Güven O
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Ankara, Turkey.
J Craniomaxillofac Surg. 1998 Aug;26(4):267-71. doi: 10.1016/s1010-5182(98)80024-3.
The report presented is an analysis of 98 patients with an oroantral fistula (OAF). The tooth most frequently involved was the upper second molar, followed by the first molar. The highest incidence was seen in the fourth and third decades of life and the lowest incidence in the second decade. In this study, intercurrent sinusitis was the most obvious cause of the chronic oroantral communication. The closure of OAF is one of the more challenging problems in oral surgery. Long-term successful closure of OAF depends on the technique used, the size and location of the defect, and on the presence or absence of sinus disease. Among the several techniques proposed for treatment of OAFs, in the majority of cases, the buccal advancement flap technique was used in this study. The advantages and limitations of the technique are discussed.
所呈现的这份报告是对98例口腔上颌窦瘘（OAF）患者的分析。最常受累的牙齿是上颌第二磨牙，其次是第一磨牙。发病率最高出现在40岁和30岁年龄段，最低出现在20岁年龄段。在本研究中，并发鼻窦炎是慢性口腔上颌窦相通最明显的原因。口腔上颌窦瘘的闭合是口腔外科中较具挑战性的问题之一。口腔上颌窦瘘的长期成功闭合取决于所使用的技术、缺损的大小和位置以及鼻窦疾病的有无。在为治疗口腔上颌窦瘘而提出的几种技术中，在大多数情况下，本研究采用了颊侧推进瓣技术。文中讨论了该技术的优缺点。
