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Oro-Nasal Communication.

Nanda Kishore Sahoo1, Ajay P Desai, Indranil Deb Roy

  • 1Deptment of Oral and Maxillofacial Surgery, CMDC (WC), Chandimandir, Panchkula, Haryana, India.

The Journal of Craniofacial Surgery
|September 9, 2016
PubMed
Summary
This summary is machine-generated.

Oronasal communication, an abnormal oral-nasal opening, often results from clefts or acquired causes. Surgical repair is definitive, but recurrence is high, with obturators used for complex cases.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Otolaryngology

Background:

  • Oronasal communication involves abnormal oral-nasal passages, uncommon except in cleft lip/palate patients.
  • Etiologies include congenital clefts and acquired factors like trauma, infections, or post-surgical complications.
  • Symptoms manifest as nasal regurgitation, speech defects, and recurrent infections.

Purpose of the Study:

  • To review the etiology, clinical features, and management strategies for oronasal communication.
  • To highlight surgical techniques and alternative treatments for this condition.

Main Methods:

  • Literature review of congenital and acquired oronasal communication.
  • Analysis of clinical presentations and diagnostic considerations.
  • Evaluation of surgical flap techniques and non-surgical management.

Main Results:

  • Surgical closure, often with two-layered techniques and various local or free flaps, is the primary treatment.
  • Recurrence rates are noted to be high.
  • Non-surgical management with obturators is an option for complex cases or medically compromised patients.

Conclusions:

  • Effective management of oronasal communication requires tailored surgical approaches based on defect characteristics.
  • Minimizing recurrence and addressing complex cases necessitate careful consideration of advanced techniques and prosthetic solutions.