Hara Yaeko, Shiratsuchi Hiroshi, Tamagawa Takaaki, Koshi Ryosuke, Miya Chihiro, Nagasaki Maki, Ohyama Tetsuo, Oka Shunichi, Sakashita Hideaki, Kaneko Tadayoshi
Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry.
Department of Periodontology, Nihon University School of Dentistry.
J Oral Sci. 2018;60(3):321-328. doi: 10.2334/josnusd.18-0109.
Recently, reports regarding a foreign body in the maxillary sinus have considerably increased, with the majority being iatrogenic cases resulting from dental treatment. This study involves an extensive review of the Japanese literature, including 112 papers from 1978 to 2017. These papers documented total 407 cases of a foreign body in the maxillary sinus. Among the 392 cases for which treatment details were available, the Caldwell-Luc approach was used for 216, the alveolar approach for 116, extraction using nasal endoscopy for 15, and extraction using oral endoscopy for eight. Spontaneous passage occurred in 19 cases, follow-up with medication was used in 17, and "other" was noted in one. This study determined that surgical removal remains the most common method for treating both tooth roots and other foreign bodies and that the Caldwell-Luc approach is used in majority of the surgeries. No marked differences were noted among the removal methods used in relation to the foreign body type.
最近，关于上颌窦异物的报告显著增加，其中大多数是牙科治疗导致的医源性病例。本研究广泛回顾了日本文献，包括1978年至2017年的112篇论文。这些论文共记录了407例上颌窦异物病例。在有治疗细节的392例病例中，采用柯-陆氏手术（Caldwell-Luc approach）的有216例，牙槽手术的有116例，鼻内镜取出的有15例，口腔内镜取出的有8例。19例异物自行排出，17例采用药物随访，1例记录为“其他”。本研究确定，手术取出仍然是治疗牙根和其他异物最常用的方法，并且大多数手术采用柯-陆氏手术。在针对不同异物类型所采用的取出方法之间未发现明显差异。
