Team approach for closure of oroantral and oronasal fistulae.
Oroantral and oronasal fistulas present with a broad range of causation, size, duration, and extent of infection involving the nose and paranasal sinuses. Accurate diagnosis of the extent of the disease with appropriate radiographic evaluation will guide the surgeon to select an approach that addresses all of the infected sites. When significant sinus disease is found, an endoscopic approach to restoring drainage in all of the involved sinuses can promote predictably successful closure of oroantral and oronasal fistulas. The multispecialty team approach to this disease, with the concomitant management of the sinusitis and fistula closure, is a significant advance in the successful management of this chronic condition.
Kraut
R A
RA
Oral and Maxillofacial Surgery Residency Training Program, Dental Impact Center, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Smith
R V
RV
D000328:Adult; D002908:Chronic Disease; D004322:Drainage; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation; D018482:Muscle, Skeletal / Q000637:transplantation; D009668:Nose Diseases / Q000175:diagnosis / Q000601:surgery*; D016155:Oral Fistula / Q000175:diagnosis / Q000601:surgery*; D009957:Oroantral Fistula / Q000175:diagnosis / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000601:surgery; D010348:Patient Care Team; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000601:surgery*; D012852:Sinusitis / Q000175:diagnosis / Q000601:surgery; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome