Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin
Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin
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DOI：
10.1016/j.joms.2005.11.109
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发表时间：
2007-02-01
影响因子：
1.9
通讯作者：
Politi, Massimo
中科院分区：
文献类型：
--
作者：
Costa, Fabio;Emanuelli, Enzo;Politi, Massimo
目的：牙源性慢性上颌窦炎（CMSDO）是一种常见疾病，需要治疗鼻窦炎以及牙源性鼻窦炎。我们介绍我们对 CMSDO 患者进行牙源性牙源当代治疗和鼻窦内窥镜手术 (ESS) 的手术经验。患者和方法：17 名 CMSDO 患者接受了牙源性牙源和 ESS 的当代治疗。 5 名患者出现慢性口窦瘘 (OAF)； 5例患者出现占据上颌窦的牙源性囊肿； 2例患者出现磨牙炎性囊肿； 2例患者继发种植体周围炎上颌窦感染； 3 例患者异物经根管推入鼻窦。手术的第一步是治疗牙源。第二步是 ESS，打开并校准上颌自然口。结果：通过鼻内方法从鼻窦取出异物。 ESS 后未观察到严重并发症。 ESS 的平均时间为+/-25 分钟。所有患者均获得了良好的远期结果，无症状且瘘管完全闭合。结论：当发现明显的鼻窦疾病时，对所有受累鼻窦进行内窥镜引流可以促进 OAF 的成功闭合。内窥镜治疗牙源性慢性上颌窦炎是一种可靠的方法，发病率和并发症发生率较低。 (C) 2007 年美国口腔颌面外科医师协会。
Purpose: Chronic maxillary sinusitis of dental origin (CMSDO) is a common disease that requires treatment of the sinusitis as well as of the odontogenic source. We present our surgical experience performing contemporary treatment of the odontogenic source and endoscopic sinus surgery (ESS) in patients with CMSDO.Patients and Methods: Seventeen patients with CMSDO underwent contemporary treatment of the odontogenic source and ESS. Five patients presented chronic oroantral fistula (OAF); 5 patients presented odontogenic cysts occupying the maxillary sinus; 2 patients had inflammatory cysts of the molars; 2 patients had maxillary sinus infection secondary to peri-implantitis; 3 patients had foreign bodies pushed through the root canal into the sinus. The first surgical step was the treatment of the odontogenic source. The second step was ESS with opening and calibration of the maxillary natural ostium.Results: Foreign bodies were extracted from the sinuses through the endonasal approach. No major complications after ESS were observed. The average time for ESS was +/-25 minutes. Good distant results without symptoms and complete closure of the fistula were obtained in all patients.Conclusion: When significant sinus disease is found, an endoscopic approach to drainage in all of the involved sinuses can promote predictably successful closure of OAF. The endoscopic approach to chronic maxillary sinusitis of dental origin is a reliable method associated with less morbidity and lower incidence of complications. (C) 2007 American Association of Oral and Maxillofacial Surgeons.