The Management of Infected Oroantral Fistula After Maxillary Third Molar Removal : A Case Report
Copyright © 2023, R et al..
Oroantral communication is an unnatural communication of the maxillary sinus with the oral cavity, often resulting from dental extractions, infection, trauma, or excision of cysts or tumors. Pathological epithelialization of oroantral communication leads to oroantral fistula. Various techniques have been proposed for surgical closure. Uneventful healing of the defect can be achieved in the absence of antral infection. Hence, medical management of maxillary sinusitis should precede surgical closure of the defect. Here, we report a case of an oroantral fistula of the left maxillary third molar, caused by a secondary infection of the extraction site, managed primarily by antibiotics, topical steroids, and irrigating agents followed by surgical closure. It is essential to carefully inspect the post-extraction socket of maxillary teeth due to its high risk of development of oroantral communication. Also, the management of oroantral communications needs early detection to prevent infection and to prevent transforming into an oroantral fistula. In case of an infected oroantral communication or fistula, priority rests on treating the infection first and followed by surgical repair.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:15 |
|---|---|
| Enthalten in: |
Cureus - 15(2023), 7 vom: 08. Juli, Seite e42633 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
R, Chinnaiah [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Case Reports |
|---|
| Anmerkungen: |
Date Revised 31.08.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.7759/cureus.42633 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM361428375 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM361428375 | ||
| 003 | DE-627 | ||
| 005 | 20231226085122.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.7759/cureus.42633 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1204.xml |
| 035 | |a (DE-627)NLM361428375 | ||
| 035 | |a (NLM)37644948 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a R, Chinnaiah |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Management of Infected Oroantral Fistula After Maxillary Third Molar Removal |b A Case Report |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 31.08.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright © 2023, R et al. | ||
| 520 | |a Oroantral communication is an unnatural communication of the maxillary sinus with the oral cavity, often resulting from dental extractions, infection, trauma, or excision of cysts or tumors. Pathological epithelialization of oroantral communication leads to oroantral fistula. Various techniques have been proposed for surgical closure. Uneventful healing of the defect can be achieved in the absence of antral infection. Hence, medical management of maxillary sinusitis should precede surgical closure of the defect. Here, we report a case of an oroantral fistula of the left maxillary third molar, caused by a secondary infection of the extraction site, managed primarily by antibiotics, topical steroids, and irrigating agents followed by surgical closure. It is essential to carefully inspect the post-extraction socket of maxillary teeth due to its high risk of development of oroantral communication. Also, the management of oroantral communications needs early detection to prevent infection and to prevent transforming into an oroantral fistula. In case of an infected oroantral communication or fistula, priority rests on treating the infection first and followed by surgical repair | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a maxillary sinusitis | |
| 650 | 4 | |a nasal regurgitation | |
| 650 | 4 | |a oroantral communication | |
| 650 | 4 | |a oroantral fistula | |
| 650 | 4 | |a wisdom tooth extraction | |
| 700 | 1 | |a Stephen, Sujith Raj |e verfasserin |4 aut | |
| 700 | 1 | |a M, Veeramuthu |e verfasserin |4 aut | |
| 700 | 1 | |a G, Satheesh |e verfasserin |4 aut | |
| 700 | 1 | |a R, Rajashri |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Cureus |d 2013 |g 15(2023), 7 vom: 08. Juli, Seite e42633 |w (DE-627)NLM24118083X |x 2168-8184 |7 nnns |
| 773 | 1 | 8 | |g volume:15 |g year:2023 |g number:7 |g day:08 |g month:07 |g pages:e42633 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.7759/cureus.42633 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 15 |j 2023 |e 7 |b 08 |c 07 |h e42633 | ||