Liječenje oroantralne fistule

master's thesis

• Title (english): Treatment of oroantral fistula
• Author: Lora Ujlaki
• Mentor: Goran Geber (mentor)
• Committee member: Davor Vagić (predsjednik povjerenstva)
• Committee member: Goran Geber (član povjerenstva)
• Committee member: Robert Trotić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Chair of Otorhynolaringology); Zagreb
• Defense date and country: 2021-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology

Abstract

Oroantralna komunikacija je neprirodan prostor koji povezuje maksilarni sinus i usnu šupljinu. U stomatološkoj praksi najčešće nastaje nakon ekstrakcije gornjih distalnih zubiju, posebice molara s izrazito divergentnim i dugim korjenovima. Osim kod ekstrakcija, komunikacija može nastati jatrogeno prilikom apikotomije, implantološke terapije, enukleacije cista. Drugi razlozi
su trauma i patološka zbivanja poput osteomijelitisa. Ne liječenjem komunikacije ona epitelizira i nastaje oroantralna fistula. Oroantralna fistula je patološki kanal pokriven epitelom koji povezuje sinus s usnom šupljinom. Fistula se ne može spontano zatvoriti i bakterije nesmetano ulaze u sinus uzrokujući upalu, maksilarni sinusitis. Kod donošenja dijagnoze potrebno je napraviti kliničke testove, rendgenske snimke i uzeti anamnezu. Pacijent će se najčešće žaliti na neugodan zadah, prodiranje tekućine u nosnu šupljinu tijekom konzumacije pića, strujanje zraka kroz fistulu, a također nam je važan podatak o mogućim ekstrakcijama ili prijašnjim operacijama. Kod liječenja je potrebno obratiti pažnju na moguću upalu u sinusu koju je potrebno zbrinuti prije kirurškog zatvaranja fistule. Kiruršku tehniku je potrebno odabrati individualno prema potrebama i mogućnostima pacijenta.

Abstract (english)

Oroantral communication is an unnatural space that connects the oral cavity and the maxillary sinus. In dental practice, it most often occurs after an extraction of the upper distal teeth, especially molars with extremely divergent and long roots. Communication can be of iatrogenic nature which usually occurs during apicoectomy, implant therapy, cyst enucleation. Other causes are trauma and pathological processes, such as osteomyelitis. After unsuccessful treatment, the communication epithelializes and forms an oroantral fistula. Oroantral fistula is a pathological pathway covered with epithelium that connects the sinus with the oral cavity. The fistula cannot close spontaneously and bacteria easily enter into the sinus and cause inflammation known as maxillary sinusitis. Clinical tests, X-rays and medical history are required for diagnosis. Patients most often complain about bad breath, penetration of fluids into the nasal cavity during drinking and the flow of air through the fistula. Patients may as well give us information about possible extractions or previous surgeries. During treatment, it is necessary to pay attention to possible inflammation in the sinuses, which should be taken care of before surgical fistula closure. The surgical technique should be selected individually according to patients’ needs and status.

• Keywords: sinusitis; oroantralna fistula
• Keywords (english): Sinusitis; Oroantral Fistula
• Language: croatian
• URN:NBN: urn:nbn:hr:127:548649
• 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: 2021-08-25 08:06:27