Treatment for oroantral communications of 170 cases

Yakushiji, Noboru

doi:10.1016/j.joms.2014.06.144

Cited by 2 publications

(3 citation statements)

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“…The systematic review highlighted a 32.6% higher prevalence in males. A number of studies have found OAFs to be more prevalent amongst men 26–28 . During the third decade of life, the antrum reaches its maximum size and consequently, this could lead to a theoretical increase in the incidence of OACs beyond this age 4 .…”

Section: Discussionmentioning

confidence: 99%

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Closure of oro‐antral fistulae in conjunction with functional endoscopic sinus surgery: A systematic review and retrospective analysis

2022

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Aim An oro‐antral communication (OAC) is a recognised potential complication of maxillary tooth extraction. If it does not resolve, a pathological epithelialised tract or oro‐antral fistula (OAF) can develop. The aim of this systematic review was to determine whether OAF closure with functional endoscopic sinus surgery (FESS) provides an effective approach for total closure and relief of sinusitis. Material and Methods The systematic review followed the PRISMA format. An electronic database search was performed to identify publications in English between 2010 and 2020, containing human subjects with radiographic evidence of sinus pathology, relating to OAF formation following extraction, and simultaneous OAF closure with FESS. Success was measured as total closure and relief of symptoms after 3 weeks. A retrospective analysis of patients within the Cwm Taf Morgannwg University Health Board that fit the eligibility criteria over a 5‐year period was conducted and compared with the results of the review. Results Five papers were included in the review, covering 86 OAFs, with an overall success rate of 97.7% (84/86). Two patients required revision surgery, due to recurrent OAFs, who were both diabetic and smokers. A total of 13 patients met the case series' inclusion criteria, and 100% success was achieved. A minor complication of post‐operative nasal synechia arose in 4/99 (4.0%) patients. Evidence‐based guidance was created for local dentists encountering an acute OAC. Conclusions OAF closure with FESS can be considered a highly effective approach, leaving patients symptom‐free. It is important that protocols are in place for dentists suspecting an OAC to expedite patient management.

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Section: Discussionmentioning

confidence: 99%

“…A number of studies have found OAFs to be more prevalent amongst men. [26][27][28] During the third decade of life, the antrum reaches its maximum size and consequently, this could lead to a theoretical increase in the incidence of OACs beyond this age. 4 In this review, the combined mean age of 45.5 years supports this suggestion.…”

Section: Discussionmentioning

confidence: 99%

Closure of oro‐antral fistulae in conjunction with functional endoscopic sinus surgery: A systematic review and retrospective analysis

2022

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“…Bone tissue regeneration in the area of OAC defect can be achieved not only by structural replacement of such defect, but also by stimulating the regeneration of surrounding bony tissues [6]. To this purpose, biocompatible polymer scaffolds can be used [7].…”

Section: Introductionmentioning

confidence: 99%