Melén I, Friberg B, Andréasson L, Ivarsson A, Jannert M, Lindahl L
Acta Otolaryngol. 1986 Nov-Dec;102(5-6):500-8. doi: 10.3109/00016488609119437.
In a long-term follow-up study (mean 3.5 years) after treatment of chronic maxillary sinusitis of either rhinogenous or dental origin, 72 sinuses in 66 patients were examined with respect to maxillo-ostial and nasal resistance. In sinusitis of rhinogenous etiology, the mean equivalent ostial diameter was pathologically narrowed (0.89 mm, in patients treated conservatively) whereas it was normal (2.51 mm) in sinusitis of dental etiology (dental treatment in combination with local sinus surgery). In the former group, all sinuses were diseased, compared with 3 out of 23 in the dental group. In order to distinguish between functional and organic ostial stenosis, the patients were also tested after physical exercise. The functional ostial diameter in healthy sinuses was significantly increased in contrast to the diseased sinuses. In one patient the narrow ostium was due to mucosal swelling only, but in the other cases was caused mainly by an organic stenosis. In sinusitis of rhinogenous etiology, a pathologically increased nasal resistance was found in 14.3%, while the corresponding figure in the dental group was 4.3%. Improved sinusal and nasal ventilation, achieved either pharmacologically or, preferably by surgical intervention, seems necessary for successful treatment of chronic maxillary sinusitis.
在一项针对鼻源性或牙源性慢性上颌窦炎治疗后的长期随访研究（平均3.5年）中，对66例患者的72个鼻窦进行了上颌窦口及鼻腔阻力检查。在鼻源性病因的鼻窦炎中，平均等效窦口直径呈病理性狭窄（保守治疗患者为0.89毫米），而在牙源性病因的鼻窦炎（牙科治疗联合局部鼻窦手术）中则正常（2.51毫米）。在前一组中，所有鼻窦均患病，而牙源性组23个鼻窦中有3个患病。为区分功能性和器质性窦口狭窄，患者在体育锻炼后也进行了测试。与患病鼻窦相比，健康鼻窦的功能性窦口直径显著增加。在1例患者中，狭窄的窦口仅由黏膜肿胀引起，但在其他病例中主要由器质性狭窄导致。在鼻源性病因的鼻窦炎中，14.3%的患者鼻腔阻力病理性增加，而牙源性组的相应比例为4.3%。通过药物治疗或更理想的手术干预实现鼻窦和鼻腔通气改善，似乎是成功治疗慢性上颌窦炎的必要条件。
