Article
Status osteomeatal complex in patients with purulent odontogenic maxillary sinusitis
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Published: | March 30, 2016 |
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Formation of chronic purulent sinusitis is caused by the action of a variety of factors, which occupy an important odontogeniс place. In literature there is only little research on the pathogenesis of the disease and the condition of the complex at osteomeatal etiology of odontogenic maxillary sinusitis.
Materials and methods: In retrospective chart analysis of 45 patients (N): 26 male and 19 female with odontogenic sinusitis anatomical variations of osteomeatal complex according to endoscopy and computed tomography examinations (CT) have been examined. The development of odontogenic sinusitis was caused by tooth extraction, periodontal, endodontic surgery, a foreign body. They were all treated at Minsk Hospital N11.
Results: Unilateral purulent nasal discharge was the most common symptom. It was found that all patients had anatomic prerequisites for a block of natural ostium of the maxillary sinus: 36 patients had a deformation of the nasal septum (80%), in most cases, in the cartilage and bone sections (N = 32), 6 patients had Bulla ethmoidalis cells and Haller cells (N = 5). These CT completely correlated with the results of an endoscopy (P = 0.02).
Conclusions: In the pathogenesis of odontogenic maxillary sinusitis, anatomical endonasal variations are one of the reasons for blocking the natural ostium, all sinusitis was associated with sinus obstruction (p< 0,001) and that must be considered in the surgical treatment of patients.
Keywords: rhinosinusitis, osteomeatal complex, etiology of odontogenic sinus maxillaris
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