von Wowern N
Int J Oral Surg. 1981;10(Suppl 1):138-42.
The purpose of the present study was to estimate: (1) the diagnostic value fo the primary clinical and radiographic examinations as to the condition in the antral mucosa in cases of an oroantral fistula; and (2) the value of a radiographic follow-up of cases with uneventful, successful surgical closure of the fistula. The material consisted of 52 patients with an oro-antral fistula. The condition of the antral mucosa was examined before and during the surgical operation. Postero-anterior and lateral radiographs of the paranasal sinuses, orthopantomograms and intraoral dental films were taken of each patient and also in 10 cases of uneventful, successful closure after 1 year. This analysis shows that: (1) the primary clinical diagnosis of the condition in the antral mucosa corresponds to the real diagnosis; (2) false negative radiographs are rare; (3) false positive radiographs will occur in 22% - 63% of cases without maxillary sinusitis; and (4) radiographic follow-up of uneventful, successful cases can be omitted. In conclusion, the primary clinical examination is most reliable and superior to radiographs in proof/disproof of maxillary sinusitis, pre- and postoperatively.
（1）对于口腔上颌窦瘘病例，初次临床和影像学检查对窦腔黏膜状况的诊断价值；（2）瘘口手术顺利成功闭合病例的影像学随访价值。研究材料包括52例口腔上颌窦瘘患者。在手术前及手术过程中检查窦腔黏膜状况。为每位患者拍摄了鼻窦后前位和侧位X线片、曲面断层片及口腔内牙片，并且对10例术后1年手术顺利成功闭合的患者也进行了上述检查。该分析表明：（1）窦腔黏膜状况的初次临床诊断与实际诊断相符；（2）假阴性X线片很少见；（3）在无上颌窦炎的病例中，假阳性X线片的出现率为22% - 63%；（4）对于手术顺利成功的病例，可省略影像学随访。总之，初次临床检查最为可靠，在术前及术后证实/排除上颌窦炎方面优于X线片。
