Hajiioannou J, Koudounarakis E, Alexopoulos K, Kotsani A, Kyrmizakis D E
ENT department, General Hospital of Pireus, Athens, Greece.
J Laryngol Otol. 2010 Sep;124(9):986-9. doi: 10.1017/S0022215110001027. Epub 2010 May 20.
To present the current treatment approach for oroantral fistula causing maxillary sinusitis.
Case series. Four cases of oroantral fistula (diameters: 6, 9, 11 and 13 mm) due to chronic maxillary sinusitis were treated by excision of all diseased oroantral fistula tissue, followed by endoscopic creation of a large middle antrostomy and closure of the fistula using buccal flaps. A synthetic surgical glue and local alveolar bone were used.
Patients were followed up for six months to three years; all were considered cured.
Most surgeons use buccal or palatal flaps, combined with the Caldwell-Luc procedure, to treat chronic odontogenic sinusitis and to repair fistulae more than 5 mm in diameter. This study supports the hypothesis that an endoscopic technique could be successfully used in patients with oroantral fistula causing chronic maxillary sinusitis of dental origin, instead of the Caldwell-Luc procedure, at least in patients with a small to medium-sized oroantral fistula.
介绍导致上颌窦炎的口腔上颌窦瘘的当前治疗方法。
病例系列。对4例因慢性上颌窦炎导致的口腔上颌窦瘘（直径分别为6、9、11和13毫米）患者，切除所有病变的口腔上颌窦瘘组织，随后在内镜下制作一个大的中鼻道开窗，并使用颊瓣封闭瘘口。使用了一种合成手术胶水和局部牙槽骨。
患者随访6个月至3年；所有患者均被认为已治愈。
大多数外科医生使用颊瓣或腭瓣，结合柯-陆氏手术，来治疗慢性牙源性鼻窦炎并修复直径大于5毫米的瘘管。本研究支持这样一种假设，即对于因牙源性导致慢性上颌窦炎的口腔上颌窦瘘患者，至少在中小尺寸口腔上颌窦瘘患者中，内镜技术可成功替代柯-陆氏手术。
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