EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

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 ICV - 79.57

Abstract

ORONASAL FISTULA SECONDARY TO TRAUMA –A RARE CLINICAL IMAGE

Sahana K., Raghavendra Kini, Kamakshi Jha and Shwetha Kajjari

ABSTRACT

A 45 yrs old male patient has visited out patient department with the chief complaint of nasal regurgitation of food since 8 months. He had met with the accident 8 months back, following which he developed nasal regurgitation. Voice with the nasal twang was present. Patient was using denture adhesive gel to cover the palatal defect. On intra oral examination, an oval defect measuring 0.5x 1cm, on the left side of mid palatine raphe in the hard palate communicating with the floor of the nasal cavity was evident.Water in mouth test was positive with nasal regurgitation of water. The soft tissue surrounding the perforation was normal. Based on history and clinical examination provisional diagnosis of oronasal fistula of posterior hard palate was considered. The oronasal fistula is the condition in which a chronic communication between the oral and nasal cavity occurs. It usually affects the patients with cleft palate. However, other uncommon etiologies of oronasal fistula are facial traumas, infections and neoplasia.[1] In present a case of oronasal fistula was present as a consequence of facial trauma. According to Smith et al. palatal fistula can be divided into seven types: Type I—referred to bifid uvula. Type II—means fistula in the soft palate. Type III—means fistula at junction of the soft and hard palates. Type IV—means fistula in the hard palate. Type V—indicates that the fistula at junction of the primary and secondary palates. Type VI—means lingual alveolar fistula. Type VII—means labial alveolar fistula.[2] Our case comes under type 4 subdivision.

Keywords: .


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia