Christensen O, Gilhuus-Moe O
Int J Oral Surg. 1979 Aug;8(4):276-82. doi: 10.1016/s0300-9785(79)80049-6.
Twelve patients with maxillary hyperplastic sinusitis or maxillary sinus empyema of oral/dental etiology have been treated according to a modified surgical technique. The treatment was initiated by several oro-nasal irrigations and drainage facilitated by an intact semilunar hiatus. This was followed by a surgical procedure including conservative curettage of inflamed sinus mucosa, adequate closure of the oro/antral communication, with establishment of a postoperative oral antrostomy. This antrostomy, through the canine fossa, was established by a vacuum drain, enabling continuous postoperative irrigation and aspiration. The rationale for this technique is discussed. A total of 12 patients operated according to this technique are described. Complete clinical and radiographic healing in all patients was observed over a postoperative period ranging from 6-12 months.
12例因口腔/牙科病因导致上颌窦增生性鼻窦炎或上颌窦积脓的患者已按照改良手术技术进行治疗。治疗首先通过几次经口鼻冲洗，并借助完整的半月裂孔进行引流。随后进行手术，包括对发炎的鼻窦黏膜进行保守刮除，妥善封闭口腔/鼻窦通道，并建立术后口腔上颌窦造口术。该造口术通过犬齿窝，借助引流管建立，可实现术后持续冲洗和抽吸。文中讨论了该技术的原理。描述了总共12例按照此技术进行手术的患者。在术后6至12个月的观察期内，所有患者均实现了临床和影像学上的完全愈合。
