구강 상악동 누공의 임상양상과 치료 분석

허성재; 나경진; 조현수; 류진현; 조현호; 최진혁; 강동훈; 김정수

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자료유형: 학술저널

저자정보: 허성재 나경진 조현수 류진현 조현호 최진혁 강동훈 김정수

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제8호

발행연도: 2016.1

수록면: 593 - 598 (6page)

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연구배경

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연구방법

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연구결과

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Background and Objectives Oroantral fistula is an epithelialized communication between the oral cavity and the maxillary sinus. The aim of this study is to investigate the clinical characteristics and treatment of oroantral fistula. Subjects and Method Patients who have undergone treatment for oroantral fistula between May 1995 and December 2015 were enrolled in this study. The demographic data of these patients and characteristics of oroantral fistula were analyzed. Patients with oroantral fistula were initially administered oral antibiotics for 3 weeks. If fistula persists in spite of the medication, surgery (soft tissue flap with or without bone graft) was performed. The surgical results according to the presence of bone graft were compared. Results Twenty-two patients were in accordance with the inclusion criteria. The male to female ratio of patients was 12:10, with the mean age of 47.9±13.4 years. The main complaint of patients was pus discharge from the fistula. Two patients were successfully treated with antibiotics whereas 20 patients underwent surgery. Recurrence occurred in 3 patients, who were treated with soft tissue flap, but no recurrence developed in the patients treated with soft tissue flap and bone graft. Although dehiscence of soft tissue flap occurred in one patient treated with bone graft, it was successfully treated by secondary intention without an additional surgery. Conclusion Bone graft bears the negative pressure of the oral cavity and the weight of secretions including the blood. In addition, it induces secondary intention for the dehiscence of the flap. In this regard, bone graft seems to contribute to the surgical success of oroantral fistula. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(8):593-8

#Bone transplantation ㆍOral surgical procedures ㆍOroantral fistula ㆍ Surgical flaps.

참고문헌 (10)

참고문헌 신청

Er N / 2013 / Treatment of oroantral fistulas using bony press-fit technique / J Oral Maxillofac Surg 71(4):659~666

Yalçın S / 2011 / Surgical treatment of oroantral fistulas: a clinical study of 23 cases / J Oral Maxillofac Surg 69(2):333~339

Candamourty R / 2012 / Double-layered closure of oroantral fistula using buccal fat pad and buccal advancement flap / J Nat Sci Biol Med 3(2):203~205

서민철 / 2002 / 구강상악동루에 대한 치료 성적 / 대한이비인후과학회지 두경부외과학 45(1):47~50

Dym H / 2012 / Oroantral communication / Oral Maxillofac Surg Clin North Am 24(2):239~247

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