Abstract:
Odontogenic sinusitis (ODS) is a common cause of orbital, intracranial, and osseous infectious extrasinus complications. Dental infections can spread to the orbital or intracranial spaces though the sinuses via thrombophlebitis or direct extension, or from the dentition or oral cavity via vascular channels in the maxillary alveolar bone. ODS typically presents with unilateral involvement both clinically and radiographically. Any suspicion for extrasinus spread based on history and physical examination should be followed by appropriate imaging, formal dental evaluation, and, when appropriate, ophthalmology and neurosurgery consultations. This multidisciplinary approach ensures appropriate management of both the acute orbital and intracranial complications.
摘要:
牙源性鼻窦炎(ODS)是眼眶的常见原因,颅内,和骨感染外突并发症。牙齿感染可以通过血栓性静脉炎或直接延伸通过鼻窦扩散到眼眶或颅内间隙,或通过上颌牙槽骨中的血管通道从牙列或口腔。ODS通常表现为临床和影像学上的单侧受累。根据病史和体格检查怀疑外突扩散后,应进行适当的影像学检查。正式的牙科评估,and,在适当的时候,眼科和神经外科咨询。这种多学科方法可确保对急性眼眶和颅内并发症的适当管理。