PDF(Pubmed)
Abstract：
BACKGROUND: Odontogenic maxillary sinusitis (OMS) is widely acknowledged in both the dentistry and otolaryngology fields. Recently, iatrogenic odontogenic maxillary sinusitis cases can be encountered frequently. The purpose of this study was to evaluate the effect of intraoral sinus irrigation using the small lateral window approach in patients with odontogenic maxillary sinusitis by comparing pre- and postoperative volumetric measurement of CBCT and symptoms. We surveyed 21 patients who visited the Oral and Maxillofacial Surgery Department at PNUDH from 2016 to 2022. All the patients\' information was extracted from an electronic database. The patients with a follow-up period of 2 months or more were included. The three-dimensional volumetric measurement was performed using the ImageJ program (National Institute of Health, University of Wisconsin).
RESULTS: Among 21 patients, 16 (76.1%) were male, and 5 (23%) were female. The most common type of surgery was general anesthesia (16 cases) in which oroantral fistula was present in 7 cases. In the causes of maxillary sinusitis, there were seven implant-related patients, five patients of tooth extraction, seven patients of bone grafting, and two patients in other groups. Radiographic opacity decreased by 40.15% after sinus irrigation especially in bone graft and tooth extraction cases. Clinically, symptoms improved in 17 patients (80.9%).
CONCLUSIONS: By this study, it can be concluded that maxillary sinus irrigation using the small lateral window approach is a clinically and radiologically effective treatment method for odontogenic maxillary sinusitis.
RESULTS: Among 21 patients, 16 (76.1%) were male, and 5 (23%) were female. The most common type of surgery was general anesthesia (16 cases) in which oroantral fistula was present in 7 cases. In the causes of maxillary sinusitis, there were seven implant-related patients, five patients of tooth extraction, seven patients of bone grafting, and two patients in other groups. Radiographic opacity decreased by 40.15% after sinus irrigation especially in bone graft and tooth extraction cases. Clinically, symptoms improved in 17 patients (80.9%).
CONCLUSIONS: By this study, it can be concluded that maxillary sinus irrigation using the small lateral window approach is a clinically and radiologically effective treatment method for odontogenic maxillary sinusitis.
摘要：
背景：牙源性上颌窦炎（OMS）在牙科和耳鼻咽喉科领域都得到了广泛认可。最近,医源性牙源性上颌窦炎可以经常遇到。这项研究的目的是通过比较CBCT和症状的术前和术后体积测量，评估使用小侧窗入路对牙源性上颌窦炎患者进行口内冲洗的效果。我们调查了2016年至2022年在PNUDH口腔颌面外科就诊的21例患者。所有患者的信息都是从电子数据库中提取的。包括随访时间为2个月或更长时间的患者。使用ImageJ程序（美国国立卫生研究院，威斯康星大学）。
结果：在21例患者中，16人（76.1%）为男性，5名(23%)为女性。最常见的手术类型是全身麻醉（16例），其中7例有口窦瘘。在上颌窦炎的原因中，有七名植入物相关患者，五名拔牙患者,7名植骨患者，和其他组的两名患者。鼻窦冲洗后，射线照相不透明度降低了40.15％，尤其是在植骨和拔牙病例中。临床上,17例(80.9%)患者症状得到改善。
结论：通过这项研究，可以得出结论，小侧窗入路上颌窦冲洗是临床和放射学上有效的治疗牙源性上颌窦炎的方法。
结果：在21例患者中，16人（76.1%）为男性，5名(23%)为女性。最常见的手术类型是全身麻醉（16例），其中7例有口窦瘘。在上颌窦炎的原因中，有七名植入物相关患者，五名拔牙患者,7名植骨患者，和其他组的两名患者。鼻窦冲洗后，射线照相不透明度降低了40.15％，尤其是在植骨和拔牙病例中。临床上,17例(80.9%)患者症状得到改善。
结论：通过这项研究，可以得出结论，小侧窗入路上颌窦冲洗是临床和放射学上有效的治疗牙源性上颌窦炎的方法。
