Application of the interseptal alveolotomy for closing the oroantral fistula

Hori, Minoru; Tanaka, Hiroshi; Matsumoto, Mitsuhiko; Matsunaga, Shinko

doi:10.1016/0278-2391(95)90661-4

Cited by 16 publications

(7 citation statements)

References 6 publications

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“…Some authors claim that buccal flap techniques are preferable for closure of small OAC, and palatal flaps are better for large bone defects 2,11 . The level of experience and dexterity of the surgeon is very important, because great care is required while manipulating the pedicle.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases

Abuabara

Cortez

Pásseri

et al. 2006

International Journal of Oral and Maxillofacial Surgery

139

115

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Section: Discussionmentioning

confidence: 99%

Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases

Abuabara

Cortez

Pásseri

et al. 2006

International Journal of Oral and Maxillofacial Surgery

139

115

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“…Hori et al proposed interseptal alveolotomy as one of possibilities for closure of OAFs [70]. The technique, based on the Dean preprosthetic technique, is used for the purpose of smoothing the alveolar ridge.…”

Section: Methodsmentioning

confidence: 99%

Surgical options in oroantral fistula management: a narrative review

et al. 2018

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An oroantral fistula (OAF) is a pathological abnormal communication between the oral cavity and the maxillary sinus which may arise as a result of failure of primary healing of an OAF, dental infections, osteomyelitis, radiation therapy, trauma, or iatrogenic complications. With the presence of a fistula, the maxillary sinus is permanently open. Microbial flora passes from the oral cavity into the maxillary sinus, and the inflammation of the sinus occurs with all potential consequences. In literature, various techniques have been proposed for closure of OAFs. Due to the heterogeneity of the data and techniques found, we opted for a narrative review to highlight the variety of techniques discussed in the literature. Techniques of particular interest include the bone sandwich with resorbable guided tissue regeneration (GTR) membrane and platelet-rich fibrin (PRF) used alone as both a clot and a membrane. The great advantage of these techniques is that no donor site surgery is necessary, making the outcome valuable in terms of time savings, cost and, more importantly, less discomfort to the patient. Additionally, both bony and soft tissue closure is performed for OAF, in contrast to flaps, which are typically used for procedures in the sinus area. The reconstructed bony tissue regenerated from these techniques will also be appropriate for endosseous dental implantation.

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“…To date, buccal and palatal flaps are the most common solutions used for OAF closure [34][35][36]. OAFs <5 mm generally do not need surgery because of spontaneous closure [37], while a defect >5 mm in diameter can be surgically closed with buccal flaps. In our study, patients were treated with the buccal advancement flap procedure designed by Rehrmann, which involves the creation of a trapezoid mucoperiosteal flap and its suture over the defect.…”

Section: Discussionmentioning

confidence: 99%

Chronic maxillary sinusitis of dental origin and oroantral fistula: The results of combined surgical approach in an Italian university hospital

Galli

Soccio

Cialente

et al. 2020

Bosn J of Basic Med Sci

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Unilateral chronic maxillary sinusitis is a possible complication of odontogenic disease or dental treatment and is mainly due to the development of an oroantral fistula (OAF). The management of chronic maxillary sinusitis of dental origin requires a combined treatment via endoscopic sinus surgery (ESS) and intraoral surgical treatment of the odontogenic source. The aim of this study is to present the results of our university hospital unit in the treatment and follow-up of a case series of 34 patients treated with combined surgical approach for chronic maxillary sinusitis of dental origin due to OAF. All patients were treated with ESS combined with an intraoral approach. No intraoperative or immediate postoperative complications were observed; nasal synechia was found in 3 patients (8.82%). The overall success rate after primary intervention was 94.12%; recurrence was observed in 2 cases (5.88%), both were suffering from diabetes mellitus and were tobacco smokers. Our results confirm that simultaneous surgery with a combination of an intraoral and endoscopic approach can be considered the best strategy for the long-term restoration of a normal sinonasal homeostasis in selected patients with chronic odontogenic sinusitis and OAF, guaranteeing an effective treatment with minimal complications in the short and long term.

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Application of the interseptal alveolotomy for closing the oroantral fistula

Cited by 16 publications

References 6 publications

Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases

Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases

Surgical options in oroantral fistula management: a narrative review

Chronic maxillary sinusitis of dental origin and oroantral fistula: The results of combined surgical approach in an Italian university hospital

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