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锥形束计算机断层扫描对牙源性上颌窦炎的诊断:一项批判性综述。

Diagnosis of Odontogenic Maxillary Sinusitis by Cone-beam Computed Tomography: A Critical Review.

机构信息

State Key Laboratory of Oral Diseases & National Center of Stomatology & National Clinical Research Center for Oral Diseases & Department of Operative Dentistry and Endodontics West China Hospital of Stomatology, Sichuan University, Chengdu, China.

State Key Laboratory of Oral Diseases & National Center of Stomatology & National Clinical Research Center for Oral Diseases & Department of Operative Dentistry and Endodontics West China Hospital of Stomatology, Sichuan University, Chengdu, China.

出版信息

J Endod. 2023 Nov;49(11):1445-1456. doi: 10.1016/j.joen.2023.08.014. Epub 2023 Sep 1.

DOI:10.1016/j.joen.2023.08.014
PMID:37659441
Abstract

INTRODUCTION

This review aims to provide an up-to-date overview of the current applications of cone-beam computed tomography (CBCT) and other imaging modalities in diagnosing odontogenic maxillary sinusitis (OMS). Furthermore, the clinical operation procedures of radiography modalities in OMS diagnosis were summarized, with the goal of assisting clinicians in improving OMS diagnostic accuracy in clinical practice.

METHOD

A comprehensive review of researches that discussed the applications of radiography modalities in the diagnosis of OMS was conducted. Pertinent information was evaluated and organized for this review.

RESULTS

Cone-beam computed tomography (CBCT) offers a superior, high-resolution, and three-dimensional view of the maxillary tooth-bone-sinus complex compared to conventional radiography modalities. It enables a better understanding and classification of the spatial relationships between root apices/periapical lesions and maxillary sinus. The use of CBCT, combined with the advantages of other radiography modalities and proper image interpretation, is indispensable to enhance OMS diagnostic accuracy and mitigate the risk of missed or misdiagnosis.

CONCLUSION

The significance of CBCT in the diagnosis of oral and maxillofacial conditions has garnered widespread recognition. It provides highly precise diagnostic information and classification basis for OMS. The clinical operation procedures for imaging examination are essential in ensuring the consistency and reliability of the diagnosis.

摘要

简介

本综述旨在提供关于目前锥形束计算机断层扫描(CBCT)和其他成像方式在诊断牙源性上颌窦炎(OMS)中的应用的最新概述。此外,总结了影像学诊断 OMS 的临床操作流程,旨在帮助临床医生提高临床实践中 OMS 的诊断准确性。

方法

对讨论影像学方式在 OMS 诊断中应用的研究进行了全面综述。对相关信息进行评估和组织,以便进行本综述。

结果

与传统影像学方式相比,CBCT 提供了上颌牙齿-骨骼-窦复合体的更好、高分辨率和三维视图。它能够更好地理解和分类根尖/根尖病变与上颌窦之间的空间关系。结合其他影像学方式的优势和适当的图像解释,使用 CBCT 对于提高 OMS 诊断准确性和降低漏诊或误诊风险是不可或缺的。

结论

CBCT 在口腔颌面疾病诊断中的重要性已得到广泛认可。它为 OMS 提供了高度精确的诊断信息和分类依据。影像学检查的临床操作流程对于确保诊断的一致性和可靠性至关重要。

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