JVD 2018 #1 - Successful Treatment of a Persistent Oroantral Fistula via Transbuccal and Transnasal endoscopic Debridement in a Horse

Question 1

Is this foul?

Answer 1

100%

Question 2

seriously though.

What was done in this article?

Answer 2

extraction of 208, due to fracture and sinus feed impaction and large oroantral fistula

multiple debridements eventually followed by a MIT (minimally invasive transbuccal) approach for further debridement.

Question 3

Why was the MIT approach performed?

What alternatives to this approach were proposed?

Answer 3

• Gain better orthogerade instrument access to curette the lesion and re-initiate granulation.
• alternatives would have been a trephination for debridement from above, or a surgical option such as a muscle transposition flap