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口腔上颌窦交通与瘘管的治疗与管理：系统评价与网状Meta分析

The Treatment and Management of Oroantral Communications and Fistulas: A Systematic Review and Network Metanalysis.

作者信息

Oliva Stefano, Lorusso Felice, Scarano Antonio, D'Amario Maurizio, Murmura Giovanna

机构信息

Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti-Pescara, 66100 Chieti, Italy.

Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

出版信息

Dent J (Basel). 2024 May 20;12(5):147. doi: 10.3390/dj12050147.

DOI:10.3390/dj12050147
PMID:38786545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11120370/
Abstract

OBJECTIVES

The aim of this work was to systematically review and carry out a statistical metanalysis to identify the best treatment for close oroantral communications and fistulas and to avoid the risk of recurrence.

MATERIALS AND METHODS

An electronic search was conducted on the MEDLINE database (Pubmed), Scopus, and Google scholar using the following keywords: "oro antral communication (OAC)" OR "oro antral fistula (OAF)" OR "antro-oral communication" OR "communication between maxillary sinus and oral cavity" OR "oro-sinusal communication" OR "oro-sinusal fistula" OR "sinus communication" OR "sinus fistula" OR "antral communication" AND "treatment" OR "management" OR "surgical treatment" OR "surgical interventions". This work was performed in accordance with the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). After article screening, 9 RCTs (randomized controlled trials), comparing two or more techniques, were included in this review.

RESULTS

A statistically significant difference was detected in favor of the buccal fat pad compared to the buccal advancement flap and palatal rotational flap.

CONCLUSIONS

With the limitations of this study, the buccal fat pad showed the best results in terms of communication closure and reducing the risk of relapse.

摘要

目的

本研究旨在进行系统评价并开展统计荟萃分析，以确定治疗口腔上颌窦交通和瘘管的最佳方法，并避免复发风险。

材料与方法

在MEDLINE数据库（PubMed）、Scopus和谷歌学术上进行电子检索，使用以下关键词：“口腔上颌窦交通（OAC）”或“口腔上颌窦瘘（OAF）”或“口窦交通”或“上颌窦与口腔之间的交通”或“口窦交通”或“口窦瘘”或“窦交通”或“窦瘘”或“窦腔交通”以及“治疗”或“管理”或“手术治疗”或“手术干预”。本研究按照PRISMA（系统评价和荟萃分析的首选报告项目）指南进行。在文章筛选后，本综述纳入了9项比较两种或更多技术的随机对照试验（RCT）。

结果

与颊部推进瓣和腭部旋转瓣相比，检测到颊脂垫具有统计学显著差异。

结论

鉴于本研究的局限性，颊脂垫在封闭交通和降低复发风险方面显示出最佳效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/5feca862ac37/dentistry-12-00147-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/96a3290fd2cc/dentistry-12-00147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/cfe7f808e075/dentistry-12-00147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/62518d8e271d/dentistry-12-00147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/f0b2ceff1446/dentistry-12-00147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/88c1f6c8bba3/dentistry-12-00147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/e819431333d4/dentistry-12-00147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/9f6093b1e4c7/dentistry-12-00147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/fc1c49819247/dentistry-12-00147-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/55dfa47b8ae7/dentistry-12-00147-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/5feca862ac37/dentistry-12-00147-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/96a3290fd2cc/dentistry-12-00147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/cfe7f808e075/dentistry-12-00147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/62518d8e271d/dentistry-12-00147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/f0b2ceff1446/dentistry-12-00147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/88c1f6c8bba3/dentistry-12-00147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/e819431333d4/dentistry-12-00147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/9f6093b1e4c7/dentistry-12-00147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/fc1c49819247/dentistry-12-00147-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/55dfa47b8ae7/dentistry-12-00147-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfc/11120370/5feca862ac37/dentistry-12-00147-g010.jpg

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