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Review
. 2024 May 20;12(5):147.
doi: 10.3390/dj12050147.

The Treatment and Management of Oroantral Communications and Fistulas: A Systematic Review and Network Metanalysis

Stefano Oliva  1 , Felice Lorusso  1 , Antonio Scarano  1 , Maurizio D'Amario  2 , Giovanna Murmura  1
Affiliations
Review

The Treatment and Management of Oroantral Communications and Fistulas: A Systematic Review and Network Metanalysis

Stefano Oliva et al. Dent J (Basel). .

Abstract

Objectives: The aim of this work was to systematically review and carry out a statistical metanalysis to identify the best treatment for close oroantral communications and fistulas and to avoid the risk of recurrence.

Materials and methods: An electronic search was conducted on the MEDLINE database (Pubmed), Scopus, and Google scholar using the following keywords: "oro antral communication (OAC)" OR "oro antral fistula (OAF)" OR "antro-oral communication" OR "communication between maxillary sinus and oral cavity" OR "oro-sinusal communication" OR "oro-sinusal fistula" OR "sinus communication" OR "sinus fistula" OR "antral communication" AND "treatment" OR "management" OR "surgical treatment" OR "surgical interventions". This work was performed in accordance with the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). After article screening, 9 RCTs (randomized controlled trials), comparing two or more techniques, were included in this review.

Results: A statistically significant difference was detected in favor of the buccal fat pad compared to the buccal advancement flap and palatal rotational flap.

Conclusions: With the limitations of this study, the buccal fat pad showed the best results in terms of communication closure and reducing the risk of relapse.

Keywords: buccal fat pad; maxillary sinus; oroantral communication; oroantral fistula; soft tissue local flaps.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Prisma flow diagram.
Figure 2
Figure 2
Summary of the OHAT risk-of-bias assessment considering the percentages across all included studies.
Figure 3
Figure 3
Summary of the OHAT risk-of-bias assessment considering each assessment of the included studies [8,29,30,31,32,33,34,35,36].
Figure 4
Figure 4
Network plot [node size: sample size; node color: indirectness; edge width: number of studies; edge color: average risk of bias].
Figure 5
Figure 5
Risk-of-bias contributions. This bar chart shows the contributions of each study to the network estimate.
Figure 6
Figure 6
Indirectness contributions. This bar chart shows the contributions of each study to the network estimate.
Figure 7
Figure 7
Indirectness contributions. This bar chart shows the contributions of each study to the network estimate.
Figure 8
Figure 8
This forest plot shows the comparison between buccal flap vs. palatal flap [32,33,34,36].
Figure 9
Figure 9
This forest plot shows the comparison between buccal flap vs. buccal fat pad [8,29,30,31,36].
Figure 10
Figure 10
This forest plot shows the comparison between palatal flap vs. buccal fat pad [8,32,36].
See this image and copyright information in PMC

References

    1. Shamseer L., Moher D., Clarke M., Ghersi D., Liberati A., Petticrew M., Shekelle P., Stewart L.A., PRISMA-P Group Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) 2015: Elaboration and Explanation. BMJ. 2015;350:g7647. doi: 10.1136/bmj.g7647. - DOI - PubMed
    1. Brook I. Sinusitis of Odontogenic Origin. Otolaryngol. Head. Neck Surg. 2006;135:349–355. doi: 10.1016/j.otohns.2005.10.059. - DOI - PubMed
    1. Salgado-Peralvo A.-O., Mateos-Moreno M.-V., Uribarri A., Kewalramani N., Peña-Cardelles J.-F., Velasco-Ortega E. Treatment of Oroantral Communication with Platelet-Rich Fibrin: A Systematic Review. J. Stomatol. Oral. Maxillofac. Surg. 2022;123:e367–e375. doi: 10.1016/j.jormas.2022.03.014. - DOI - PubMed
    1. Pandikanda R., Singh R., Patil V., Sharma M., Shankar K. Flapless Closure of Oro-Antral Communication with PRF Membrane and Composite of PRF and Collagen—A Technical Note. J. Stomatol. Oral. Maxillofac. Surg. 2019;120:471–473. doi: 10.1016/j.jormas.2018.12.012. - DOI - PubMed
    1. Dym H., Wolf J.C. Oroantral Communication. Oral. Maxillofac. Surg. Clin. N. Am. 2012;24:239–247. doi: 10.1016/j.coms.2012.01.015. - DOI - PubMed

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