Dijagnoza i liječenje oroantralne komunikacije

master's thesis

• Title (english): Diagnosis and treatment of oroantral communication
• Author: Dora Šimunić
• Mentor: Goran Geber (mentor)
• Committee member: Goran Geber (predsjednik povjerenstva)
• Committee member: Robert Trotić (član povjerenstva)
• Committee member: Davor Vagić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Chair of Otorhynolaringology); Zagreb
• Defense date and country: 2020-09-11, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Oroantralna komunikacija umjetno je stvorena veza maksilarnog sinusa i usne šupljine koja
može nastati kao posljedica ekstrakcije gornjih premolara i molara. Ako se ne liječi, može se
razviti u oroantralnu fistulu ili kronični maksilarni sinusitis. Zato je važno dobro poznavati
metode dijagnostike i pravovremenog liječenja kako bi se preduhitrile moguće komplikacije.
Postoje određeni predisponirajući faktori za nastanak oroantralne komunikacije poput
pneumatiziranih maksilarnih sinusa, dugih i divergentnih korjenova zuba te neadekvatna, gruba
tehnika vađenja. Oroantralna komunikacija može nastati i kad se poduzmu odgovarajuće
preventivne mjere. Najčešći način dijagnosticiranja test je puhanja na nos, tzv. Valsalvin test.
Perzistentna neliječena komunikacija uzrokuje stvaranje fistule. Kroz fistulu je omogućen
prolazak hrane i bakterija iz usne šupljine u maksilarni sinus i to uzrokuje nastanak maksilarnog
sinusitisa. Simptomi oroantralne fistule mogu biti: prolazak tekućine i hrane iz usne šupljine u
nos, poteškoće prilikom korištenja slamke, loš okus u ustima i piskutavi zvuk koji može biti
prisutan prilikom govora.
Liječenje je potrebno provesti što prije nakon postavljanja dijagnoze kako bi se izbjegle
navedene komplikacije.
Odabir vrste liječenja najviše ovisi o veličini komunikacije, o vremenu koje je prošlo od
nastanka problema te o prisutnosti maksilarnog sinusitisa. Potpomaganje stvaranja i održavanja
ugruška u alveoli temelj je liječenja manjih komunikacija, dok su za veće potrebni kirurški
zahvati.

Abstract (english)

Oroantral communication is an unnatural connection between the maxillary sinus and the oral
cavity. It can result from the extraction of upper premolar and molar teeth, and if not treated, it
can develop into an oroantral fistula or chronic maxillary sinusitis. Therefore, it is necessary to
be acquainted with diagnostic methods and early treatment procedures to prevent further
complications.
There are certain predisposing factors for the occurrence of oroantral communication, such as
pneumatized maxillary sinuses, long and divergent roots, and an inadequate and rough tooth
extraction technique. The appearance of the communication is possible even when preventive
measures are taken. The most common diagnostic method is the nose blowing test, known as
the Valsalva test.
Persistent and untreated communication leads to the formation of a fistula. The fistula allows
the food and bacteria to pass from the oral cavity to the maxillary sinus, thus causing maxillary
sinusitis. The symptoms of the oroantral fistula include fluids and food passing from the oral
cavity to the nose, difficulties while using a straw, unpleasant taste in the mouth and a whistling
sound that may be present whilst speaking.
Treatment should be carried out as soon as the diagnosis is determined in order to prevent the
complications.
Selecting the type of treatment depends significantly on the size of the communication, the time
elapsed since the formation, and the presence of maxillary sinusitis. Blood clot formation and
maintenance in the alveolus is the basic form of treatment for smaller communications, while
larger communications require surgical procedures.

• Keywords: maksilarni sinus; usna šupljina; vađenje zuba
• Keywords (english): Maxillary Sinus; Mouth; tooth Extraction
• Language: croatian
• URN:NBN: urn:nbn:hr:127:402169
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-01-15 12:13:25