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. 2023 May 12;59(5):937.
doi: 10.3390/medicina59050937.

Odontogenic Sinusitis with Oroantral Communication and Fistula Management: Role of Regenerative Surgery

Lorenzo Sabatino  1 , Michele Antonio Lopez  1   2 , Simone Di Giovanni  3 , Michelangelo Pierri  3 , Francesco Iafrati  3 , Luigi De Benedetto  1 , Antonio Moffa  3 , Manuele Casale  1   3
Affiliations

Odontogenic Sinusitis with Oroantral Communication and Fistula Management: Role of Regenerative Surgery

Lorenzo Sabatino et al. Medicina (Kaunas). .

Abstract

Objective: The aim of this study is to show our experience with the correct management of patients suffering from odontogenic sinusitis with oroantral communication and fistula. Methods: According to the inclusion criteria, 41 patients were enrolled in this retrospective study with a diagnosis of odontogenic sinusitis with oroantral communication and fistula; 1 patient with pre-implantological complication, 14 with implantological complications, and 26 with classical complications. Results: Two patients were treated with a fractioned combined approach, 13 patients were treated with an oral approach only, and 26 patients were treated with a combination. There was a complete resolution of the symptoms and closure of the fistula in all the patients enrolled. Conclusions: In our study, in all 41 patients, there was a surgical success. The best option is to use a multidisciplinary approach for patients suffering from odontogenic sinusitis.

Keywords: odontogenic sinusitis; oro-antral communication; oro-antral fistula.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Opening of the maxillary sinus with antrostomy.
Figure 2
Figure 2
Technique with cortico-cancellous graft covered with resorbable collagen membranes.
Figure 3
Figure 3
Opening of the maxillary sinus with antrostomy.
See this image and copyright information in PMC

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Grants and funding

This research received no external funding.
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