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December 1949


Author Affiliations

From the Department of Otolaryngology, University of Southern California School of Medicine, Los Angeles.

Arch Otolaryngol. 1949;50(6):732-739. doi:10.1001/archotol.1949.00700010747007

MANY chronic oroantral fistulas treated in the past could have been prevented had certain steps been taken immediately after their occurrence. There is a necessity for improvement in the manner in which these lesions are managed. It is the purpose, therefore, of this paper to outline those modern measures which have proved most successful in the treatment of this condition.

MATERIAL AND METHODS  In the past four years I have treated 41 patients with oroantral fistulas. Of these 12 had so-called acute fistulas and 29 had chronic fistulas. In all but 6 the condition represented the result of extraction of diseased teeth which opened the antral floor. Of these remaining 6 patients, 3 had chronic fistulas caused by a dentigerous cyst eroding into the maxillary sinus. A fourth patient was a Marine lieutenant with a single fistula which resulted from a gunshot wound received in hand to hand fighting at