Schwartz Joseph S, Tajudeen Bobby A, Adappa Nithin D, Palmer James N
Allergy Rhinol (Providence). 2016 Jan 1;7(3):147-150. doi: 10.2500/ar.2016.7.0171.
Odontogenic chronic rhinosinusitis (CRS) is an epidemiologically important disease process due, in part, to the increasingly commonplace use of dental restorative procedures such as zygomatic implantation. Traditional management of this clinical entity typically entails extraction of the infected hardware via an open or endoscopic approach. We describe a novel management strategy of odontogenic CRS following bilateral zygomatic implantation for oral rehabilitation that we surgically salvaged via a modified endoscopic medial maxillectomy.
We describe the presentation and management of a case of metachronous development of bilateral CRS subsequent to zygomatic implantation.
The patient's postoperative course was characterized by marked endoscopic, radiologic, and symptomatic improvement as measured by the 22-item Sino-Nasal Outcome Test.
We describe a novel treatment strategy for the management of odontogenic sinusitis resulting from erroneous zygomatic implant placement. Modified endoscopic medial maxillectomy in this clinical context facilitates mucosal normalization of the affected sinus, while permitting preservation of oral function through salvage of the displaced implant.
牙源性慢性鼻-鼻窦炎（CRS）是一种在流行病学上具有重要意义的疾病过程，部分原因是诸如颧骨植入等牙齿修复手术的使用日益普遍。对这一临床实体的传统治疗通常需要通过开放或内镜方法取出感染的硬件。我们描述了一种在双侧颧骨植入用于口腔修复后发生牙源性CRS的新型治疗策略，我们通过改良的内镜下中鼻道上颌窦切除术对其进行了手术挽救。
我们描述了一例颧骨植入后双侧CRS异时性发展病例的表现及治疗。
通过22项鼻-鼻窦结局测试评估，患者术后病程的特点是内镜、影像学和症状均有明显改善。
我们描述了一种治疗因颧骨植入错误导致的牙源性鼻窦炎的新型治疗策略。在这种临床情况下，改良的内镜下中鼻道上颌窦切除术有助于受影响鼻窦的黏膜恢复正常，同时通过挽救移位的植入物保留口腔功能。
