接受拔牙治疗的牙源性慢性鼻-鼻窦炎患者：口腔外科医生和耳鼻喉科医生的观点及恰当管理

Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management.

作者信息

Tsuzuki K, Kuroda K, Hashimoto K, Okazaki K, Noguchi K, Kishimoto H, Nishikawa H, Sakagami M

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Hyogo College of Medicine, Japan.

Department of Dentistry and Oral Surgery, Hyogo College of Medicine, Japan.

出版信息

J Laryngol Otol. 2020 Mar;134(3):241-246. doi: 10.1017/S0022215120000535. Epub 2020 Mar 9.

DOI:10.1017/S0022215120000535

PMID:32146918

Abstract

OBJECTIVE

This study aimed to propose appropriate management for odontogenic chronic rhinosinusitis.

METHOD

Thirty-one adult patients with odontogenic chronic rhinosinusitis undergoing maxillary extraction were retrospectively analysed. Patients with (n = 21) and without (n = 10) oroantral fistula on computed tomography were classified. Functional endoscopic sinus surgery was performed when sinusitis did not improve after extraction. The critical indicators for surgical requirement in the management of odontogenic chronic rhinosinusitis were analysed.

RESULTS

Sinusitis significantly improved after extraction in both groups. Patients without oroantral fistula had significantly more severe remnant sinusitis than those with oroantral fistula after extraction on computed tomography (p = 0.0037). The requirement for functional endoscopic sinus surgery was statistically significant for patients without orofacial fistula over those with orofacial fistula (p < 0.0001). The surgical improvement ratio was 93 per cent.

CONCLUSION

The absence of oroantral fistula and severe sinusitis can be critical indicators for the requirement of functional endoscopic sinus surgery after extraction in the management of odontogenic chronic rhinosinusitis.

摘要