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2.
Folia Med Cracov ; 60(1): 85-96, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32658215

RESUMO

OBJECTIVES: To identify tooth diseases as potential causative factors in the development of maxillary sinus lesions, with the aid of clinical examination combined with Cone Beam Computed Tomography (CBCT), in the patients with persistent sinus-like ailments, unresponsive to routine treatment offered by otolaryngologists. MATERIALS AND METHODS: In 44 patients with suspected odontogenic maxillary sinusitis, a dental examination with tooth vitality test was carried out, in conjunction with CBCT. The study involved 29 women and 15 men (age range 19-69 years, mean age 43 (SD = 13.9) years). RESULTS: In 15 (34.1%) patients the odontogenic lesions were encountered in maxillary sinuses. A total of 33 causative teeth were identified, of which 13 (39%) were after root canal treatment (RCT). Only one of the teeth had a properly reconstructed crown, and only one tooth had the root canals properly filled-in. Most frequently, the lesions in the sinuses were attributed to the inflammation of periapical tissues; the first molar having been established as the most common causative tooth. CONCLUSIONS: A detailed dental examination, pursued in conjunction with CBCT analysis, allow to diagnose odontogenic maxillary lesions. The incidence of long-term ailments originating in the maxillary sinuses should prompt a detailed assessment of the teeth, especially those after RCT.


Assuntos
Tomografia Computadorizada de Feixe Cônico/métodos , Doenças Mandibulares/diagnóstico , Doenças Mandibulares/etiologia , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/etiologia , Doenças Dentárias/complicações , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
3.
J Laryngol Otol ; 134(3): 241-246, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32146918

RESUMO

OBJECTIVE: This study aimed to propose appropriate management for odontogenic chronic rhinosinusitis. METHOD: Thirty-one adult patients with odontogenic chronic rhinosinusitis undergoing maxillary extraction were retrospectively analysed. Patients with (n = 21) and without (n = 10) oroantral fistula on computed tomography were classified. Functional endoscopic sinus surgery was performed when sinusitis did not improve after extraction. The critical indicators for surgical requirement in the management of odontogenic chronic rhinosinusitis were analysed. RESULTS: Sinusitis significantly improved after extraction in both groups. Patients without oroantral fistula had significantly more severe remnant sinusitis than those with oroantral fistula after extraction on computed tomography (p = 0.0037). The requirement for functional endoscopic sinus surgery was statistically significant for patients without orofacial fistula over those with orofacial fistula (p < 0.0001). The surgical improvement ratio was 93 per cent. CONCLUSION: The absence of oroantral fistula and severe sinusitis can be critical indicators for the requirement of functional endoscopic sinus surgery after extraction in the management of odontogenic chronic rhinosinusitis.


Assuntos
Sinusite Maxilar/terapia , Cirurgiões Bucomaxilofaciais/psicologia , Otorrinolaringologistas/psicologia , Rinite/terapia , Doenças Dentárias/complicações , Adulto , Idoso , Atitude do Pessoal de Saúde , Doença Crônica , Tomada de Decisão Clínica , Gerenciamento Clínico , Feminino , Humanos , Masculino , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/etiologia , Pessoa de Meia-Idade , Estudos Retrospectivos , Rinite/diagnóstico , Rinite/etiologia , Doenças Dentárias/cirurgia , Extração Dentária/estatística & dados numéricos
5.
BMJ Case Rep ; 12(8)2019 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-31451469

RESUMO

We present a rare and unusual case of a 16-year-old girl, with no significant medical history, presenting with right nasal obstruction and suspected sinusitis with occasional epistaxis and haemoptysis. On examination, she had a mass lesion in the right nasal cavity, with no evidence of other pathology on assessment of the ears, nose, throat or head and neck. A CT scan revealed an opacified right maxillary sinus with polypoidal mucosa, extending and passing through the accessory ostium into the right nasal cavity. Examination under anaesthesia with functional endoscopic sinus surgery and excision of the lesion was subsequently undertaken. Histological analysis confirmed the mass lesion as a haemangioma. This case report is the first to present a maxillary haemangioma presenting as nasal obstruction with intermittent sinusitis symptoms in a child. The authors discuss the incidence, presentation and management of maxillary haemangiomas in the paediatric population.


Assuntos
Hemangioma , Neoplasias do Seio Maxilar , Sinusite Maxilar , Obstrução Nasal/diagnóstico , Cirurgia Endoscópica por Orifício Natural/métodos , Adolescente , Diagnóstico Diferencial , Feminino , Hemangioma/patologia , Hemangioma/fisiopatologia , Hemangioma/cirurgia , Humanos , Seio Maxilar/diagnóstico por imagem , Seio Maxilar/patologia , Neoplasias do Seio Maxilar/patologia , Neoplasias do Seio Maxilar/fisiopatologia , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/etiologia , Cavidade Nasal/diagnóstico por imagem , Cavidade Nasal/patologia , Obstrução Nasal/etiologia , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
6.
Cesk Slov Oftalmol ; 74(6): 245-248, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31238693

RESUMO

Silent sinus syndrom is rare and slow progressive disorder associated with asymptomatic chronic maxillary sinusitis and collapse of the orbital floor. The most common manifestations are enophtalmos, hypoglobus and pseudoretraction upper eyelid. Silent sinus syndrome is almost a unilateral condition and is usually diagnosed in patients in their 30´s and 40´s. The largest risk factors is underlaying aberrant nasal anatomy. The subsequent osteomeatal complex obstruction leads to hypoventilation of the maxillary sinus and negative pressure development. The sinus cavity is filed with a combination of mucus and acellular transudate. This proces create a chronic mucosal inflammation with demineralization and collapse of the orbital floor. CT imaging is pathognomonic and shows ipsilateral maxilar sinusitis and the orbital floor is inferiorly displaced. The differential diagnosis includes chronic sinusitis, osteomyelitis, malignat sinus infiltration and orbital trauma. The endoscopic antrostomy is the gold standard to re-establish normal sinus aeration. In this article we describe patient with silent sinus syndrome, who has been treated at our clinic and his symptoms were corrected ad integrum after the surgery.


Assuntos
Sinusite Maxilar , Doenças dos Seios Paranasais , Humanos , Seio Maxilar , Sinusite Maxilar/diagnóstico , Doenças dos Seios Paranasais/diagnóstico , Síndrome
7.
Otolaryngol Pol ; 74(3): 12-16, 2019 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-32398384

RESUMO

<b>Objectives:</b> The study aimed to identify the patients with pathological lesions in the maxillary sinuses in which the reported symptoms might be indicative of odontogenic origin, as well as to establish specific causative risk factors promoting their development. <br><b>Methods and Materials:</b> The study covered 44 patients with suspected odontogenic maxillary sinusitis. Dental examination and Cone Beam Computed Tomography were completed. The age of patients ranged between 19 and 69 years, and the mean age was 43 (SD = 13.9) years. <br><b>Results:</b> Out of 44 patients, 22 (50%) had non-odontogenic lesions in maxillary sinuses, while in 15 (34.1%) dental origin was established. In the remaining 7 (15.9%) patients, no pathological changes were found in the sinuses. The median of reported symptoms was 10 months (Q1 = 4, Q3 = 24). The reported complaints were not associated with the actual cause of pathological lesions. <br><b>Conclusions:</b> Odontogenic cause of the lesions in the sinuses should primarily be hypothesized, especially in patients with long-term disease symptoms, also regarding any unilateral inflammations.


Assuntos
Tomografia Computadorizada de Feixe Cônico/métodos , Seio Maxilar/diagnóstico por imagem , Seio Maxilar/fisiopatologia , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/fisiopatologia , Sinusite Maxilar/terapia , Odontogênese/fisiologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
8.
Orbit ; 38(2): 166-168, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29742007

RESUMO

Silent sinus syndrome (SSS) is a rare disorder involving bony remodeling of the maxillary sinuses, including collapse of the orbital floor. It is typically unilateral and seen in the setting of chronic maxillary sinusitis. Patients present with enophthalmos and hypoglobus occasionally accompanied by diplopia. The condition is generally diagnosed with CT imaging and treated surgically. While SSS is most often reported as very slowly progressive, we report a patient with evidence of significant remodeling of the maxillary sinus over a period of 5.5 months.


Assuntos
Remodelação das Vias Aéreas/fisiologia , Seio Maxilar/fisiologia , Doenças dos Seios Paranasais/fisiopatologia , Diplopia/diagnóstico , Enoftalmia/diagnóstico , Humanos , Imagem por Ressonância Magnética , Masculino , Seio Maxilar/diagnóstico por imagem , Sinusite Maxilar/diagnóstico , Pessoa de Meia-Idade , Doenças dos Seios Paranasais/diagnóstico por imagem , Síndrome , Tomografia Computadorizada por Raios X
9.
J Craniofac Surg ; 29(6): e591, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30028394

RESUMO

The migration of a dental implant into the maxillary sinus is an uncommon event of occurrence. Disrespect for concepts of implantology, low alveolar bone density at the site, high incidence of masticatory force in posterior region, and clinical intercurrences predispose to failure in rehabilitation.


Assuntos
Implantação Dentária Endo-Óssea/efeitos adversos , Implantes Dentários/efeitos adversos , Migração de Corpo Estranho/complicações , Sinusite Maxilar/etiologia , Complicações Pós-Operatórias , Implantação Dentária Endo-Óssea/métodos , Remoção de Dispositivo , Feminino , Migração de Corpo Estranho/diagnóstico , Migração de Corpo Estranho/cirurgia , Humanos , Seio Maxilar , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/cirurgia , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X
10.
Georgian Med News ; (276): 46-50, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29697380

RESUMO

Odontogenic maxillary sinusitis has now increasing incidence in dental and otorhynolaryngological practice. Its incidence varies from 10-12 % to 50-75 %, according to different authors. Literature study showed that odontogenic maxillary sinusites are mostly unilateral, and significantly differ in complaints, clinical signs, and diagnostic and treatment measures from other types of sinusitis. This should be taken into account, because often odontogenic maxillary sinusitis is misdiagnosed with common sinusitis, and only in 77 % such patients are examined by both dental specialist and otorhynolaryngologist. Study of causes of odontogenic maxillary sinusitis revealed that now iatrogenic impact prevails over other causes, which had been previously considered as main causes of odontogenic maxillary sinusitis. Especially endodontic treatment and implantation surgery are major causes of odontogenic maxillary sinusitis in present time, due to increasing incidence of perforation and damage of sinus by filling materials, bone or tooth particles, and implants. Anatomical structure of dental-sinus border area, and volume of endodontic treatment and implanting procedures, determines last ones as causative triggers due to development of complications and inflammatory processes. Microbial flora is mostly presented by anaerobic microorganisms; at the same time aerobic and fungal organisms are found in the microscopy of histology of patients with odontogenic maxillary sinusitis. At the same time, polymicrobial associations show high resistance to wide spectrum of antimicrobial medications. In past years theory of microbial biofilms is considered leading in explanation of recurrent and persistent odontogenic sinusitis. Such polymicrobial associations are covered with complex shield of different compounds, providing protection and nutrients. This significantly complicates treatments and can cause recalcitrant and recurrent infections.


Assuntos
Sinusite Maxilar , Doenças Estomatognáticas , Infecções Bacterianas/complicações , Infecções Bacterianas/diagnóstico , Infecções Bacterianas/epidemiologia , Infecções Bacterianas/microbiologia , Humanos , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/epidemiologia , Sinusite Maxilar/etiologia , Sinusite Maxilar/terapia , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/etiologia , Doenças Estomatognáticas/terapia
11.
Gerodontology ; 35(1): 59-62, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29392788

RESUMO

OBJECTIVE: To report a case of primary diffuse large B-cell lymphoma (DLBCL) of the maxillary sinus in an 82-year-old Caucasian woman. BACKGROUND: Diffuse large B-cell lymphoma of the maxillary sinus has non-specific signs and symptoms that may be confused with benign inflammatory conditions and upper respiratory infections. METHODS: An incisional biopsy was performed. CD20+ /CD3- /Ki-67: 95% cells were observed. CONCLUSION: A good medical history, clinical and imaging evaluations and immunohistochemical reactions are crucial to establish a correct and early diagnosis of DLBCL.


Assuntos
Linfoma Difuso de Grandes Células B/diagnóstico , Neoplasias do Seio Maxilar/diagnóstico , Idoso de 80 Anos ou mais , Biópsia , Erros de Diagnóstico , Evolução Fatal , Feminino , Humanos , Linfoma Difuso de Grandes Células B/patologia , Seio Maxilar/patologia , Neoplasias do Seio Maxilar/patologia , Sinusite Maxilar/diagnóstico
12.
Orbit ; 37(5): 375-377, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29319378

RESUMO

Silent sinus syndrome was first described as spontaneous enophthalmos and hypoglobus associated with subclinical maxillary sinusitis without prior trauma or surgery. This clinical entity has later been described after trauma in which damage to the ostiomeatal complex leads to atelectasis of the maxillary sinus. We report a case of a 14-year-old boy who presented 4 years after sustaining a non-operative orbital floor fracture with enophthalmos and transient diplopia. Computed tomography (CT) demonstrated enlargement in size of the original orbital floor fracture and bilateral maxillary sinus disease. Bilateral chronic sinusitis suggested an anatomical predisposition to sinusitis unrelated to the prior trauma. The authors propose that, in this case, negative pressure in the maxillary sinus and chronic inflammation led to bone resorption and failure of the orbital fracture to heal. This differs from prior reports of silent sinus syndrome in that there was complete resorption of bone of the orbital floor and no decrease in volume of the maxillary sinus given the open communication of the sinus and the orbit, making this a unique presentation of pseudo-silent sinus syndrome in a pediatric patient.


Assuntos
Consolidação da Fratura , Fraturas não Consolidadas/etiologia , Sinusite Maxilar/complicações , Fraturas Orbitárias/etiologia , Adolescente , Diplopia/diagnóstico , Enoftalmia/diagnóstico , Fraturas não Consolidadas/diagnóstico por imagem , Fraturas não Consolidadas/cirurgia , Humanos , Masculino , Sinusite Maxilar/diagnóstico , Fraturas Orbitárias/diagnóstico por imagem , Fraturas Orbitárias/cirurgia , Tomografia Computadorizada por Raios X
13.
J Craniofac Surg ; 29(1): e44-e47, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28953151

RESUMO

OBJECTIVES: In the paranasal sinus fungal ball (SFB), changes that occur in the underlying bone have not been well described. Recently, bacterial coinfection has been reported in patients with paranasal SFB. We evaluated whether bone changes occur in patients with unilateral maxillary SFB, and also how bacteria in an SFB affect the bony wall of the sinus. METHODS: A retrospective study of patients with a unilateral maxillary SFB undergoing endoscopic sinus surgery was conducted from July 2009 to December 2015. Preoperative computed tomography images of the patients were reviewed. Wall thickness (WT) and wall density (WD) of the diseased sinus were measured and compared to the normal sinus. Specimens of the sinus aspirates were obtained during surgery for aerobic and anaerobic cultures. RESULTS: Forty-three patients were included (mean, 55.7 ±â€Š12.8 years). Thirty-one cultures (72.1%) were positive for bacteria. Thickening was evident in the anterior, lateral, and posterior walls of the diseased sinus. The average WT was 1.69 ±â€Š0.45 mm on the diseased sinus and 1.14 ±â€Š0.31 mm on the normal sinus (P < 0.001). In the diseased sinus, the difference in the average WT between the culture-positive and culture-negative groups was not significant (P = 0.44). The average WD on the diseased sinus was higher than that on the normal sinus (P < 0.001). CONCLUSIONS: Osteitic change occurred in most patients with a unilateral maxillary SFB. The presence of bacteria in sinus secretions does not greatly affect the development of osteitic changes in unilateral maxillary SFB.


Assuntos
Infecções Fúngicas Invasivas , Maxila , Seio Maxilar , Sinusite Maxilar , Adulto , Idoso , Feminino , Humanos , Infecções Fúngicas Invasivas/diagnóstico , Infecções Fúngicas Invasivas/microbiologia , Masculino , Maxila/diagnóstico por imagem , Maxila/microbiologia , Maxila/patologia , Seio Maxilar/microbiologia , Seio Maxilar/cirurgia , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/microbiologia , Pessoa de Meia-Idade , Cirurgia Endoscópica por Orifício Natural/métodos , República da Coreia , Estudos Retrospectivos , Estatística como Assunto , Tomografia Computadorizada por Raios X/métodos
14.
Mycopathologia ; 183(2): 439-443, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29075960

RESUMO

The Penicillium genera, encompassing about 225 different species of fungi, are naturally present in the environment. These genera are poorly linked to human disease, except for Penicillium marneffei causing septicemia in immunocompromised hosts. Thus, Penicillium species recovered from respiratory tract samples are often considered as inhaled contaminants in the clinical laboratory. However, we report here a case of fungal maxillary sinusitis due to Penicillium roqueforti diagnosed in a 40-year-old female, a teacher, complaining of moderate pain for months in the maxillary sinus and chronic posterior rhinorrhea. CT scanner and MRI enabled a preliminary diagnosis of left maxillary fungus ball-type sinusitis with calcified material seen on CT and marked very low signal in T2 weighted images seen on MRI. Anatomopathological and mycological examination of sinusal content showed septate hyphae. Direct sequencing of the sinusal content revealed P. roqueforti. P. roqueforti has been traditionally used in France for more than 200 years for cheese ripening. However, to our knowledge, this ascomycetous fungus has very rarely been associated in the literature with human disease. P. roqueforti is associated only with cheese worker's lung, a hypersensitivity pneumonitis affecting employees in blue cheese factories. Other species in the Penicillium genus are reported to cause various disorders such as invasive infection, superficial infection or allergic diseases. P. roqueforti has never previously been reported as a cause of human infection. Thus, we report the first case of fungus ball due to P. roqueforti in an immunocompetent patient.


Assuntos
Sinusite Maxilar/diagnóstico , Sinusite Maxilar/patologia , Micoses/diagnóstico , Micoses/patologia , Penicillium/isolamento & purificação , Adulto , Feminino , França , Humanos , Imagem por Ressonância Magnética , Seio Maxilar/diagnóstico por imagem , Sinusite Maxilar/microbiologia , Micoses/microbiologia , Penicillium/classificação , Penicillium/genética , Análise de Sequência de DNA , Tomografia Computadorizada por Raios X
15.
Rev. guatemalteca cir ; 23(1): [67-70], ene-dic,2017.
Artigo em Espanhol | LILACS | ID: biblio-884890

RESUMO

La bola fúngica del seno maxilar es una sinusitis fúngica no invasiva. El aumento de pacientes con alguna forma de inmunocompromiso se ha asociado con el aumento en la prevalencia de la enfermedad. Presentamos el caso de un paciente diabético, que consultó durante un año al sistema de salud antes de realizarle el diagnóstico de bola fúngica por Aspergillus en el seno maxilar.


Fungal balls are non invasive sinusits of paranasal sinuses. Rises in the number of immune compromised patents has lead to an increase in prevalence of the disease. We report a case of a diabetc patent, who sought advice for one year before the diagnosis of an Aspergillus fungal ball of the maxillary sinus was made.


Assuntos
Humanos , Masculino , Aspergilose/cirurgia , Sinusite Maxilar/diagnóstico , Doenças dos Seios Paranasais/diagnóstico , Tomografia Computadorizada por Raios X
16.
Vestn Otorinolaringol ; 82(4): 48-51, 2017.
Artigo em Russo | MEDLINE | ID: mdl-28980597

RESUMO

The objective of the present work was to develop a technique for the endonasal surgical access to the maxillary sinus through crista conchalis of the maxillary bone and to evaluate the effectiveness and safety of the surgical treatment by this method. A total of 210 patients underwent the CT-assisted examination of the paranasal sinuses. The data obtained made it possible to characterize the detailed anatomical structure of crista conchalis of a maxillary bone that forms the anterior part of the medial wall of the maxillary sinus. The syntopy in relation to the distal end of the nasolacrimal canal and the cavity of the maxillary sinus was investigated. The results of the study were used to develop the original technique for endonasal antrotomy that included the 0.5-1.0 cm long vertical section of the mucous membrane at the level of the anterior end of the inferior turbinated bone approximately 1 mm from the edge of the bone aperture of the nose which exposed crista conchalis up to the place of fixation of the inferior turbinated bone. Then, the diamond drill burr was use to carry out trepanation of the medial wall of the maxillary sinus in the region of crista conchalis of the maxillary bone; sanitation of the of the sinus was followed by the apposition of the edges of the incision and their fixation with two sutures. The safety of the proposed surgical technique was confirmed by results of the repeated CT examinations of the paranasal sinus and its effectiveness by the clinical follow-up observations.


Assuntos
Maxila , Seio Maxilar , Sinusite Maxilar , Cirurgia Endoscópica por Orifício Natural , Adulto , Feminino , Humanos , Masculino , Maxila/diagnóstico por imagem , Maxila/cirurgia , Seio Maxilar/diagnóstico por imagem , Seio Maxilar/cirurgia , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/cirurgia , Cirurgia Endoscópica por Orifício Natural/instrumentação , Cirurgia Endoscópica por Orifício Natural/métodos , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
17.
Vestn Otorinolaringol ; 82(4): 60-63, 2017.
Artigo em Russo | MEDLINE | ID: mdl-28980600

RESUMO

This article was designed to report the clinical case of the radicular cyst localized in the maxillary sinus of the 23 year-old man that had been detected before the surgical intervention was undertaken for its treatment. In the preceding visits of the patient to other medical settings, this condition was misinterpreted as a genuine (rhinogenic) cyst. It accounted for the choice of the inadequate surgical strategy for the management of this pathology. As a result, the patient experienced two relapse episodes of the disease. The thorough analysis of the patient's medical history and CT images of the sinus obtained during the 4 year follow up period allowed to establish the definitive diagnosis of odontogenic cyst of the upper jaw. The authors present a brief overview of the relevant scientific literature concerning etiology and pathogenesis as well as the methods of diagnostics and treatment of radicular cyst of the upper jaw.


Assuntos
Periodontite Crônica , Seio Maxilar , Procedimentos Cirúrgicos Nasais/efeitos adversos , Doenças dos Seios Paranasais , Cisto Radicular , Extração Dentária/métodos , Adulto , Periodontite Crônica/complicações , Periodontite Crônica/diagnóstico , Periodontite Crônica/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Seio Maxilar/diagnóstico por imagem , Seio Maxilar/patologia , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/etiologia , Sinusite Maxilar/cirurgia , Procedimentos Cirúrgicos Nasais/métodos , Doenças dos Seios Paranasais/diagnóstico , Doenças dos Seios Paranasais/etiologia , Doenças dos Seios Paranasais/fisiopatologia , Doenças dos Seios Paranasais/cirurgia , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/cirurgia , Cisto Radicular/diagnóstico , Cisto Radicular/etiologia , Cisto Radicular/fisiopatologia , Cisto Radicular/cirurgia , Recidiva , Reoperação/métodos , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
18.
Georgian Med News ; (267): 19-27, 2017 Jun.
Artigo em Russo | MEDLINE | ID: mdl-28726648

RESUMO

Diagnostic studies performed by cone beam computed tomography Morita 3D made possible to obtain high resolution images of hard tissues of upper jawbone and maxillary sinus, to detect bony tissue defects, such as odontogenic cysts, cystogranulomas and granulomas. High-resolution and three dimensional tomographic image reconstructions allowed for optimal and prompt determination of the scope of surgical treatment and planning of effective conservative treatment regimen. Interactive diagnostics helped to estimate cosmetic and functional results of surgical treatment, to prevent the occurrence of surgical complications, and to evaluate the efficacy of conservative treatment. The obtained data contributed to determination of particular applications of cone beam computed tomography in the diagnosis of odontogenic maxillary sinusitis, detection of specific defects with cone beam tomography as the most informative method of diagnosis; as well as to determination of weak and strong sides, and helped to offer mechanisms of x-ray diagnostics to dental surgeons and ENT specialists.


Assuntos
Sinusite Maxilar/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Tomografia Computadorizada de Feixe Cônico , Feminino , Humanos , Masculino , Maxila/diagnóstico por imagem , Seio Maxilar/diagnóstico por imagem , Sinusite Maxilar/diagnóstico por imagem , Pessoa de Meia-Idade , Adulto Jovem
19.
Eur Arch Otorhinolaryngol ; 274(10): 3651-3658, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28733779

RESUMO

The objective of the study was to compare the ability of dental, ENT and radiology specialists to identify the dental cause of maxillary sinusitis with conventional computed tomography, dental and panoramic radiographs. Out of 34 dental records from subjects treated at ENT and Oral and Maxillofacial Surgery Department, LUHS Kaunas Clinics, 22 females and 12 males with the diagnosis of odontogenic maxillary sinusitis, periapical (DPA), panoramic (DPR) and computed tomography (CT) images of posterior maxilla were selected for further studies. In total, 39 sinuses with an odontogenic and 37 sinuses with only rhinogenic cause (control group) were included in the study. Sinuses with mucosal thickening less than 3 mm were excluded from the research. Each image was evaluated by 5 endodontologists, 5 oral surgeons, 6 general dentists, 6 otorhinolaryngologists and an experienced oral radiologist. DPR and DPA views were not evaluated by ENT specialists. The dental cause of maxillary sinusitis was marked according to the given scale. Intraclass correlation coefficient and ROC curve statistical analysis were performed. The best accuracy was observed when CT views were evaluated by experienced oral radiologist and oral surgeons: the AUC was 0.958 and 0.859, respectively. DPR views showed the best accuracy when evaluated by oral surgeons (0.763) and DPA-by endodontologists (0.736). The highest inter-rater agreement was observed between experienced oral radiologist and oral surgeons/otorhinolaryngologists (0.87/0.78) evaluating CT. Sensitivity and specificity of CT were 89.7 and 94.6%, DPR-68.2 and 77.3%, DPA-77.9 and 67%. Identification of dental cause of maxillary sinusitis sometimes is a challenge, which depends on radiological method and, more importantly, on evaluator's experience.


Assuntos
Seio Maxilar/diagnóstico por imagem , Sinusite Maxilar , Radiografia Panorâmica/métodos , Tomografia Computadorizada por Raios X/métodos , Doenças Dentárias/complicações , Adulto , Feminino , Humanos , Masculino , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/etiologia , Pessoa de Meia-Idade , Curva ROC , Sensibilidade e Especificidade , Resultado do Tratamento
20.
Aust Dent J ; 62(4): 523-527, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28621821

RESUMO

A brain abscess may result when dental infection reaches the brain through contiguous anatomic cavities such as the maxillary sinus, the ethmoid sinus and the orbital cavity. It is an important complication and should be treated aggressively. Such treatment would include the excision of the etiological factor, drainage and adjuvant antibiotic therapy. The present case concerns a 23 year old woman who presented at the General Hospital of Nova Iguaçu with complaints of pain in the right side of the face and was diagnosed with acute sinusitis. Antibiotics and analgesics were prescribed to treat the disease. However, after 10 days, she returned to the emergency room, presenting with proptosis of the right eyeball, subconjunctival haemorrhage, ophthalmoplegia and intense pain in the right orbit, in addition to headaches. After computed tomography was performed, she was diagnosed with a brain abscess in the frontal lobe with the involvement of the maxillary right first molar, the maxillary sinus, the ethmoid sinus and the orbital cavity. With culturing of the secretion, the growth of Pseudomonas aeruginosa colonies was evident. Treatment consisted of a craniotomy to drain the brain abscess, a Caldwell-Luc procedure to drain the right maxillary sinus, dental extraction and aggressive antibiotic therapy. After 6 weeks, the patient was discharged with no neurological sequelae.


Assuntos
Abscesso Encefálico/microbiologia , Infecções Oculares Bacterianas/microbiologia , Infecção Focal Dentária/microbiologia , Sinusite Maxilar/microbiologia , Doenças Orbitárias/microbiologia , Infecções por Pseudomonas/microbiologia , Antibacterianos/uso terapêutico , Abscesso Encefálico/diagnóstico , Abscesso Encefálico/terapia , Craniotomia , Drenagem , Infecções Oculares Bacterianas/diagnóstico , Infecções Oculares Bacterianas/terapia , Feminino , Infecção Focal Dentária/diagnóstico , Infecção Focal Dentária/terapia , Lobo Frontal , Humanos , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/terapia , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/terapia , Infecções por Pseudomonas/diagnóstico , Infecções por Pseudomonas/terapia , Pseudomonas aeruginosa/isolamento & purificação , Tomografia Computadorizada por Raios X , Doenças Dentárias/tratamento farmacológico , Extração Dentária , Adulto Jovem
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