Galiè Manlio, Gueli Simona, Ciorba Andrea, Bianchini Chiara, Iannella Giannicola, Stomeo Francesco, Valente Luisa, Pelucchi Stefano
Department of Cranio-Maxillofacial Surgery, Unit of Cranio-Maxillofacial Surgery, University Hospital of Ferrara, Ferrara, Italy.
Department of ENT, ENT Unit, University Hospital of Ferrara, Ferrara, Italy.
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):397-401. doi: 10.4103/ams.ams_268_19. Epub 2020 Dec 23.
Unilateral sinus disease (USD), and especially unilateral maxillary sinusitis (UMS), is an increasingly common finding in the ear, nose, and throat and maxillofacial practice. The aim of this retrospective study was to describe the clinical features of a series of patients affected by USD and, in particular, UMS due to sinonasal anatomic anomalies and of odontogenic origin.
A total of 292 patients affected by UMS were reviewed. Medical charts, radiological images, and surgical notes were all reviewed, particularly including data on UMS due to sinonasal anatomic anomalies and on UMS of odontogenic origin.
A total of 66 patients have been excluded due to a diagnosis of malignant disease or other benign-defined etiology. Forty-eight patients (21.2%) affected by UMS due to sinonasal anatomic anomalies, whereas 178 (78.8%) patients affected by an odontogenic sinusitis. All patients were surgically treated by functional endoscopic sinus surgery, often in combination with a maxillofacial approach.
UMS of odontogenic origin represented the greater group of USD. Computed tomography scans are always recommended to define UMS etiology (in particular excluding a malignant origin) and also to plan the most adequate surgical treatment.
单侧鼻窦疾病（USD），尤其是单侧上颌窦炎（UMS），在耳鼻喉科和颌面外科临床实践中越来越常见。本回顾性研究的目的是描述一系列受USD影响的患者的临床特征，特别是由于鼻窦解剖异常和牙源性原因导致的UMS。
对292例UMS患者进行了回顾性分析。查阅了病历、影像学资料和手术记录，特别包括因鼻窦解剖异常导致的UMS和牙源性UMS的数据。
共有66例患者因诊断为恶性疾病或其他明确的良性病因被排除。48例（21.2%）患者因鼻窦解剖异常导致UMS，而178例（78.8%）患者因牙源性鼻窦炎导致UMS。所有患者均接受了功能性鼻内镜鼻窦手术治疗，通常联合颌面手术入路。
牙源性UMS是USD中最常见的类型。建议常规行计算机断层扫描以明确UMS的病因（特别是排除恶性病因），并规划最适当的手术治疗方案。
