Management of odontogenic sinusitis with persistent oro-antral fistula
- PMID: 1935711
Management of odontogenic sinusitis with persistent oro-antral fistula
Abstract
Sixteen patients were treated for odontogenic sinusitis secondary to persistent oro-antral fistula. Males outnumbered females 12 to 4. Frequency of presentation increased directly with age. Chronic signs and symptoms included facial pain, swelling, tenderness and nasal and oral discharge. The clinical diagnosis of chronic sinusitis was confirmed in all cases by radiographic findings. An opacified maxillary sinus with or without ethmoid involvement was observed in all 16 patients. Surgical pathology revealed chronic mucosal thickening and/or antral polyps in 69% of the cases. Surgical treatment of the sinusitis consisted of antrostomy alone or in combination with Caldwell-Luc procedure. The oro-antral fistula was repaired with mucosal flaps from the buccal and/or palatal region. No postoperative recurrences have been noted during a follow-up period of six months to seven years. Bacterial cultures grew out pure aerobes (44%) or mixed aerobic-anaerobic bacteria (44%). None yielded pure anaerobes. The bacteriologic spectrum was notably lacking in S. pneumoniae and H. influenzae and differed from organisms commonly found in sinusitis of rhinogenous origin.
Similar articles
-
[One stage combined endoscopic and per-oral buccal fat pad approach for large oro-antral-fistula closure with secondary chronic maxillary sinusitis].Refuat Hapeh Vehashinayim (1993). 2015 Jul;32(3):32-7, 68. Refuat Hapeh Vehashinayim (1993). 2015. PMID: 26548148 Hebrew.
-
Caldwell-Luc operation without inferior meatal antrostomy: a retrospective study of 50 cases.J Oral Maxillofac Surg. 2012 Sep;70(9):2080-4. doi: 10.1016/j.joms.2011.09.044. Epub 2011 Dec 30. J Oral Maxillofac Surg. 2012. PMID: 22209108
-
Sinusitis of odontogenic origin.Otolaryngol Head Neck Surg. 2006 Sep;135(3):349-55. doi: 10.1016/j.otohns.2005.10.059. Otolaryngol Head Neck Surg. 2006. PMID: 16949963 Review.
-
Sinusitis of dental origin.Acta Otorhinolaryngol Belg. 1997;51(4):315-22. Acta Otorhinolaryngol Belg. 1997. PMID: 9444378 Review.
-
Treatment of an oroantral fistula with chronic sinusitis: a case report.Tex Dent J. 1990 Jul;107(7):7-11. Tex Dent J. 1990. PMID: 2284617
Cited by
-
A pedicled buccal periosteal flap for the closure of oro-antral fistula.BMC Oral Health. 2024 Apr 10;24(1):440. doi: 10.1186/s12903-024-04217-6. BMC Oral Health. 2024. PMID: 38600501 Free PMC article.
-
Platelet-rich fibrin vs. buccal advancement flap for closure of oroantral communications: a prospective clinical study.Clin Oral Investig. 2023 Jun;27(6):2713-2724. doi: 10.1007/s00784-022-04846-7. Epub 2023 Jan 6. Clin Oral Investig. 2023. PMID: 36607489 Free PMC article. Clinical Trial.
-
Surgical options in oroantral fistula management: a narrative review.Int J Implant Dent. 2018 Dec 27;4(1):40. doi: 10.1186/s40729-018-0152-4. Int J Implant Dent. 2018. PMID: 30588578 Free PMC article. Review.
-
Evaluation of a New Surgical Technique for Closing Oroantral Fistula Using Auto-transplanted Upper Third Molar: A 1-Year Follow-Up Study.J Maxillofac Oral Surg. 2018 Mar;17(1):84-88. doi: 10.1007/s12663-017-1010-2. Epub 2017 Mar 30. J Maxillofac Oral Surg. 2018. PMID: 29383000 Free PMC article.
-
Management of Oro-antral Communication and Fistula: Various Surgical Options.World J Plast Surg. 2017 Jan;6(1):3-8. World J Plast Surg. 2017. PMID: 28289607 Free PMC article. Review.