Eli Rosenfeld1, Yehonatan Ben-Zvi2, Leon Gillman2, Gal Avishai2, Adi Sella3, Gavriel Chaushu4. 1. Department of Oral and Maxillofacial Surgery, Beilinson Hospital, Rabin Medical Center, Petah Tikva, Israel. Electronic address: Elir2@clalit.org.il. 2. Department of Oral and Maxillofacial Surgery, Beilinson Hospital, Rabin Medical Center, Petah Tikva, Israel. 3. Department of Oral and Maxillofacial Surgery, Shaare Zedek Medical Center, Jerusalem, Israel. 4. Department of Oral and Maxillofacial Surgery, Beilinson Hospital, Rabin Medical Center, Petah Tikva, Israel; Head, Department of Oral and Maxillofacial surgery, Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Abstract
OBJECTIVE: The aim of this study was to retrospectively evaluate clinical outcomes after closure of oroantral fistulae with concomitant Caldwell-Luc operations (OFCLOs) with or without inferior meatal antrostomy (IMA). STUDY DESIGN: Records from consecutive OFCLOs carried out over a 12-year period at the oral and maxillofacial surgery department at a single medical center were reviewed. Background data included age, sex, medical status, indications, and etiologies. Outcome data included operative time, hospitalization time, and postoperative use of analgesics and complications. RESULTS: From 2002 to 2013, 54 male patients (58%), 39 female patients (42%) (mean age 50 years; range 12-84 years) underwent OFCLOs. IMA was carried out in 66 cases (70%). All patients had minimal complications. We found statistically significant shorter operating times (72 vs 84 minutes), shorter postoperative hospitalization times (4.1 vs 5.6 days), lower need of analgesics (1.44 vs 2.88 per day), and fewer complications (11% vs 38%) when IMA was not used. CONCLUSIONS: IMA during OFCLOs carries increased morbidity without apparent benefits. Its routine use should, therefore, be discontinued.
OBJECTIVE: The aim of this study was to retrospectively evaluate clinical outcomes after closure of oroantral fistulae with concomitant Caldwell-Luc operations (OFCLOs) with or without inferior meatal antrostomy (IMA). STUDY DESIGN: Records from consecutive OFCLOs carried out over a 12-year period at the oral and maxillofacial surgery department at a single medical center were reviewed. Background data included age, sex, medical status, indications, and etiologies. Outcome data included operative time, hospitalization time, and postoperative use of analgesics and complications. RESULTS: From 2002 to 2013, 54 male patients (58%), 39 female patients (42%) (mean age 50 years; range 12-84 years) underwent OFCLOs. IMA was carried out in 66 cases (70%). All patients had minimal complications. We found statistically significant shorter operating times (72 vs 84 minutes), shorter postoperative hospitalization times (4.1 vs 5.6 days), lower need of analgesics (1.44 vs 2.88 per day), and fewer complications (11% vs 38%) when IMA was not used. CONCLUSIONS: IMA during OFCLOs carries increased morbidity without apparent benefits. Its routine use should, therefore, be discontinued.