López-Carriches Carmen, López-Carriches Inmaculada, Bryan Rafael Baca-Perez
School of Dentistry, Universidad Complutense de Madrid, Spain.
Hospital Nuestra Señora del Prado, Talavera de la Reina, Spain.
Open Dent J. 2016 Nov 30;10:647-655. doi: 10.2174/1874210601610010647. eCollection 2016.
We report the case of a 38-year old male patient with sinusitis caused by an infected follicular cyst due to an ectopic impacted third molar in the right maxillary sinus. A 10-day antibiotherapy regimen was administered; subsequently, the cyst and the third molar were removed achieving complete recovery. Fibrous dysplasia was diagnosed at follow-up examination (occupation of the maxillary sinus by bone tissue was observed in a radiographic examination) and confirmed by biopsy. In cases of odontogenic sinusitis, thorough examination is crucial, as evidenced by the case reported in this study. A Literature review was performed in order to identify the diagnostic methods currently available and the clinical features, complications and treatment for both, odontogenic maxillary sinusitis and fibrous dysplasia.
我们报告了一例38岁男性患者,其右侧上颌窦内的异位阻生第三磨牙导致感染性滤泡囊肿,进而引发鼻窦炎。给予了为期10天的抗生素治疗方案;随后,囊肿和第三磨牙被摘除,患者完全康复。随访检查时诊断为骨纤维发育不良(影像学检查发现上颌窦被骨组织占据),并经活检确诊。正如本研究报告的病例所示,在牙源性鼻窦炎病例中,全面检查至关重要。为了确定目前可用的诊断方法以及牙源性上颌窦炎和骨纤维发育不良的临床特征、并发症及治疗方法,我们进行了文献综述。