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牙源性鼻窦炎的流行病学。

Epidemiology of Odontogenic Sinusitis.

机构信息

Center for Oral, Maxillofacial and Facial Reconstructive Surgery, Maximilianstraße 5, Ansbach 91522, Germany; Department of Oral, Maxillofacial and Facial Plastic Surgery, University Hospital LMU, Lindwurmstraße 2a, Munich 80336, Germany.

出版信息

Otolaryngol Clin North Am. 2024 Dec;57(6):919-926. doi: 10.1016/j.otc.2024.07.001. Epub 2024 Aug 13.

Abstract

Odontogenic sinusitis (ODS) is more common than historically thought, representing 25% to 40% of all maxillary sinusitis. Due to a lack of widely accepted diagnostic criteria and a specific international diagnostic code, a true overall prevalence is unknown. ODS may be caused by either a multitude of infectious dental pathologies or complications after dental procedures. The most common dental etiologies causing ODS are apical periodontitis (endodontic) and oroantral communication or fistula after dental extraction. Less commonly, ODS can evolve after dental implant or maxillary sinus bone grafting surgeries, infection of odontogenic cysts, or advanced periodontitis.

摘要

牙源性鼻窦炎(ODS)比以往认为的更为常见,占所有上颌窦炎的 25%至 40%。由于缺乏广泛认可的诊断标准和特定的国际诊断代码,因此实际的总体患病率尚不清楚。ODS 可能由多种感染性牙病或牙后并发症引起。引起 ODS 的最常见的牙科病因是根尖周炎(牙髓病学)和拔牙后口鼻腔瘘或瘘管。不常见的是,ODS 可在牙种植或上颌窦植骨手术后、牙源性囊肿感染或晚期牙周炎后发生。

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