Kim Sangjun, Lee Eun Soo, Bae Woo Yong, Kim Chul-Hoon, Yun Ji-Eon
Department of Otorhinolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan, Republic of Korea.
Department of Oral and Maxillofacial Surgery, Dong-A University College of Medicine, Busan, Republic of Korea.
J Rhinol. 2022 Mar;29(1):13-18. doi: 10.18787/jr.2021.00380. Epub 2022 Mar 28.
With the ongoing development of intraoral surgical treatment and invasive dental treatments such as implants, odontogenic rhinosinusitis (ORS) is on the rise. ORS related to dental implants accounts for 8% to 37% of cases. The purpose of this study is to define the characteristics of patients with ORS related to dental implants.
From 2015 to 2019, the medical records of 15 patients who developed maxillary sinus disease after receiving dental implants were retrospectively analyzed among patients who visited the ear nose and throat and dentistry departments. We reviewed the chief complaint, assessment, diagnosis, treatment and prognosis of these patients.
Of the 15 patients, all were diagnosed with ORS. One patient with a post-operative cheek cyst, 1 with fungal sinusitis, 1 with an inverted papilloma, 1 with chronic rhinosinusitis, and 1 with a radicular cyst were diagnosed after surgery. Endoscopic sinus surgery was performed in 14 patients and 2 patients underwent a combined operation. One patient improved after medical treatment. The follow-up period was about 8.6 months. No recurrence was found in any of the patients.
If an implant problem is suspected based on history-taking and physical examination, active consultation with dentistry is needed to diagnose ORS.
随着口腔内外科治疗以及种植牙等侵入性牙科治疗的不断发展，牙源性鼻窦炎（ORS）的发病率呈上升趋势。与种植牙相关的ORS病例占8%至37%。本研究的目的是明确与种植牙相关的ORS患者的特征。
2015年至2019年，对在耳鼻喉科和牙科就诊的患者中，15例种植牙后发生上颌窦疾病患者的病历进行回顾性分析。我们回顾了这些患者的主诉、评估、诊断、治疗及预后情况。
15例患者均被诊断为ORS。术后1例患者诊断为颊部囊肿，1例为真菌性鼻窦炎，1例为内翻性乳头状瘤，1例为慢性鼻窦炎，1例为根端囊肿。14例患者接受了鼻内镜鼻窦手术，2例患者接受了联合手术。1例患者经药物治疗后好转。随访期约8.6个月。所有患者均未复发。
如果根据病史和体格检查怀疑存在种植体问题，需要积极与牙科进行会诊以诊断ORS。
