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Maxillary sinusitis of dental origin due to oroantral fistula, treated by endoscopic sinus surgery and primary fistula closure

Published online by Cambridge University Press:  20 May 2010

J Hajiioannou ,
E Koudounarakis ,
K Alexopoulos ,
A Kotsani  and
D E Kyrmizakis
J Hajiioannou*
Affiliation:
ENT department, General Hospital of Pireus, Athens, Greece
E Koudounarakis
Affiliation:
ENT department, General Hospital of Rethymnon, Greece
K Alexopoulos
Affiliation:
ENT department, General Hospital of Veroia, Greece
A Kotsani
Affiliation:
ENT department, General Hospital of Veroia, Greece
D E Kyrmizakis
Affiliation:
ENT department, General Hospital of Veroia, Greece
*
Address for correspondence: Dr Jiannis Hajiioannou, Kilkis 6, 18120, Korydallos, Attiki, Greece. Fax: 0030-2117206869 E-mail: irakliotis@yahoo.com
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Abstract

Aim:

To present the current treatment approach for oroantral fistula causing maxillary sinusitis.

Design:

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.

Results:

Patients were followed up for six months to three years; all were considered cured.

Conclusion:

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.

Keywords

Maxillary SinusitisOroantral FistulaEndoscopic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 9 , September 2010 , pp. 986 - 989
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Mehra, P, Murad, H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin North Am 2004;37:347–64CrossRefGoogle ScholarPubMed
2Maloney, PL, Doku, HC. Maxillary sinusitis of odontogenic origin. J Can Dent Assoc 1968;34:591–603Google ScholarPubMed
3Brook, I. Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin. Laryngoscope 2005;115:823–5CrossRefGoogle ScholarPubMed
4Sandler, HJ. Clinical update – the teeth and the maxillary sinus: the mutual impact of clinical procedures, disease conditions and their treatment implications. Part 2. Odontogenic sinus disease and elective clinical procedures involving the maxillary antrum: diagnosis and management. Aust Endod J 1999;25:32–6CrossRefGoogle ScholarPubMed
5Lopatin, AS, Sysolyatin, SP, Sysolyatin, PG, Melnikov, MN. Chronic maxillary sinusitis of dental origin: is external surgical approach mandatory? Laryngoscope 2002;112:1056–9CrossRefGoogle ScholarPubMed
6Al-Belasy, FA. Inferior meatal antrostomy: Is it necessary after radical sinus surgery through the Caldwell-Luc approach? J Oral Maxillofac Surg 2004;62:559–62CrossRefGoogle ScholarPubMed
7Ikeda, K, Hirano, K, Oshima, T, Shimomura, A, Suzuki, H, Sunose, H et al. Comparison of complications between endoscopic sinus surgery and Caldwell-Luc operation. Tohoku J Exp Med 1996;180:27–31CrossRefGoogle ScholarPubMed
8Guven, O. A clinical study on oroantral fistulae. J Craniomaxillofac Surg 1998;26:267–71CrossRefGoogle ScholarPubMed
9Regev, E, Smith, RA, Perrott, DH, Pogrel, MA. Maxillary sinus complications related to endosseous implants. Int J Oral Maxillofac Implants 1995;10:451–61Google ScholarPubMed
10Costa, F, Emanuelli, E, Robiony, M, Zerman, N, Polini, F, Politi, M. Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin. J Oral Maxillofac Surg 2007;65:223–8CrossRefGoogle ScholarPubMed
11Brook, I. Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg 2006;135:349–55CrossRefGoogle ScholarPubMed
12Laskin, D. Management of oroantral fistula and other sinus-related complications. Oral Maxillofac Surg Clin North Am 1999;11:155–64CrossRefGoogle Scholar
13Narkio-Makela, M, Qvarnberg, Y. Endoscopic sinus surgery or Caldwell-Luc operation in the treatment of chronic and recurrent maxillary sinusitis. Acta Otolaryngol 1997;529:177–80CrossRefGoogle ScholarPubMed
14Kraut, RA, Smith, RV. Team approach for closure of oroantral and oronasal fistulae. Atlas Oral Maxillofac Surg Clin North Am 2000;8:55–75CrossRefGoogle ScholarPubMed