Tuesday 6th October 2020


FIPO – Functional Indirect posterior Onlays – Concept Part 1

GC in collaboration with
Dr Riaz Yar and Nik Sethi 


Septodont left banner

Article: Volume 46 Number 9 Page 825 - October 2019

Prev    Article P825    Next  Read article

  Dent Update 2019; 46: 825-826

Maxillofacial Surgery:  An Unusual Presentation of Oro-Naso-Palatal Fistula

CPD:  CPD  0:24   (closed)      Self assess

Feedback:  0 comments, 0 ratings


Abstract: This case report is of a 29-year-old male who complained of nasal escape of food and fluids through his nose for 6 months. Further questioning revealed a previous cocaine habit which has now ceased. Examination revealed a septal perforation and CT scanning revealed a 16 mm wide sagittal bone defect involving most of the hard palate as well as absence of the inferior half of the nasal septum. A diagnosis of septal perforation leading to an oro-naso-palatal fistula was made. This rather unusual presentation and clinical findings are discussed within this article.

Clinical relevance: The effects of cocaine misuse on the oral mucosa are presented.

Author notes: Ammar Hamid, BDS(Hons) (email: ammar.hamid1@nhs.net) and Priyanka Patel, BDS(Hons), MFDS RCS(Glasg), Department of Oral and Maxillofacial Surgery, Whipps Cross University Hospital, London, UK.

Objective: To describe the effects of cocaine misuse and highlight management options for an oro-nasal-palatal fistula, including provision of an upper acrylic cover plate fabricated by the patient’s GDP.

Denplan Bottom