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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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