Kwon Min-Soo, Lee Baek-Soo, Choi Byung-Joon, Lee Jung-Woo, Ohe Joo-Young, Jung Jun-Ho, Hwang Bo-Yeon, Kwon Yong-Dae
Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2020 Feb;46(1):58-65. doi: 10.5125/jkaoms.2020.46.1.58. Epub 2020 Feb 26.
Oroantral fistula (OAF), also termed oroantral communication, is an abnormal condition in which there is a communicating tract between the maxillary sinus and the oral cavity. The most common causes of this pathological communication are known to be dental implant surgery and extraction of posterior maxillary teeth. The purpose of this article is to describe OAF; introduce the approach algorithm for the treatment of OAF; and review the fundamental surgical techniques for fistula closure with their advantages and disadvantages. The author included a thorough review of the previous studies acquired from the PubMed database. Based on this review, this article presents cases of OAF patients treated with buccal flap, buccal fat pad (BFP), and palatal rotational flap techniques.
口鼻瘘(OAF),也称为口鼻相通,是一种上颌窦与口腔之间存在连通通道的异常情况。已知这种病理性相通的最常见原因是牙种植手术和上颌后牙拔除。本文的目的是描述口鼻瘘;介绍口鼻瘘的治疗方法算法;并回顾瘘管闭合的基本手术技术及其优缺点。作者对从PubMed数据库获取的先前研究进行了全面回顾。基于此回顾,本文介绍了采用颊瓣、颊脂垫(BFP)和腭旋转瓣技术治疗的口鼻瘘患者病例。