Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 78 Saemunan-gil, Jongno-gu, Seoul 110-746, Korea.
Yonsei Med J. 2010 Nov;51(6):932-7. doi: 10.3349/ymj.2010.51.6.932.
The aim of this study was to investigate how clinical features such as sex, age, etiologic factors, and presenting symptoms of odontogenic sinusitis are differentiated from other types of sinusitis. Also, this study was designed to find methods for reducing the incidence of odontogenic sinusitis.
A retrospective chart analysis was completed on twenty-seven patients with odontogenic sinusitis. They were all treated at Kangbuk Samsung Hospital between February 2006 and August 2008. The study protocol and informed consent forms were approved by the institutional review boards for human beings at Kangbuk Samsung Hospital.
Ten patients (37.0%) had dental implant related complications and 8 (29.6%) had dental extraction related complications. Unilateral purulent nasal discharge was the most common symptom (66.7%). The therapeutic modality included transnasal endoscopic sinus surgery in 19 (70.4%) patients, and a Caldwell-Luc operation in two (7.4%) patients.
In our study, there was no significant difference in the incidence between genders. The average age of the patients was 42.9 years. The incidence was highest in the fourth decade. There were no significant differences between the symptoms of odontogenic sinusitis and that of other types of sinusitis. However, almost all of the patients with odontogenic sinusitis had unilateral symptoms. Iatrogenic causes, which include dental implants and dental extractions, were the most common etiologic factors related to the development of odontogenic sinusitis. Therefore, a preoperative consultation between a rhinologist and a dentist prior to the dental procedure should be able to reduce the incidence of odontogenic sinusitis.
本研究旨在探讨牙源性鼻窦炎的临床特征（如性别、年龄、病因和临床表现）与其他类型鼻窦炎的区别，同时还旨在寻找降低牙源性鼻窦炎发病率的方法。
回顾性分析了 2006 年 2 月至 2008 年 8 月在我院接受治疗的 27 例牙源性鼻窦炎患者的临床资料。该研究方案和知情同意书经我院伦理委员会批准。
10 例（37.0%）患者与牙种植相关，8 例（29.6%）与拔牙相关。最常见的症状是单侧脓性鼻涕（66.7%）。治疗方式包括经鼻内镜鼻窦手术 19 例（70.4%）和 Caldwell-Luc 手术 2 例（7.4%）。
在本研究中，性别发病率无显著差异，患者平均年龄为 42.9 岁，发病率最高的是 40 岁年龄段。牙源性鼻窦炎的症状与其他类型鼻窦炎无明显差异，但几乎所有牙源性鼻窦炎患者均为单侧症状。牙源性感染的病因，包括牙种植体和拔牙，是导致牙源性鼻窦炎发生的最常见原因。因此，在进行牙科手术之前，耳鼻喉科医生和牙医之间进行术前咨询，应该能够降低牙源性鼻窦炎的发病率。
