phenylephrine-hydrochloride and Oroantral-Fistula

This letter aimed to describe a surgical technique for oronasal fistula closure that promotes efficient healing and minimizes recurrence. The oronasal fistula was repaired by buccal flap. The technique proved to be simple and efficient.

Topics: Humans; Nose; Oroantral Fistula; Orthodontics; Plastic Surgery Procedures; Secondary Prevention; Surgical Flaps; Wound Healing

We report 3 new cases of a centrofacial destructive process associated with chronic nasal abuse of cocaine. This complex first described in 1988 is a rare entity involving sinonasal tract necrosis after cocaine abuse. Of special interest in this report is a male patient with columella and lip involvement instead of the more usual rhinopalatal destruction. This cocaine abuse complex should be included in the differential diagnosis of centrofacial midline destructive processes in young patients as the first diagnostic possibility. We suggest a management strategy for these patients.

Topics: Adult; Bone Transplantation; Chronic Disease; Cocaine-Related Disorders; Diagnosis, Differential; Female; Follow-Up Studies; Humans; Male; Nasal Septum; Nose; Nose Deformities, Acquired; Nose Diseases; Oral Fistula; Oroantral Fistula; Palatal Obturators; Respiratory Tract Fistula; Rhinoplasty; Surgical Flaps; Turbinates

Topics: Acrylic Resins; Adhesives; Aged; Carcinoma, Squamous Cell; Denture Design; Denture Retention; Denture, Complete, Upper; Female; Humans; Maxillary Neoplasms; Maxillary Sinus Neoplasms; Nose; Oroantral Fistula; Palatal Obturators; Prosthesis Design; Prosthesis Fitting; Surface Properties

Seventy-six patients with oroantral communications after tooth extraction and chronic maxillary sinusitis were treated as follows: bacterial cultures were taken in all of them and maxillary sinuses were irrigated with an antibiotic from the cephalosporin group. Then, in 36 patients, drainage using the Caldwell Luc procedure was performed, including a naso-antral window. In all patients operations were completed by closing oroantral communications with flaps of the mucosa of the alveolar process close to the fistula. Antibiotics according to antibiogram were administered to all patients at least 10 days after surgery. Retrospective comparison between the results obtained in the first group and those in the second group 1, 3 and 6 months after operation was based on objective findings (condition of the oroantral communication, maxillary sinusitis), side effects (pain, numbness of the operated area, headache) and control radiographs (clear maxillary sinus or with mucosal thickening). The study suggests that transnasal drainage is not required in maxillary sinus surgery and in the closure of oroantral communications. Equally good results are achieved by treating with antibiotics and without drainage of the maxillary sinus into the nose.

Topics: Cephalosporins; Chronic Disease; Drainage; Follow-Up Studies; Headache; Humans; Maxillary Sinus; Maxillary Sinusitis; Mouth Mucosa; Nose; Oroantral Fistula; Pain, Postoperative; Radiography; Recurrence; Retrospective Studies; Sensation Disorders; Staphylococcal Infections; Streptococcal Infections; Surgical Flaps; Therapeutic Irrigation; Tooth Extraction

Topics: Deglutition; Female; Humans; Middle Aged; Nose; Oroantral Fistula

The diagnostic value of salivary gland scintigraphy in patients without access to the salivary gland duct orfice is exemplified and discussed. The necessity for careful dental examination and treatment in patients with an oroantral fistula is emphasised.

Topics: Adult; Humans; Male; Maxillary Sinus; Nose; Oroantral Fistula; Parotid Gland; Radionuclide Imaging; Saliva; Salivary Gland Diseases; Technetium

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Fenestration, Labyrinth; Humans; Maxillary Sinus; Middle Aged; Nose; Oroantral Fistula; Outpatient Clinics, Hospital; Radiography; Wound Healing