Wayoff M, Treheux A, N'Guyen M D
Ann Otolaryngol Chir Cervicofac. 1987;104(1):45-9.
Always frequent and often misleading, chronic sinusitis are multifactorial. Consequently, the role of teeth apical infection is largely underestimated. The difficulties of interpretation of the sinus radiographic imaging are well established, particularly in the study of the dental with sinus border. The clinical circumstances in which the responsibility of teeth can be involved, are studied. Diagnosis insufficiency are frequent, and inadequate procedures can be undertaken. The particular conditions to obtain good polycyclicidal tomographs pictures are described and demonstrated. In special cases, with the eventual contribution of the bacterial-sensitivity evaluation, these sinusal-dental tomographs allow a relevant diagnosis.
慢性鼻窦炎常常频发且易产生误导,其病因是多方面的。因此,牙尖感染的作用在很大程度上被低估了。鼻窦影像学检查结果的解读存在诸多困难,这一点已得到充分证实,尤其是在研究牙齿与鼻窦边界时。本文对可能涉及牙齿问题的临床情况进行了研究。诊断不足的情况屡见不鲜,可能会采取不恰当的治疗措施。文中描述并展示了获取优质多环体层摄影图像的特殊条件。在特殊情况下,借助细菌敏感性评估,这些鼻窦-牙齿体层摄影能够做出准确的诊断。