von Sydow C, Axelsson A, Jensen C
Rhinology. 1982 Dec;20(4):223-9.
When comparing the outcome of different treatment modes for acute maxillary sinusitis, the roentgenological examination can be recommended for the objective evaluation as a complement to the clinical examination. Using the occipito-mental projection and an additional occipito-mental side view, the diagnosis can be established in a cheap and simple way, and the treatment effect can be followed during the course of treatment in the form of radiological sinus changes. The treatment outcome of 27 different treatment modes in 1320 cases of acute maxillary sinusitis (2039 maxillary sinuses) was compared. There was little difference between the treatment groups as to therapeutic effect, whether using antral drainage alone, antibiotics alone or the combination of both. Factors other than treatment outcome must be important for the consideration of treatment choice, e.g. pharmacokinetics, administration, dosage, treatment cost, number and type of side effects, etc.
在比较急性上颌窦炎不同治疗方式的疗效时，推荐进行X线检查以进行客观评估，作为临床检查的补充。使用枕颏位投照及额外的枕颏侧位片，能够以廉价且简单的方式确立诊断，并且在治疗过程中可以通过鼻窦放射学变化的形式追踪治疗效果。比较了1320例急性上颌窦炎（2039个上颌窦）中27种不同治疗方式的治疗结果。无论是单独使用鼻窦引流、单独使用抗生素还是两者联合使用，各治疗组在治疗效果方面差异不大。在考虑治疗选择时，除治疗效果外的其他因素必定很重要，例如药代动力学、给药方式、剂量、治疗成本、副作用的数量和类型等。
