Ly Don, Hellgren Johan
a Department of Otorhinolaryngology, Head & Neck Surgery , Institute of Clinical Science, Sahlgrenska Academy at the University of Gothenburg , Göteborg , Sweden.
Acta Odontol Scand. 2018 Nov;76(8):600-604. doi: 10.1080/00016357.2018.1490966. Epub 2018 Jul 25.
Are patients with symptomatic unilateral maxillary sinusitis sent for a dental evaluation of odontogenic maxillary sinusitis (OMS)?
The medical records of all patients diagnosed with sinusitis at a university Ear-nose and throat (ENT) clinic from 2010 to 2015 were scrutinized for symptomatic unilateral maxillary sinusitis verified on CT. Any dental evaluation was recorded, as well as symptoms of OMS, duration to dental evaluation, diagnosis of OMS and dental treatment.
A total of 1338 patients diagnosed with sinusitis were screened; 172 had unilateral maxillary sinusitis and 48% (82/172) OMS. 34% did not have any dental evaluation at all. Patients referred to local specialist dental care waited a median of 11 weeks for evaluation and a median of 15 weeks further for dental treatment. Symptoms more frequently reported in OMS patients were foul smell or taste (43.9% vs 11.1%, p < .0001), purulent rhinorrhea (40% vs 19.1%, p = .015) than non-OMS patients. The OMS group also reported more frequently that they were active smokers (31.7% vs 10%, p = .0005).
OMS was found in 48% of unilateral maxillary sinusitis and one-third of the patients with unilateral maxillary sinusitis had no dental evaluation. Low awareness of OMS could delay diagnosis and treatment.
有症状的单侧上颌窦炎患者是否会被送去进行牙源性上颌窦炎（OMS）的牙科评估？
对2010年至2015年在一所大学耳鼻喉科诊所被诊断为鼻窦炎的所有患者的病历进行审查，以确定CT证实的有症状的单侧上颌窦炎。记录任何牙科评估情况，以及OMS的症状、牙科评估的时长、OMS的诊断和牙科治疗情况。
共筛查了1338例被诊断为鼻窦炎的患者；172例有单侧上颌窦炎，其中48%（82/172）为OMS。34%的患者根本没有进行任何牙科评估。转诊至当地专科牙科护理的患者等待评估的中位时间为11周，等待牙科治疗的中位时间再延长15周。与非OMS患者相比，OMS患者更常报告的症状是恶臭或异味（43.9%对11.1%，p<0.0001）、脓性鼻漏（40%对19.1%，p=0.015）。OMS组还更频繁地报告他们是活跃吸烟者（31.7%对10%，p=0.0005）。
在48%的单侧上颌窦炎患者中发现了OMS，三分之一的单侧上颌窦炎患者没有进行牙科评估。对OMS的认识不足可能会延迟诊断和治疗。
