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June 1952


Author Affiliations

From the Presbyterian Hospital, Chicago, Veterans Administration Hospital, Hines, Ill., and the University of Illinois College of Medicine, Chicago. Published with the approval of the Chief Medical Director, Veterans Administration. The statements and conclusions published by the author are the result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

AMA Arch Otolaryngol. 1952;55(6):666-670. doi:10.1001/archotol.1952.00710010681003

IT IS THE intention of this article to discuss the problems in the treatment of oroantral fistulas and to re-present an operation for their closure that has not received the recognition it deserves.

Alveolar fistulas may be divided into two types: the acute, or those of recent origin; and the chronic, or those of long duration.

ACUTE OROANTRAL FISTULA  Extraction of one of the upper molar teeth is the usual cause of acute oroantral fistulas. They are therefore first seen by the dentist, although the rhinologist may be consulted to help care for the sinus complication. Rhinologists are fairly well agreed regarding the management of the acute condition, as mentioned in Barton's1a summary. The fundamentals of treatment of acute oroantral fistulas include (1) adequate antimicrobial therapy, preferably penicillin; (2) no manipulation through the fistula (which includes no probing, no packing into the antrum, and no irrigation of the antrum

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