Akut ve kronik oroantral a kl klar n cerrahi tedavisi: 33 vakal k klinik al ma

Oroantral comunications are known as pathological connections occuring between the oral cavity and maxillary sinus. Early treatment of this condition prevents the development of sinusitis and fistula, as well as the need for more complex methods of treating patients and the possibility of recurrence. In this study; age, sex, etiologic factors, location of the opening, methods of treatment and early complications of 33 patients that surgically treated in Ondokuz May s University, Faculty of Dentistry, Oral and Maxillofacial Surgery Clinic between 2005-2011 were examined. 18 (54.54%) of oroantral openings were treated with buccal advancement flap, 4 (12.12%) of them were treated with palatal rotational flap, 8 (24.24%) of them were treated with iodoform gauze pack strip and the remaining 3 (9.09%) cases were treated with buccal fat pad, double-tunnel method and primary closure. In all cases, tooth extraction was the only etiologic factor. 100% (20/20) success was achieved in all patients with acute openings, while the rate was 77% (13/10) in patients with oroantral fistula. ZET Oroantral a kl klar, a z kavitesi ve maksiller sinüs aras nda meydana gelen patolojik ba lant olarak bilinmektedir. Bu durumun erken d nem tedavisi, sinüzit ve fistül geli imini nledi i gibi, hastalar n daha komplike y ntemlerle tedavi gereksinimlerini ve nüks olas l n da nlemektedir. Bu al mada, 2005-2011 tarihleri aras nda Ondokuz May s üniversitesi Di Hekimli i Fakültesi A z, Di ve ene Cerrahisi klini inde cerrahi tedavisi ger ekle tirilen akut veya kronik a kl a sahip 33 hastan n ya , cinsiyet, etyolojik fakt rler, a kl n lokalizasyonu, ger ekle tirilen tedavi y ntemleri ve erken d nem komplikasyonlar incelenmi tir. Oroantral a kl klar n, 18’i (%54,54) bukkal ilerletme flebi, 4’ü (%12,12) palatal d ndürme flebi, 8’i (24,24) gaz iodoform ile kapatma, kalan 3 olgu ise (%9,09) bukkal ya yast , ift tünel y ntemi ve primer kapatma y ntemi ile tedavi edilmi tir. Bütün olgularda di ekimi tek etiyolojik fakt r olarak bulunmu tur. Akut a kl a sahip olgular n hepsinde % 100 (20/20) ba ar sa lan rken, kronik a kl a (oroantral fistül) sahip olgularda ise bu oran % 77 (13/10) de kalm t r. Anahtar Kelimeler: oroantral a kl k, oroantral fistül, bukkal ilerletme flep, palatal flep.