Ohyama Yoshio, Ogawa Masaru, Yokoo Satoshi
Department of Oral and Maxillofacial Surgery, Shizuoka City Shizuoka Hospital, 10-93, Outemachi, Aoi-ku, Shizuoka-shi, Shizuoka 420-8690, Japan.
Department of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, 3-39-15, Showamachi, Maebashi-Shi, Gunma 371-8511, Japan.
Case Rep Dent. 2022 Jul 27;2022:1614739. doi: 10.1155/2022/1614739. eCollection 2022.
Endoscopic sinus surgery is commonly performed to treat odontogenic maxillary sinusitis. However, recurrence and natural ostium reclosure often occur due to the inadequate patency of the excretory route. Furthermore, classical maxillary sinus radical surgery is still performed for odontogenic maxillary sinusitis even though it can cause postoperative maxillary sinus deformation, loss of function, and a postoperative maxillary cyst. A management that addresses these issues has not yet been identified. This study reported a conservative maxillary sinus management, wherein a nasoantral window is prepared and the thickened maxillary sinus mucosa is preserved, using the Caldwell-Luc approach. This study presents a case of severe odontogenic maxillary sinusitis that spread to the frontal sinus. This novel management facilitated complete recovery from severe odontogenic maxillary sinusitis in this case.
内镜鼻窦手术常用于治疗牙源性上颌窦炎。然而，由于排泄途径通畅性不足，复发和自然开口重新闭合经常发生。此外，经典的上颌窦根治术仍用于治疗牙源性上颌窦炎，尽管它可能导致术后上颌窦变形、功能丧失和术后上颌囊肿。尚未找到解决这些问题的管理方法。本研究报告了一种保守的上颌窦管理方法，即采用Caldwell-Luc入路制备鼻-上颌窦窗口并保留增厚的上颌窦黏膜。本研究介绍了一例严重的牙源性上颌窦炎蔓延至额窦的病例。这种新的管理方法使该病例的严重牙源性上颌窦炎得以完全康复。
