Fairbanks D N
Otolaryngol Head Neck Surg. 1982 Sep-Oct;90(5):527-33. doi: 10.1177/019459988209000501.
The proximity of the maxillary sinus floor to the first, second, and third molar teeth predisposes it to contiguous dental disease. Infections of dental origin are usually mixed bacterial growth with anaerobic species predominating; extended-spectrum penicillins or cephalosporins are recommended. The patient with atopic allergy is susceptible to bacterial infection; combined therapy with antimicrobials, corticosteroids, and antihistamines is advised. The large solitary antrochoanal polyp is successfully managed with maxillary sinus surgery alone. Multiple ethmoidal polyps in children suggest cystic fibrosis, and in adults, the asthma triad syndrome. Thorough surgical management of the sinuses combined with antimicrobial and topical corticosteroid therapy is recommended.
上颌窦底与第一、第二和第三磨牙相邻，易患邻近牙齿疾病。牙源性感染通常是混合细菌生长，厌氧菌占主导；建议使用广谱青霉素或头孢菌素。特应性过敏患者易发生细菌感染；建议联合使用抗菌药物、皮质类固醇和抗组胺药进行治疗。大型孤立性鼻后孔息肉仅通过上颌窦手术就能成功治疗。儿童多发性筛窦息肉提示囊性纤维化，而成人则提示哮喘三联征综合征。建议对鼻窦进行彻底的手术治疗，并联合抗菌药物和局部皮质类固醇治疗。
