Perhaps one of the experts could step in here and answer the questions from the topic of the thread?
Leaky house, you get outside air for the combustion anyway. Use a OAK in leaky house, probably not much benefit 'cause your house leaks a lot anyway.
Air tight modern house, you need some inlet of outside air or you get negative pressure. OAK into combustion chamber or just air inlet somewhere so you use warm room air for combustion and replace with cold outside air. How much efficiency loss do you get?
Leaky house, you get outside air for the combustion anyway. Use a OAK in leaky house, probably not much benefit 'cause your house leaks a lot anyway.
Air tight modern house, you need some inlet of outside air or you get negative pressure. OAK into combustion chamber or just air inlet somewhere so you use warm room air for combustion and replace with cold outside air. How much efficiency loss do you get?