Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies
<b>Aim:</b> This study aims to evaluate the management of oro-antral communications (OAC) and fistulas (OAF), focusing on treatment strategies based on defect size, epithelialization, and the presence of sinus infections, while exploring both traditional and emerging techniques. <b>...
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MDPI AG
2025-01-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/15/2/194 |
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| author | Gianna Dipalma Angelo Michele Inchingolo Irma Trilli Laura Ferrante Angela Di Noia Elisabetta de Ruvo Francesco Inchingolo Antonio Mancini Stefan Cocis Andrea Palermo Alessio Danilo Inchingolo |
| author_facet | Gianna Dipalma Angelo Michele Inchingolo Irma Trilli Laura Ferrante Angela Di Noia Elisabetta de Ruvo Francesco Inchingolo Antonio Mancini Stefan Cocis Andrea Palermo Alessio Danilo Inchingolo |
| author_sort | Gianna Dipalma |
| collection | DOAJ |
| description | <b>Aim:</b> This study aims to evaluate the management of oro-antral communications (OAC) and fistulas (OAF), focusing on treatment strategies based on defect size, epithelialization, and the presence of sinus infections, while exploring both traditional and emerging techniques. <b>Materials and Methods:</b> The systematic review was conducted following the PRISMA guidelines and registered on PROSPERO (CDR ID 623251). Using targeted keywords, articles in English published within the last 10 years were analyzed from databases such as PubMed, WoS and Scopus, selecting only clinical studies on human patients. After thorough screening, 20 publications were included in the qualitative analysis, among 734 initially identified. <b>Results:</b> Small OACs (<5 mm) were managed conservatively with hemostatic materials, while larger defects (>5 mm) required surgical closure, with the Bichat flap proving highly effective for large defects. Innovative treatments using autologous bone grafts and PRF showed promise in supporting tissue regeneration. In cases with sinusitis, the combination of FESS and intra-oral closure techniques resulted in high success rates for infection resolution and defect closure. <b>Conclusions:</b> Treatment outcomes for OAC and OAF are highly dependent on the size of the defect and the presence of sinusitis. Multidisciplinary collaboration, along with timely surgical intervention and adherence to medical therapies, is essential for successful management. Emerging techniques and minimally invasive procedures continue to improve patient outcomes, offering hope for more effective and sustainable solutions in complex cases. |
| format | Article |
| id | doaj-art-a57eb81cc3724829b7303588153c593e |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-a57eb81cc3724829b7303588153c593e2025-01-24T13:29:04ZengMDPI AGDiagnostics2075-44182025-01-0115219410.3390/diagnostics15020194Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic StrategiesGianna Dipalma0Angelo Michele Inchingolo1Irma Trilli2Laura Ferrante3Angela Di Noia4Elisabetta de Ruvo5Francesco Inchingolo6Antonio Mancini7Stefan Cocis8Andrea Palermo9Alessio Danilo Inchingolo10Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyMaxillo-Facial Surgery, Interdisciplinary Department of Medicine, University of Bari, 70100 Bari, ItalyDepartment of Experimental Medicine, University of Salento, 73100 Lecce, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, Italy<b>Aim:</b> This study aims to evaluate the management of oro-antral communications (OAC) and fistulas (OAF), focusing on treatment strategies based on defect size, epithelialization, and the presence of sinus infections, while exploring both traditional and emerging techniques. <b>Materials and Methods:</b> The systematic review was conducted following the PRISMA guidelines and registered on PROSPERO (CDR ID 623251). Using targeted keywords, articles in English published within the last 10 years were analyzed from databases such as PubMed, WoS and Scopus, selecting only clinical studies on human patients. After thorough screening, 20 publications were included in the qualitative analysis, among 734 initially identified. <b>Results:</b> Small OACs (<5 mm) were managed conservatively with hemostatic materials, while larger defects (>5 mm) required surgical closure, with the Bichat flap proving highly effective for large defects. Innovative treatments using autologous bone grafts and PRF showed promise in supporting tissue regeneration. In cases with sinusitis, the combination of FESS and intra-oral closure techniques resulted in high success rates for infection resolution and defect closure. <b>Conclusions:</b> Treatment outcomes for OAC and OAF are highly dependent on the size of the defect and the presence of sinusitis. Multidisciplinary collaboration, along with timely surgical intervention and adherence to medical therapies, is essential for successful management. Emerging techniques and minimally invasive procedures continue to improve patient outcomes, offering hope for more effective and sustainable solutions in complex cases.https://www.mdpi.com/2075-4418/15/2/194oro-antral communicationoral fistulaoro-maxillary communicationantral communicationsinus communicationsinus fistula |
| spellingShingle | Gianna Dipalma Angelo Michele Inchingolo Irma Trilli Laura Ferrante Angela Di Noia Elisabetta de Ruvo Francesco Inchingolo Antonio Mancini Stefan Cocis Andrea Palermo Alessio Danilo Inchingolo Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies Diagnostics oro-antral communication oral fistula oro-maxillary communication antral communication sinus communication sinus fistula |
| title | Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies |
| title_full | Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies |
| title_fullStr | Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies |
| title_full_unstemmed | Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies |
| title_short | Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies |
| title_sort | management of oro antral communication a systemic review of diagnostic and therapeutic strategies |
| topic | oro-antral communication oral fistula oro-maxillary communication antral communication sinus communication sinus fistula |
| url | https://www.mdpi.com/2075-4418/15/2/194 |
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