Oronasal Fistula and Complete Edentulism: What to Do?

Kaur, Pushappreet; Kaur, Jaspinder

doi:10.3390/dj2040142

Cited by 9 publications

(11 citation statements)

References 24 publications

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“…Local flap from buccal pad of fat or palatal flap can be incorporated if unable to achieve primary closure. If surgical closure fails, a maxillary obturator prosthesis may be applied [7].…”

Section: Discussionmentioning

confidence: 99%

NK/T cell Lymphoma as a Rare Cause of an Oronasal Fistula

et al. 2021

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NK/T cell lymphoma is one of the most unique and rare forms of extranodal non-Hodgkin’s lymphoma, mostly derived from natural killer cell lineages and occasionally cytotoxic T cell lines. Due to the non-specific presentation of NK/T cell lymphoma such as nasal obstruction, nasal discharge, and epistaxis, diagnosis is often an issue and can be misleading. Oronasal fistula following a non-healing ulcer on the soft palate, can be one of the clinical presentations of NK/T cell lymphoma. Here, we are reporting a rare case of NK/T cell lymphoma in a 32-year-old gentleman who presented with an oronasal fistula post tissue biopsy for a non-healing ulcer over the soft palate. The tissue biopsy of the soft palate mass was revealed as NK/T cell lymphoma and was staged as Stage1b after computed tomographic imaging revealed a local tumour invasion without sign of nodal involvement and no metastasis. The patient eventually started with the SMILE Protocol and responded well up to the date. The ulcer healed but the fistula persisted. Primary closure was planned by the oromaxillofacial surgery team after completion of chemotherapy.

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“…Local flap from buccal pad of fat or palatal flap can be incorporated if unable to achieve primary closure. If surgical closure fails, a maxillary obturator prosthesis may be applied [7].…”

Section: Discussionmentioning

confidence: 99%

NK/T cell Lymphoma as a Rare Cause of an Oronasal Fistula

et al. 2021

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“…Oronasal communication is a rare accident that can occur during oral surgery procedures as exodontia of superior incisors and canines, odontectomies of impacted tooth in premaxilla area, apical tooth resection, tumour extirpation or cystectomy [1]. It can also appear as a complication due to trauma, gunshot injuries, syphilitic gumma, Caldwell-Luc procedure, radiation therapy, orthognathic surgery, cleft palate repair, and cocaine consumption [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Rare Iatrogenic Oronasal Communication after Superior Canine Odontectomy Attempt

Roi¹,

Ianeş²,

Nica³

et al. 2021

Timisoara Med

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(1) Background: Oronasal communication is described in the scientific literature as a common complication that occurs after a cleft palate surgery. In some cases, it can also be a consequence of oral surgery procedures; the main problem of this type of rare accident is related to the correct healing process and treatment option. (2) Case report: A patient with oronasal communication caused by an unsuccessful attempt of a superior canine odontectomy presented at the Emergency Department of the Oral and Maxillofacial Surgery Hospital, Timișoara. The case management is described from the first consult to one-year follow-up. We consider that this pathology was optimally treated surgically, and the results are more than satisfactory, taking into consideration the high rates of recurrence. (3) Conclusion: This case report can be a useful to a general dentist who is trying to decide whether to perform the canine odontectomy or refer to a specialist surgeon due to the accidents and complications of this procedure.

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“…They can have a congenital or acquired aetiology. [1][2][3] Acquired ONFs are generally related to oral pathologies (eg, secondary to severe periodontal disease, feline odontoclastic resorptive lesions or osteomyelitis) or trauma (road traffic accidents and accidental falls, generally associated with bone and/or teeth fractures); or are iatrogenic (resulting from surgical manipulation, such as mass excision and tooth extraction). 1 The abnormality leads to signs of upper respiratory tract pathology, such as ipsilateral mucopurulent or haemorrhagic nasal discharge, which is frequently associated with rhinitis, sneezing and discomfort, often manifested by pawing at the face; as well as regurgitation and/or vomiting due to the passage of liquid and food into the nasal cavity.…”

Section: Introductionmentioning

confidence: 99%

“…1 The abnormality leads to signs of upper respiratory tract pathology, such as ipsilateral mucopurulent or haemorrhagic nasal discharge, which is frequently associated with rhinitis, sneezing and discomfort, often manifested by pawing at the face; as well as regurgitation and/or vomiting due to the passage of liquid and food into the nasal cavity. 3,4 The persistence of this condition leads to weight loss, malnutrition and the risk of aspiration pneumonia. 5,6 Various techniques have been employed in human and veterinary medicine for the correction of ONFs.…”

Section: Introductionmentioning

confidence: 99%

“…They can have a congenital or acquired aetiology. 1–3 Acquired ONFs are generally related to oral pathologies (eg, secondary to severe periodontal disease, feline odontoclastic resorptive lesions or osteomyelitis) or trauma (road traffic accidents and accidental falls, generally associated with bone and/or teeth fractures); or are iatrogenic (resulting from surgical manipulation, such as mass excision and tooth extraction). 1…”

Section: Introductionmentioning

confidence: 99%

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Bioengineered surgical repair of a chronic oronasal fistula in a cat using autologous platelet-rich fibrin and bone marrow with a tailored 3D printed implant

Soares

Barros

Saraiva³

et al. 2018

Journal of Feline Medicine and Surgery

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Clinical summary: A tissue engineering approach was used to aid the surgical repair of a chronic oronasal fistula (ONF) in a 13-year-old cat. A three-dimensional (3D) printed mesh, tailored to the size and shape of the ONF, was created to support a soft tissue flap used to close the defect; and also to provide a matrix for mesenchymal stromal cells present in bone marrow aspirate and bioactive cytokines and growth factors present in platelet-rich fibrin harvested from the patient. A CT scan at day 75 after surgery revealed the formation of new tissue in the defect and the healing process was complete at follow-up 6 months after surgery. Relevance and novel information: Complications are frequently reported following surgical repair of ONFs and include dehiscence of the palatal suture line, flap necrosis due to damage to the greater palatine artery and maxillary osteomyelitis, mainly due to chronic infection and bone lysis. The case described here demonstrates how input from a multidisciplinary team and the use of a biomaterial, processed by sophisticated technologies, can create a precision regenerative medicine strategy adapted to the patient's clinical needs; this provided a novel therapeutic solution for an otherwise hard to treat clinical problem.

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Oronasal Fistula and Complete Edentulism: What to Do?

Cited by 9 publications

References 24 publications

NK/T cell Lymphoma as a Rare Cause of an Oronasal Fistula

NK/T cell Lymphoma as a Rare Cause of an Oronasal Fistula

Rare Iatrogenic Oronasal Communication after Superior Canine Odontectomy Attempt

Bioengineered surgical repair of a chronic oronasal fistula in a cat using autologous platelet-rich fibrin and bone marrow with a tailored 3D printed implant

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