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Article
September 1944

MANAGEMENT OF THE ALVEOLAR FISTULA

Arch Otolaryngol. 1944;40(3):167-170. doi:10.1001/archotol.1944.00680020221004
Abstract

The antroalveolar fistula might be defined as a condition produced by the dentist to tax the ingenuity of the rhinolaryngologist. Of course, this is not quite true for several reasons. While the vast majority of these fistulas result from the extraction of teeth having roots entering into or in close proximity to the floor of the antrum, or from injury to the floor incident to extraction, a smaller number may be due to other conditions, such as cysts or cancer. Further, many heal spontaneously or with a modicum of intelligent management. And many never come to the attention of the rhinolaryngologist but are handled by the dentist or the oral surgeon. But a fistulous tract of any size from the mouth with its rich and variegated bacterial flora to the antrum is most liable to result in infection of the sinus, if indeed this is not already present. Control of

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