Meta-analytic study on the frequency and treatment of oral antral communications

Franco-Carro, B; Dorado, Cristina Barona; Mj, Martínez-González; Lj, Rubio-Alonso; Martı́nez-González, José Marı́a

doi:10.4317/medoral.17058

Cited by 32 publications

(41 citation statements)

References 17 publications

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“…For larger oroantral fistulas, the most predictable way to avoid recurrence is the traction flap using the Bichat's fat pad [9]. This technique can lead to a mucosal healing without correction of the bone defect [9]. This makes implantsupported prosthetic rehabilitation very difficult [1,7,9].…”

Section: Introductionmentioning

confidence: 99%

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Closure of an oroantral fistula by bone autograft: a case report

Amroun

Zouari

Bouattour

2018

J Oral Med Oral Surg

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Introduction: The management of the oroantral fistula is mainly focused on th closure of the mucosa. The surgical management restoring the underlying bone defect are seldom. Maintaining this defect may compromise implant rehabilitation in this sector. 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. Observation: After a rigourous clinical and radiological observation of a 2-year oroantral fistula, an impacted autologous bone graft of the maxillary tuberosity followed by a water tight closure of the mucosa, were realized in a 50-year old patient. Commentary: Using this surgical technique was successful for the closure of the mucosa as for the bone defect reconstruction. A consolidation was noticed and an pre-implant management and a dental implant placement could be realized. Conclusion: The choice of this surgical technique for the management of an oroantral fistua had a direct influence on the future prosthetic rehabilitation. The surgical technique presented for this case could be an interesting approach because the fixed or removable prosthetic treatment will be more effective if the maxillary bone tissue is reconstructed.

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Section: Introductionmentioning

confidence: 99%

“…This technique can lead to a mucosal healing without correction of the bone defect [9]. This makes implantsupported prosthetic rehabilitation very difficult [1,7,9].…”

Section: Introductionmentioning

confidence: 99%

Closure of an oroantral fistula by bone autograft: a case report

Amroun

Zouari

Bouattour

2018

J Oral Med Oral Surg

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“…Esta é definida como uma comunicação patológica, circundada por tecido epitelial, entre a cavidade bucal e seio maxilar, classificada em alvéolo-sinusal, palato-sinusal e vestíbulo-sinusal 3,4,5 . A causa mais comum é em decorrência da extração de dentes posteriores (92,63%), pela estreita relação anatômica entre os ápices desses dentes com o assoalho do seio maxilar, podendo ocorrer com menor frequência por traumas (1,3%), infecções e neoplasias (4,47%), sobretudo, as neoplasias ocorrem com mais prevalência no seio maxilar, comparado com os outros seios paranasais 6,7,8,9,10 .…”

Section: Introductionunclassified

Fechamento De Fístula Bucoantral: Relato De Caso Clínico

Gusman¹,

Passos²,

Araújo³

et al. 2017

RFCO

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RESUMOIntrodução: A maxila posterior desdentada é muitas vezes um desafio para a instalação de implantes devido à falta de osso, reabsorção do rebordo alveolar e/ou pneumatização seio maxilar. Um dos problemas nessa área é a fístula bucoantral que é caracterizada por uma comunicação patológica, circundada por tecido epitelial, entre a cavidade bucal e seio maxilar. Objetivo: O objetivo do presente relato de caso clínico foi descrever o tratamento de uma fístula bucoantral, desde o diagnóstico até seu completo fechamento, demostrando os métodos e técnicas utilizadas. O diagnóstico foi seguido pelo protocolo proposto por Marzola, sendo analisado a radiografia panorâmica na região do seio maxilar, teste de sensibilidade aos antibióticos, exame de biópsia por citologia esfoliativa e irrigação do seio maxilar com solução adstringente de lauril dietilenoglicol éter sulfonato de sódio e acetilcisteína + glicinato de tianfenicol. O tratamento medicamentoso consistiu em descongestionantes nasais maleato de bronfeniramina + cloridrato de fenilefrina, cloridrato de fexofenadina + cloridrato de pseudoefedrina e cloreto de sódio, a antibioticoterapia com sulfametoxazol + trimetoprima e como analgésico o paracetamol. O tratamento cirúrgico consistiu em incisão linear, deslocamentos do retalho mucoperiostal vestibular e lingual, incisões na base do periósteo, remoção da fístula, alivio da tabua óssea vestibular, sutura simples e festonada. Conclusão: Dentro dos limites do presente caso clínico, podemos concluir que os procedimentos adotados para o diagnóstico e o tratamento da fístula bucoantral foram efetivos, fechando-se completamente a lesão, restabelecendo assim a normalidade do seio maxilar para futuros procedimentos reabilitadores.Descritores: Fístula bucoantral. Sinusite maxilar. Seio maxilar.

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“…The highest prevalence is observed in men, approximately 40 years of age, and complications are normally observed after dental extraction surgery, where the third molars are at a greater risk [1, 2]. …”

Section: Introductionmentioning

confidence: 99%

Treatment of Oroantral Communication Using the Lateral Palatal Sliding Flap Technique

Ribeiro

Toledo²,

Aleixo

et al. 2015

Case Reports in Medicine

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Herein, we present a case of oroantral communication that was to be treated with clinical examination, tomography, and prototyping. A patient presented with oroantral communication with purulent exudation for 4 months, since the displacement of the dental implant and O-ring component to the maxillary sinus. Tomographic examination and prototyping revealed a 5 mm bone gap. The patient underwent local washes and antibiotic therapy. After local palpation, a bone defect detected by prototyping was suspected to be greater than that observed. For the surgery, a communication tunnel was made, and the bone defect was found to be 12 mm in diameter. A pedicle flap was raised on the palate, followed by sliding and suturing. No complications were observed during the postoperative period, and the suture was removed after a week. Four months later, communication did not resume, and the patient did not complain of pain, foul smelling, or purulent discharge and was satisfied with the outcome. The findings of this case suggest that the lateral sliding flap can be used as an efficient technique for closing oroantral communications. An accurate clinical examination is a critical tool that can be used instead of tomography and prototyping, which can be misleading.

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Meta-analytic study on the frequency and treatment of oral antral communications

Cited by 32 publications

References 17 publications

Closure of an oroantral fistula by bone autograft: a case report

Closure of an oroantral fistula by bone autograft: a case report

Fechamento De Fístula Bucoantral: Relato De Caso Clínico

Treatment of Oroantral Communication Using the Lateral Palatal Sliding Flap Technique

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