Andric Miroslav, Saranovic Vladimir, Drazic Radojica, Brkovic Bozidar, Todorovic Ljubomir
Clinic of Oral Surgery, School of Dentistry, University of Belgrade, Belgrade, Serbia.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Apr;109(4):510-6. doi: 10.1016/j.tripleo.2009.10.028. Epub 2010 Feb 13.
The objective of this study was to report results of functional endoscopic sinus surgery (FESS) for treatment of chronic maxillary sinusitis of dental origin in a series of patients with oroantral fistulae (OAF).
Fourteen patients were treated by FESS and OAF closure by local flap. Data on severity of symptoms, diagnostic endoscopy, and coronal CT scan findings, as well as intraoperative course and complications, were recorded. The follow-up period lasted up to 2 years, comprising clinical examinations and control CT scans.
All OAF healed uneventfully. All patients reported improvement in severity of sinusitis symptoms, which was confirmed through results of clinical examinations and control CT scans. No significant complications were recorded. No revision surgery was needed in any case.
These results indicate that FESS, combined with OAF closure by buccal flap, might be an effective and safe option for treatment of selected cases of chronic odontogenic sinusitis with OAF.
本研究的目的是报告在一系列患有口腔上颌窦瘘（OAF）的患者中，功能性鼻内镜鼻窦手术（FESS）治疗牙源性慢性上颌窦炎的结果。
14例患者接受了FESS及局部皮瓣封闭OAF治疗。记录症状严重程度、诊断性内镜检查、冠状位CT扫描结果，以及术中过程和并发症。随访期长达2年，包括临床检查和对照CT扫描。
所有OAF均顺利愈合。所有患者均报告鼻窦炎症状严重程度有所改善，临床检查和对照CT扫描结果证实了这一点。未记录到显著并发症。在任何情况下均无需再次手术。
这些结果表明，FESS联合颊瓣封闭OAF可能是治疗某些伴有OAF的慢性牙源性鼻窦炎病例的有效且安全的选择。
