Erciyes University, Faculty of Dentistry Departments of Oral and Maxillofacial Surgery, Kayseri, Türkiye
Med Oral Patol Oral Cir Bucal. 2024 Jan 1;29(1):e95-e102. doi: 10.4317/medoral.26084.
This study's purpose is to retrospectively evaluate the success of surgical methods used in treating Oroantral Communication (OAC).
This study was designed as a retrospective cohort study on patients who developed OAC after surgery maxillary posterior region. The records of patients previously treated with OAC were scanned through the hospital registry software. A data set was created by recording patients' age, gender, systemic disease, etiological reasons, and surgical methods. The primary predictor variable was the surgical method used to treat OAC. Other variables were age, gender, systemic disease and etiological reasons. The primary outcome was oroantral fistula development after the first surgical intervention. The patients who were positive in clinical examination and Valsalva test on control days were considered unsuccessful. One-way analysis of variance and Kruskal-Wallis tests were used for quantitative variables in more than two groups. Pearson chi-square test was used to compare categorical data.
This retrospective cohort study was completed with 605 patients who met the study criteria among 95,883 patients who underwent surgery in the maxillary posterior region. The incidence of OAC was 0.63%. The patients consisted of 238 female and 367 male patients. The mean age was 41.06±14.48 years. Buccal flap and Buccal Fat Pad methods were used most frequently in the treatment. While treatment was completed with the first surgical intervention in 592 (97.85%) patients, OAF developed in 13 (2.15%) patients. No statistically significant relation existed between surgical technique and OAF development (p>0.005). The success rate of the Buccal Flap method was 98.7%, and the Buccal Fat Pad method was 95.8%.
The results of this study showed that noninvasive methods in openings smaller than 5 mm and surgical treatment methods in openings larger than 5 mm have a high success rate with the limitations of present study.
本研究旨在回顾性评估治疗口腔上颌窦交通（OAC）的手术方法的成功率。
本研究设计为一项回顾性队列研究，纳入了接受上颌后区手术后发生 OAC 的患者。通过医院登记软件扫描先前接受 OAC 治疗的患者的记录，创建一个数据集，记录患者的年龄、性别、系统性疾病、病因和手术方法。主要预测变量是治疗 OAC 所使用的手术方法。其他变量包括年龄、性别、系统性疾病和病因。主要结果是首次手术干预后发生口腔上颌窦瘘。在对照日进行临床检查和瓦尔萨尔瓦测试阳性的患者被认为是不成功的。对于超过两组的定量变量，使用单向方差分析和克鲁斯卡尔-沃利斯检验。对于分类数据，使用皮尔逊卡方检验。
本回顾性队列研究纳入了 95883 例接受上颌后区手术的患者中的 605 例符合研究标准的患者。OAC 的发生率为 0.63%。患者包括 238 名女性和 367 名男性，平均年龄为 41.06±14.48 岁。颊瓣和颊脂垫方法最常用于治疗。在 592 例（97.85%）患者中，首次手术干预完成治疗，13 例（2.15%）患者发生 OAF。手术技术与 OAF 发展之间不存在统计学显著关系（p>0.005）。颊瓣方法的成功率为 98.7%，颊脂垫方法的成功率为 95.8%。
本研究结果表明，在开口小于 5mm 的情况下使用非侵入性方法，在开口大于 5mm 的情况下使用手术治疗方法，具有较高的成功率，但受到本研究的限制。
