치성 부비동염의 임상 양상: 병인과 치료에 대한 고찰

김주환; 김성원; 조진희; 강준명; 김병국; 김지홍; 김수환

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자료유형: 학술저널

저자정보: 김주환 김성원 조진희 강준명 김병국 김지홍 김수환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제52권 제7호

발행연도: 2009.1

수록면: 585 - 590 (6page)

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Background and Objective Sinusitis of odontogenic source is common disease accounts for about one tenth of cases of all maxillary sinusitis. Odontogenic sinusitis differs in its pathophysiology, clinical manifestation and the management from sinusitis of other causes. As the advance of dental procedure, the characteristics of odontogenic sinusitis are changing. The purpose of this study was to define the characteristics of odontogenic sinusitis with respect to the pathophysiology and management. Subjects and Method Sixty two patients who were diagnosed to odontogenic sinusitis between May 2000 and May 2008 were included. All the diagnosis was supported by both dentist and otolaryngologist with objective data such as endoscopic exam and radiologic finding. All the medical records were reviewed retrospectively. Results Dental caries was most common cause of odontogenic sinusitis. Iatrogenic injuries during invasive procedure such as tooth extraction and implants were considerable. Most commonly presented symptom is facial discomfort. The surgical managements including local treatment were needed over 80% of cases. Average follow up period was 15.7 months, no complication was observed. Conclusion The half of cases of odontogenic sinusitis was resulted from iatrogenic problem. The combination of a medical and surgical approach is generally required for the treatment.

#Oroantral fistula·Tooth extraction·Maxillary sinusitis

참고문헌 (11)

참고문헌 신청

Branemark PI / 1969 / Intra-osseous anchorage of dental prostheses. I. Experimental studies / Scand J Plast Reconstr Surg 3 (2) : 81 ~ 100

Brook I / 2006 / Sinusitis of odontogenic origin / Otolaryngol Head Neck Surg 135 (3) : 349 ~ 355

Lopatin AS / 2002 / Chronic maxillary sinusitis of dental origin: is external surgical approach mandatory? / Laryngoscope 112 (6) : 1056 ~ 1059

Mehra P / 2004 / Maxillary sinus disease of odontogenic origin / Otolaryngol Clin North Am 37 (2) : 347 ~ 364

Selmani Z / 2006 / Surgical treatment of amalgam fillings causing iatrogenic sinusitis / J Craniofac Surg 17 (2) : 363 ~ 365

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