About Oroantral Fistula Repair
Key Highlights
-
Effectively seals the abnormal connection between the mouth and sinus.Prevents chronic sinus infections and recurrent oral-antral communication.Restores normal speech, swallowing, and sinus function.Performed under local anesthesia, often as an outpatient procedure.Utilizes the patient's own tissue for repair, promoting natural healing.Prevents long-term complications like sinusitis or oro-nasal reflux./ul
Who is this surgery for?
- Persistent oroantral communication following dental extraction (especially upper molars).
- Chronic unilateral maxillary sinusitis caused by the fistula.
- Escape of fluids or air from the mouth into the nose (oro-nasal reflux).
- Presence of a fistula confirmed by clinical examination (e.g., Valsalva test) or imaging (CBCT).
- Failed conservative management with antibiotics and sinus precautions.
- Fistula present for more than 3 weeks with no signs of spontaneous closure.
How to prepare
- Comprehensive clinical and radiographic evaluation (often with Cone Beam CT) to assess fistula size and sinus health.
- Management of any active acute sinus infection with a course of antibiotics and nasal decongestants.
- Pre-operative oral hygiene instructions, including antimicrobial mouth rinses.
- Discussion of medical history, allergies, and current medications with the surgeon.
- Fasting for a few hours if sedation or general anesthesia is planned.
- Arranging for post-operative care and transportation home.
Risks & possible complications
- Infection or abscess at the surgical site.
- Bleeding or hematoma formation.
- Recurrence of the fistula requiring a secondary procedure.
- Damage to adjacent teeth, nerves, or blood vessels.
- Post-operative pain, swelling, and bruising.
- Sinonasal complications like sinusitis or nasal stuffiness.
- Numbness or altered sensation in the cheek or palate (usually temporary).
- Reaction to anesthesia or medications.
Recovery & hospital stay
- Immediate post-op: Bite gently on gauze to control bleeding, apply ice packs to reduce swelling.
- Medications: Take prescribed antibiotics and pain relievers as directed.
- Diet: Consume a soft, cool diet for the first week; avoid hot liquids, spicy foods, and using a straw.
- Oral Hygiene: Gentle rinsing with warm salt water or prescribed mouthwash after 24 hours; avoid brushing the surgical site initially.
- Activity: Avoid strenuous exercise, blowing the nose, sneezing with mouth closed, and smoking for at least 2 weeks.
- Follow-up: Attend scheduled appointments for suture removal (if non-dissolvable) and healing assessment.
-
Typical hospital stay: 0-1 days (typically outpatient)
-
Expected recovery time: 2-3 weeks for initial healing, 4-6 weeks for complete tissue maturation
Frequently Asked Questions
If you are considering oroantral fistula repair in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with dental surgery departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform oroantral fistula repair. MediFyr helps you compare dental surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for oroantral fistula repair compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 165 – USD 551 | 0-1 days (typically outpatient) | ~ 2-3 weeks for initial healing, 4-6 weeks for complete tissue maturation | Know More |
| Turkey | USD 1,229 – USD 4,098 | 0-1 days (typically outpatient) | ~ 2-3 weeks for initial healing, 4-6 weeks for complete tissue maturation | Know More |
Rahul Miller, a 28-year-old construction site...
Rahul Miller, a 28-year-old construction site manager, has always been diligent about his health but had neglected a persistent upper back toothache for months due to work pressures. The pain became a constant, dull throb, but it was the strange sensation of liquid trickling into his nose when he drank water that finally alarmed him. He also developed a foul taste and recurrent sinus infections. His dentist diagnosed an oroantral fistula, a small hole between his upper jaw sinus and mouth, likely caused by an old, untreated tooth infection that had eroded the bone. The oral surgeon explained that without repair, the chronic sinus infections would continue and could lead to more serious complications. During the procedure under IV sedation, Rahul felt no pain, only pressure. The recovery involved a soft diet, nasal decongestants, and strict instructions not to blow his nose. After two weeks of careful healing, the fistula was closed. The constant sinus pressure and foul taste were gone. Emotionally, Rahul moved from anxiety and self-blame for neglecting his health to immense relief and a renewed commitment to proactive dental care, feeling like a physical burden had been lifted.