Odontogenic Sinusitis-A Retrospective Study of Seven Cases

齒源性上顎竇炎－七病例之回顧研究

王東堯(Tung-Yiu Wong) ； 陳宏安(Hung-An Chen) ； 蔡明魁(Ming-Kwai Tsai) ； 方深毅(Sheen-Yie Fang)

《中華民國口腔顎面外科學會雜誌》 3卷2期 (1992/09) Pp. 9-20

https://doi.org/10.7104/CJOMS.199209.0009

摘要

七個齒源性上顎竇炎的病例，女比男多，年齡平均為三十四歲，全為單側性侵犯，原因以上顎第一大臼齒根尖炎或膿腫三例最多，次為第二大臼齒的根尖炎或囊腫二例，一例源自前齒區的骨髓炎，臨床症狀為單側鼻膿漏、鼻塞、合併同側上顎齒疼痛或齒齦腫脹，三例有顏面腫脹、頰部觸痛或感覺異常，所有病例的患齒均予以拔除，一例發現有口竇相通，但傷口癒合正常，另一例是拔牙後一星期口竇相通，予以手術縫合後癒合，三例需要切開引流。在可追蹤的五例中（六月至三年半），有二例因拒絕進一步的手術處理而有持續性或再發性上顎竇炎症狀，其餘三病例痊癒。

並列摘要

Seven cases of evident odontogenic sinusitis were studied retrospectively. Women were affected more than men, with an average age of 34. All of them has only one maxillary sinus involved. The most common origins were apical periodontitis or abscess at the maxillary first molar, followed by the same pathology at the second molar. One case appeared to be caused by osteomyelitis secondary to a combined apical and periodontal lesion at tooth#13 in a patient with diabetes mellitus. Common symptoms and signs presented were toothache, gingival swelling, large dental cavities, mucopurulent nasal discharge, nasal obstruction, postnasal drip, cheek swelling and cheek tenderness or paresthesia. One patient had a postextraction oro-antral fistula of one week old. Three cases presented concomitant cellulites on cheek which required incision and drainage. All causative teeth were removed and in only one occasion was a small opening to the sinus detected in the socket during the extraction. Two cases were known to have had persistent or recurrent symptoms of sinusitis two years after then.

並列關鍵字

Maxillary sinusitis ； odontogenic infection