China Journal of Oral and Maxillofacial Surgery ›› 2022, Vol. 20 ›› Issue (4): 384-389.doi: 10.19438/j.cjoms.2022.04.012

• Original Articles • Previous Articles     Next Articles

Functional treatment and efficacy evaluation of odontogenic maxillary sinusitis in 53 consecutive patients

HU Ying-kai, XU Guang-zhou, MA Zhi-gui, XIE Qian-yang, YANG Chi   

  1. Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2022-04-01 Revised:2022-04-30 Online:2022-07-20 Published:2022-08-02

Abstract: PURPOSE: To analyze the therapeutic methods of odontogenic maxillary sinusitis(OMS) and evaluate its efficiency, and to provide reference for clinical diagnosis and treatment. METHODS: Fifty-three cases of OMS at Shanghai Ninth People's Hospital from January 2011 to December 2020 were reviewed, and the etiology and constituent ratio were summarized. OMS was treated by functional surgery to remove various odontogenic lesions and preserve sinus mucosa and alveolar bone. The preoperative and postoperative maxillary sinusitis were quantitatively evaluated by Lund-Mackay scoring method, and the mean difference of Lund-Mackay before and after operation was compared by paired t test using SPSS 17.0 software package. In addition, the postoperative reactions and complications were evaluated. RESULTS: The common causes of OMS were odontogenic cystic lesions(49.05%), apical inflammation(20.75%), oral maxillary sinus fistula (16.98%) and foreign bodies (13.21%). The Lund-Mackay score was 3.72±0.51 before operation and 0.05±0.32 after operation, which decreased significantly(P<0.001). The postoperative response was small and there was no serious complication. CONCLUSIONS: The treatment of OMS should focus on the elimination of odontogenic lesions. Functional surgery was recommended to protect maxillary sinus mucosa.

Key words: Odontogenic maxillary sinusitis, Sinus mucosa, Functional surgery

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