Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue, Ann Arbor, MI 48109-1078, USA; Department of Oral Pathology, Oral Medicine and Oral and Maxillofacial Surgery, University of Tripoli, School of Dentistry, Tripoli, Libya.
Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue, Ann Arbor, MI 48109-1078, USA.
Otolaryngol Clin North Am. 2024 Dec;57(6):977-989. doi: 10.1016/j.otc.2024.07.006. Epub 2024 Aug 17.
The article explores the understudied pathophysiology of odontogenic sinusitis (ODS) development as a result of oral surgical complications such as oroantral communication (OAC) or fistula (OAF), maxillary sinus bone grafting, and dental implantation. A temporary OAC presents most often after dental extraction, especially with posterior maxillary teeth, though can happen with any oral surgical intervention. Maxillary sinus augmentation can also cause ODS, and while the pathophysiology is incompletely understood, it may be related to OAC/OAF formation or bone graft infection. Dental implants may also lead to ODS either via displacement into the sinus, partial protrusion into the sinus, or peri-implantitis.
本文探讨了牙源性鼻窦炎（ODS）发展的鲜为人知的病理生理学机制，其是由于口腔外科并发症引起的，例如口鼻腔瘘管（OAF）或口鼻腔相通（OAC）、上颌窦骨移植和牙种植。暂时性 OAC 通常在拔牙后出现，尤其是在上颌后牙，但任何口腔外科干预都可能发生。上颌窦增大也可引起 ODS，尽管其病理生理学机制尚未完全清楚，但可能与 OAC/OAF 形成或骨移植物感染有关。牙种植体也可能通过移位进入窦腔、部分突出进入窦腔或种植体周围炎导致 ODS。
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