Article ; Online: Clinical and radiographic assessment and restoration of maxillary sinus function in relation to oro-antral fistula closure: a systematic review.
Oral surgery, oral medicine, oral pathology and oral radiology
2022 Volume 134, Issue 4, Page(s) 432–441
Abstract: Background: The purpose of this study was to determine current practice in assessment of maxillary sinus health during oro-antral fistula closure.: Method: A systematic review using specific MeSH headings between 1990 and September 2021 on Medline, ... ...
| Abstract | Background: The purpose of this study was to determine current practice in assessment of maxillary sinus health during oro-antral fistula closure. Method: A systematic review using specific MeSH headings between 1990 and September 2021 on Medline, Ovid, and PubMed was performed. The inclusion criterion was closure of oro-antral fistula in adult patients. Exclusion criteria were oro-antral fistula arising in children; or from trauma, malignancy, or developmental abnormality; or any osteonecrotic lesion of bone. Risk of bias for individual papers was not assessed. Oxford Centre for Evidence Based Medicine levels of evidence were recorded. Results: 4309 papers were identified, and 119 were eligible for review. Nineteen were from otolaryngology (16%), 25 from combined ear, nose, and throat (ENT) and oral/oral and maxillofacial (OS/OMF) surgery (21%), and 75 from OS/OMF surgery (63%). Preoperative rhinoscopy and cross-sectional imaging were reported in 33 papers (28%), reflecting the role of ENT with or without OS/OMFS. Sixty-eight did not record any formal assessment of maxillary sinus health (57%), of which 60 were from OS/OMF surgery (50%). Use of computed tomography was reported in 58 papers (49%), and use of cone beam computed tomography was reported in 8 papers (7%) but did not correlate with assessment of sinus health. Discussion: Most surgery for oro-antral fistual closure was undertaken without objective assessment of maxillary sinus health, pre- or postoperatively. The involvement of ENT was associated with formal assessment of maxillary sinus health. |
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| MeSH term(s) | Adult ; Child ; Cone-Beam Computed Tomography ; Endoscopy/methods ; Humans ; Maxillary Sinus/diagnostic imaging ; Maxillary Sinus/surgery ; Oroantral Fistula/complications ; Oroantral Fistula/diagnostic imaging ; Oroantral Fistula/surgery ; Rhinoplasty |
| Language | English |
| Publishing date | 2022-03-03 |
| Publishing country | United States |
| Document type | Journal Article ; Review ; Systematic Review |
| ZDB-ID | 2650843-6 |
| ISSN | 2212-4411 ; 2212-4403 |
| ISSN (online) | 2212-4411 |
| ISSN | 2212-4403 |
| DOI | 10.1016/j.oooo.2022.02.015 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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