Rangics Anna, Répássy Gábor Dénes, Gyulai-Gaál Szabolcs, Dobó-Nagy Csaba, Tamás László, Simonffy László
Department of Oral Diagnostics, Faculty of Dentistry, Semmelweis University, 1085 Budapest, Hungary.
Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Semmelweis University, 1085 Budapest, Hungary.
J Pers Med. 2023 Aug 23;13(9):1291. doi: 10.3390/jpm13091291.
Odontogenic sinusitis (OS) is a well-known and important border of specialties in otorhinolaryngology and dentoalveolar surgery. Odontogenic sinusitis can develop due to iatrogenic harm or odontogenic infection. The gold standard diagnostic method is clinical and radiological-CBCT (cone beam computed tomography)-examination. The treatment of this condition requires collaboration between ENT and dentoalveolar surgery specialists and can be non-surgical or surgical based on staging. This paper aims to share the results of our clinical study whereby complex therapy was administered by a dentoalveolar surgeon and an otorhinolaryngologist in cooperation.
We conducted a retrospective study comprising 111 OS patients who underwent complex therapy between 2016 and 2023 at Semmelweis University, Budapest, Hungary. All patients were treated with concurrent FESS (functional endoscopic sinus surgery) and dentoalveolar surgery. Follow-up was based on symptoms, clinical examination and CBCT imaging.
Of the 111 patients, 107 were successfully treated with concurrent FESS and dentoalveolar surgery, and only 4 had further symptoms following the complex therapy and needed retreatment.
The complex, single-session therapy involving FESS and oral surgery is an effective treatment method, which is less invasive and associated with fewer complications compared to previous interventions, such as the Luc-Caldwell procedure.
牙源性鼻窦炎（OS）是耳鼻咽喉科和牙槽外科中一个广为人知且重要的专业交界领域。牙源性鼻窦炎可因医源性损伤或牙源性感染而发生。金标准诊断方法是临床检查和影像学检查——锥形束计算机断层扫描（CBCT）。这种疾病的治疗需要耳鼻喉科和牙槽外科专家合作，并且根据分期情况可以采用非手术或手术治疗。本文旨在分享我们的临床研究结果，该研究由一位牙槽外科医生和一位耳鼻喉科医生合作进行综合治疗。
我们进行了一项回顾性研究，纳入了2016年至2023年期间在匈牙利布达佩斯的塞梅尔维斯大学接受综合治疗的111例牙源性鼻窦炎患者。所有患者均接受了功能性鼻内镜鼻窦手术（FESS）和牙槽外科手术联合治疗。随访基于症状、临床检查和CBCT成像。
111例患者中，107例通过FESS和牙槽外科手术联合治疗获得成功，只有4例在综合治疗后出现进一步症状，需要再次治疗。
涉及FESS和口腔手术的综合单阶段治疗是一种有效的治疗方法，与之前的干预措施（如卢克 - 考德威尔手术）相比，侵入性更小，并发症更少。
