Orosinuidal and oronasal fistulas: The search for an adequate treatment

Stoll, M.

doi:10.1111/eve.12918

Cited by 1 publication

(2 citation statements)

References 14 publications

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“…This would provide an opportunity to debride potential sequestra and would ensure a healthy bed of granulation tissue. 3 The decision to place the obturator the same day was either in cases that were deemed difficult to obturate (Case #12 and #8) using traditional methods (ie, removable obturator) or in cases that had extenuating circumstances (Case #3). Case #12 had a large oronasal fistula that extended into the hard palate making retention of a PVS plug challenging (Figure 5).…”

Section: Discussionmentioning

confidence: 99%

“…Twelve horses had other treatments prior to RO placement. The treatments included: polyvinyl siloxane (PVS) plug with serial debridement and plug changes (12), obturator with a medicant (3), plaster of Paris impregnated gauze (1), dental wax plug (1), drywall screw inserted orally into the PPOC (1), bone graft (1), betadine-soaked gauze (1) and sinusotomy with lavage and debridement (3). Nine horses had a combination of 2 or more of the previously mentioned treatments.…”

Section: Case Detailsmentioning

confidence: 99%

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Intraoral Formation of a Rigid Obturator for the Treatment of Dental Fistulae and Draining Tracts in the Horse

Hunt¹,

Rice²,

Henry³

2023

J Vet Dent

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A retrospective cohort study to describe a novel use of a mechanically retained, rigid obturator (RO) to manage maxillary and mandibular persistent pathologic oral communications (PPOCs). This study included 22 horses with PPOC with at least 6 months of follow-up after treatment with a RO. The RO was made with a flowable, bis-acryl-based composite resin. Medical records were analyzed, including case details, obtained imaging, surgical reports, and follow-up information. There were 10 horses that had follow-up examinations by the authors and 8 horses by the referring veterinarian; in 4 horses, follow-up information was obtained by informal telephone interviews with the owner. Complete resolution of clinical signs was obtained in 21 of 22 (95.5%) horses, with confirmed healing of the PPOC in 15 of 22 (68.2%) horses. Complications were noted in 7 of 22 (31.8%) cases. Complications included: complete loss of RO (2 horses), fracture/defect of the RO (2 horses), displaced/shifted RO (1 horse), and incomplete seal of the PPOC (2 horses). All complications were resolved by repairing or replacing the RO. The RO placement is a successful, noninvasive, easily repeatable treatment for PPOC.

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Section: Discussionmentioning

confidence: 99%

Section: Case Detailsmentioning

confidence: 99%