8 unitedhealthcare dental clinical policy effective 08012019 proprietary information of unitedhealthcare. Various techniques have been examined for the closure of oroantral communications. Etiology and management of oroantral fistula semantic scholar. The purpose of this work is to describe two successful management of oroantral fistula by. The first description of a procedure for closing oroantral fistulas using a palatal full thickness flap dates back to ashley. Various surgical options pulkit khandelwal 1, neha hajira 2 abstract 2ur dqwudofrppxqlfdwlrqdqg. In order to understand what an oroantral communication is, we need to first explain a couple of terms. Alternative surgical management of oroantral fistula using auricular cartilage. Therefore, management of communications between oral cavity and sinus after tooth extraction is recommended to promote closure within 24 hours. Oroantral communication oroantral fistula oroantral communication oac is an abnormal communication between the maxillary sinus and the oral cavity. The present study aims to illustrate all the factors that h ave to be considered in the management of oacs and oafs that determine optimal treatment.
The oroantral fistula is a pathological connection between. The purpose of this article was to show, through a clinical case, an alternative way to manage an oroantral fistula and the. John doran, associate specialist oral surgeon, queen victoria hospital, east grinstead. An incision that extends 15 mm anterior and posterior to the fistula is of benefit. The oroantral fistula has its origin either from iatrogenic complications or from dental infections, trauma, radiation therapy, or osteomyelitis. Aug 24, 20 an easy guide to various techniques for repair of oro antral fistula slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Various options available for the surgical management of oroantral fistula are as given below flaps. In 1980 ehrl demonstrated the possibility of employing this technique with wide fistulas of 1cm in diameter.
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