Oroantral communications: a literature review and update

Authors

DOI:

https://doi.org/10.17533/udea.rfo.v35n1a4

Keywords:

Oroantal fistula, Sinusitis, Maxillary sinus, Surgery, Oral

Abstract

Introduction: the Oroantral Communication (OAC) is the space that is created between the maxillary sinus and the oral cavity, which if not treated will progress to an Oroantral Fistula (OAF) or chronic sinus disease. The most common predisposing factor for a COA is the extraction of the upper posterior teeth (usually the first or second molars). The aim of this study was to carry out a literature review with emphasis on clinical implications and treatment alternatives of a COA through an update and review of information of interest. Methods: a literature review was carried out through a collection and analysis of bibliography of oroantral communications and the comparison and treatment alternatives. Discussion: various techniques have been proposed for the management of an AOC, among which are local flaps, as well as the use of biomaterials, which have given favorable results in closing the defect. Conclusion: the treatment of an AOC has as purpose to prevent its progression to an AFO, the development of sinusitis and/or that the defect increases; To do this, the clinician must be familiar with the various techniques based on the patient's needs.

|Abstract
= 741 veces | PDF (ESPAÑOL (ESPAÑA))
= 527 veces| | HTML (ESPAÑOL (ESPAÑA))
= 43 veces| | VISOR (ESPAÑOL (ESPAÑA))
= 3 veces|

Downloads

Download data is not yet available.

Author Biographies

Agustín Alejandro Vallejo-Rodas, Universidad Nacional Autónoma de México

DDS, Residente de cirugía oral y maxilofacial, División de Estudios de Posgrado e Investigación (DEPeI) en Odontología, Universidad Autónoma de México UNAM

Fabiola Salgado-Chavarría, Universidad Nacional Autónoma de México

DDS, CMF, PhD. Adscrita al departamento de cirugía oral y maxilofacial de División de Estudios de Posgrado e Investigación (DEPeI) en Odontología, Universidad Autónoma de México UNAM

References

Dym H, Wolf JC. Oroantral communication. Oral Maxillofac Surg Clin North Am. 2012; 24(2): 239–47. DOI: https://doi.org/10.1016/j.coms.2012.01.015

Gülşen U, Fatih Şentürk M, Mehdiyev I. Flap-free treatment of an oroantral communication with platelet-rich fibrin. Br J Oral Maxillofac Surg. 2016; 54(6): 702–3. DOI: https://doi.org/10.1016/j.bjoms.2015.09.037

Visscher SH, Van Minnen B, Bos RRM. Closure of oroantral communications: a review of the literature. 2010; 68(6): 1384–91. DOI: https://doi.org/10.1016/j.joms.2009.07.044

Ogle OE, Weinstock RJ, Friedman E. Surgical anatomy of the nasal cavity and paranasal sinuses. Oral Maxillofac Surg Clin North Am. 2012; 24(2): 155–66. DOI: https://doi.org/10.1016/j.coms.2012.01.011

Danesh-sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications. Br J Oral Maxillofac Surg. 2016; 54(7): 724-30. DOI: https://doi.org/10.1016/j.bjoms.2016.05.008

Sánchez Sánchez A, González Rebattu y González M, Morales Palacios G, Barrera García PH. Cierre de comunicación oroantral mediante el uso de membrana de plasma: revisión de la literatura y reporte de un caso clínico. Rev ADM. 2018; 75(3): 153–8.

Oishi S, Ishida Y, Matsumura T, Kita S, Sakaguchi-kuma T, Imamura T, et al. A cone-beam computed tomographic assessment of the proximity of the maxillary canine and posterior teeth to the maxillary sinus floor: lessons from 4778 roots. Am J Orthod Dentofac Orthop. 157(6): 792–802. DOI: ghttps://doi.org/10.1016/j.ajodo.2019.06.018

Hameed KS, Elaleem EA, Alasmari D. Radiographic evaluation of the anatomical relationship of maxillary sinus floor with maxillary posterior teeth apices in the population of Al-Qassim, Saudi Arabia, using cone beam computed tomography. Saudi Dent J. 2021; 33(7): 769-74. DOI: https://doi.org/10.1016/j.sdentj.2020.03.008

Hasegawa T, Tachibana A, Takeda D, Iwata E, Arimoto S, Sakakibara A, et al. Risk factors associated with oroantral perforation during surgical removal of maxillary third molar teeth. Oral Maxillofac Surg. 2016; 20(4): 369–75. DOI: https://doi.org/10.1007/s10006-016-0574-1

Themkumkwun S, Kitisubkanchana J, Waikakul A, Boonsiriseth K. Maxillary molar root protrusion into the maxillary sinus: a comparison of cone beam computed tomography and panoramic findings. Int J Oral Maxillofac Surg. 2019; 48(12): 1570–6. DOI: https://doi.org/10.1016/j.ijom.2019.06.011

Galletti B, Freni F, Galletti F, Gazia F. Nasal and paranasal sinus surgery: state of the art and future perspectives. USA: Nova Science Publishers; 2021.

Von Wowern N. Frequency of oro-antral fistulae after perforation to the maxillary sinus. Scand J Dent Res. 1970; 78(5): 394–7. DOI: https://doi.org/10.1111/j.1600-0722.1970.tb02087.x

Lazow SK. Surgical management of the oroantral fistula: flap procedures. Oper Tech Otolaryngol - Head Neck Surg. 1999; 10(2): 148–52. DOI: https://doi.org/10.1016/S1043-1810(99)80037-2

Bhalla N, Sun F, Dym H. Management of oroantral communications. Oral Maxillofac Surg Clin North Am. 2021; 33(2): 249–62. DOI: https://doi.org/10.1016/j.coms.2021.01.002

Bhatt R, Barodiya A, Singh S, Awasthi N. Comparison between pedicled buccal fat pad flap and buccal advancement flap for closure of oroantral communication. 2018; 4(9993652003).

Buchbinder D, St-hilaire H. Tongue flaps in maxillofacial surgery. 2003; 15(4): 475–86. DOI: https://doi.org/10.1016/s1042-3699(03)00065-7

Breheret R, Boucher S, Laccourreye L. Cirugía de las comunicaciones buconasosinusales. 2015; Cirugía Otorrinolog Cervicofacial. 16(14): 1–7. DOI: https://doi.org/10.1016/S1635-2505(14)67414-4

Kwon M, Lee B, Choi B, Lee J, Ohe J, Jung J, et al. Closure of oroantral fistula: a review of local flap techniques. J Korean Assoc Oral Maxillofac Surg. 2020; 46(1): 58–65. DOI: https://doi.org/10.5125%2Fjkaoms.2020.46.1.58

Arce K. Buccal fat pad in maxillary reconstruction. Atlas Oral Maxillofac Surg Clin North Am. 2007; 15(1): 23–32. DOI: https://doi.org/10.1016/j.cxom.2006.11.003

Raffo Lirios M, Oggiani Rodríguez V. Cuerpo adiposo bucal, su utilización en cirugía oral. 2016; 9(2): 49–55.

Dubin B, Jackson IT, Halim A, Triplett WW, Ferrerira M. Anatomy of the buccal Fat pad and its clinical significance. Plast Reconstr Surg Dep Dent Mayo Clin. 1988; 83(2): 257-64. DOI: https://doi.org/10.1097/00006534-198902000-00009

Abdel-Aziz M, Fawaz M, Kamel M, Kamel A, Aljeraisi T. Closure of oroantral fistula with buccal fat pad flap and endoscopic drainage of the maxillary sinus. J Craniofac Surg. 2018; 29(8): 2153–5. DOI: https://doi.org/10.1097/scs.0000000000004709

Pandikanda R, Singh, Patil V, Sharma M, Shankar K. Flapless closure of oro-antral communication with PRF membrane and composite of PRF and collagen: a technical note. 2019; 120(5): 471-3. DOI: https://doi.org/10.1016/j.jormas.2018.12.012

Haas R, Watzak G, Baron M, Tepper G, Mailath G, Watzek G. A preliminary study of monocortical bone grafts for oroantral fistula closure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96(3): 263-6. DOI: https://doi.org/10.1016/s1079-2104(03)00375-5

Elshourbagy MH, Hussein MM, Khedr MS, Elal SA. Oroantral communication repair using bone substitute and platelets rich fibrin. Tanta Dent J. 2015; 12(2): 65–70. DOI: https://doi.org/10.1016/j.tdj.2014.12.001

Markovic A, Colic S, Drazic R, Stojcev L, Gacic B. Closure of large oroantral fistula with resorbable collagen membrane: case report. Stomatol Glas Srb. 2009; 56(4): 201–6. DOI: http://dx.doi.org/10.2298/SGS0904201M

Ogunsalu C. A new surgical management for oro-antral communication. West Indian Med J. 2005; 54(4): 261–3. DOI: https://doi.org/10.1590/s0043-31442005000400011

Steiner M, Gould AR, Madion DC, Abraham MS, Loeser JG. Metal plates and foils for closure of oroantral fistulae. J Oral Maxillofac Surg. 2008; 66(7): 1551–5. DOI: https://doi.org/10.1016/j.joms.2007.08.043

Iwata E, Hasegawa T, Kobayashi M, Tachibana A, Takata N, Oko T, et al. Can CT predict the development of oroantral fistula in patients undergoing maxillary third molar removal? Oral Maxillofac Surg. 2020; 25(1): 7-17. DOI: https://doi.org/10.1007/s10006-020-00878-z

Parvini P, Obreja K, Begic A, Schwarz F, Becker J, Sader R, et al. Decision-making in closure of oroantral communication and fistula. Int J Implant Dent. 2019; 5(1): 13. DOI: https://doi.org/10.1186/s40729-019-0165-7

Galli M, De Soccio G, Cialente F, Candelori F, Federici FR, Ralli M, et al. Chronic maxillary sinusitis of dental origin and oroantral fistula: the results of combined surgical approach in an Italian university hospital. 2020; 20(4): 524–30. DOI: https://doi.org/10.17305%2Fbjbms.2020.4748

Psillas G, Papaioannou D, Petsali S, Dimas GG, Constantinidis J. Odontogenic maxillary sinusitis: a comprehensive review. J Dent Sci. 2021; 16(1): 474–81. DOI: https://doi.org/10.1016/j.jds.2020.08.001

Zirk M, Dreiseidler T, Pohl M, Rothamel D, Buller J, Peters F, et al. Odontogenic sinusitis maxillaris: a retrospective study of 121 cases with surgical intervention. J Cranio-Maxillofacial Surg. 2017; 45(4): 520–5. DOI: https://doi.org/10.1016/j.jcms.2017.01.023

Daif ET. Long-term effectiveness of the pedicled buccal fat pad in the closure of a large oroantral fistula. J Oral Maxillofac Surg. 2016; 74(9): 1718–22. DOI: https://doi.org/10.1016/j.joms.2016.04.033

Gacic B, Todorovic L, Kokovic V, Danilovic V, Stojcev-Stajcic L, Drazic R. The closure of oroantral communications with resorbable PLGA-coated beta-TCP root analogs, hemostatic gauze, or buccal flaps: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108(6): 844–50. DOI: https://doi.org/10.1016/j.tripleo.2009.07.026

Comini VL, Spinelli G, Mannelli G. Algorithm for the treatment of oral and peri-oral defects through local flaps. J Cranio-Maxillofacial Surg. 2018; 46(12): 2127–37. DOI: https://doi.org/10.1016/j.jcms.2018.09.023

Hassan, Ossama, Shoukry T, Raouf AA, Wahba H. Combined palatal and buccal flaps in oroantral fistula repair. Egypt J Ear, Nose, Throat Allied Sci. 2012; 13(2): 77–81.

Adams T, Taub D, Rosen M. Repair of oroantral communications by use of a combined surgical approach: functional endoscopic surgery and buccal advancement flap / buccal fat pad graft. J Oral Maxillofac Surg. 2015; 73(8): 1452–6. DOI: https://doi.org/10.1016/j.joms.2015.03.004

Said Ahmend WM. Closure of oroantral fistula using titanium plate with transalveolar wiring. J Maxillofac Oral Surg. 2015; 14(1): 121–5. DOI: https://doi.org/10.1007%2Fs12663-013-0584-6

Mahmood H, Flora H, Murphy C, Sutton D. Case report retrobulbar abscess: rare complication after repair of an oroantral communication. Br J Oral Maxillofac Surg. 2018; 56(3): 227–9. DOI: https://doi.org/10.1016/j.bjoms.2018.02.011

Visscher SH, Van Roon MRF, Sluiter WJ, Van Minnen B, Bos RRm. Retrospective study on the treatment outcome of surgical closure of oroantral communications. J Oral Maxillofac Surg. 2011; 69(12): 2956–61. DOI: https://doi.org/10.1016/j.joms.2011.02.102

Published

2023-06-06

How to Cite

Vallejo-Rodas, A. A., & Salgado-Chavarría, F. (2023). Oroantral communications: a literature review and update. Revista Facultad De Odontología Universidad De Antioquia, 35(1), 47–71. https://doi.org/10.17533/udea.rfo.v35n1a4