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[上颌窦炎作为牙科锥形束计算机断层扫描研究的诊断性不良发现]

[Maxillary sinusitis as a diagnostical adverse finding of the dental cone-beam computed tomography study].

作者信息

Schreindorfer Károly, Kiss Ágnes, Marada Gyula

机构信息

Fogászati és Szájsebészeti Klinika, Konzerváló Fogászati és Parodontológiai Tanszék, Pécsi Tudományegyetem, Klinikai Központ Pécs, Dischka Győző u. 5., 7621.

Fogászati és Szájsebészeti Klinika, Pécsi Tudományegyetem, Klinikai Központ Pécs.

出版信息

Orv Hetil. 2017 Nov;158(44):1747-1753. doi: 10.1556/650.2017.30881.

Abstract

INTRODUCTION

Cone-beam computed tomography is a frequently used diagnostical method in the head and neck region. The thickening of the maxillary sinus mucosa is often observed in these images.

AIM

Determining the prevalence of teeth and roots that can be identified as cause of maxillary odontogenic sinusitis, and recording the average observed mucosa thickening on these images.

METHOD

The scans that give the base of the study have been performed by the Department of Dentistry of Medical University of Pécs between 2015-2016. The size of the voxels had been varied between 0.25 and 0.4 mm and the size of the image had been set up to 15×12 cm. The acquisition time had been set up to 27 seconds.

RESULTS

170 cases of the 260 revised records fulfilled the initial criterion conditions. The average mucosa thickness was 8.8 mm. During the present study, the upper first molars palatal and the second molars mesiobuccal roots were mainly associated with maxillary odontogenic sinusitis.

CONCLUSION

Whether in the case of chronic maxillary sinusitis that is not or only temporarily responsive to conventional therapy, may it be justifiable to provide dental consultation and cone-beam computed tomography to exclude the dental origin of sinusitis. Orv Hetil. 2017; 158(44): 1747-1753.

摘要

引言

锥形束计算机断层扫描是头颈部区域常用的诊断方法。在这些图像中经常观察到上颌窦黏膜增厚。

目的

确定可被认定为上颌牙源性鼻窦炎病因的牙齿和牙根的患病率,并记录这些图像上观察到的黏膜增厚平均值。

方法

本研究的基础扫描由佩奇医科大学牙科学院于2015年至2016年进行。体素大小在0.25至0.4毫米之间变化,图像大小设置为15×12厘米。采集时间设置为27秒。

结果

260份修订记录中有170例符合初始标准条件。黏膜平均厚度为8.8毫米。在本研究中,上颌第一磨牙腭根和第二磨牙近中颊根主要与上颌牙源性鼻窦炎相关。

结论

对于对传统治疗无反应或仅暂时有反应的慢性上颌窦炎病例,提供牙科咨询和锥形束计算机断层扫描以排除鼻窦炎的牙源性病因是否合理。《匈牙利医学周报》。2017年;158(44): 1747 - 1753。

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