The Necessity of Subsequent Dental Treatment for Odontogenic Sinusitis After Endoscopic Sinus Surgery.

IF 0.7 4区医学 Q3 OTORHINOLARYNGOLOGY

Ent-Ear Nose & Throat Journal Pub Date : 2026-04-01 Epub Date: 2023-09-08 DOI:10.1177/01455613231196105

Xiaochang Zhao, Zufei Li, Jinfeng Liu

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引用次数: 0

Abstract

Objective: To investigate the necessity of subsequent dental treatment for patients with odontogenic sinusitis (OS) after endoscopic sinus surgery (ESS).

Methods: OS patients who received ESS from January 2018 to May 2022 were eligible. Demographic data, medical history, Lund-Mackay (LM) computed tomography (CT) score, Lund-Kennedy (LK) endoscopic score, and OS-specific CT score were recorded and analyzed. All patients were followed up for 6 months after surgery.

Results: A total of 48 patients (30 males and 18 females) were enrolled. A total of 35 cases (72.9%) were caused by dental diseases (periapical periodontitis), and 13 cases (27.1%) were caused by iatrogenic factors (including tooth extraction or implantation). The overall treatment success rate was 97.9%, and the success rates in the dental disease OS group (97.1%) and the iatrogenic OS group (100%) were not significantly different (X2 = 0.329, P = .729). None of the patients in the dental disease group received treatment of the causative teeth within 6 months after the operation, except for one patient who received tooth extraction treatment 6 months after the operation.

Conclusion: Without considering the impact of dental disease on patients' oral health, OS can be completely alleviated by ESS alone, even if no dental treatment is carried out after surgery.

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内窥镜鼻窦手术后对牙源性鼻窦炎进行后续牙科治疗的必要性。

目的研究内窥镜鼻窦手术（ESS）后牙源性鼻窦炎（OS）患者后续牙科治疗的必要性：2018年1月至2022年5月期间接受ESS的OS患者均符合条件。记录并分析人口统计学数据、病史、Lund-Mackay（LM）计算机断层扫描（CT）评分、Lund-Kennedy（LK）内镜评分和OS特异性CT评分。术后对所有患者进行了为期6个月的随访：共有 48 名患者（30 名男性和 18 名女性）入组。共有 35 例（72.9%）由牙科疾病（根尖周炎）引起，13 例（27.1%）由先天性因素（包括拔牙或植牙）引起。总体治疗成功率为 97.9%，牙病 OS 组（97.1%）和先天性 OS 组（100%）的成功率无显著差异（X2 = 0.329，P = .729）。除一名患者在术后6个月接受了拔牙治疗外，牙病组患者均未在术后6个月内接受致病牙治疗：结论：在不考虑牙科疾病对患者口腔健康影响的情况下，即使术后不进行牙科治疗，仅靠 ESS 也能完全缓解 OS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ent-Ear Nose & Throat Journal 医学-耳鼻喉科学

CiteScore

3.20

自引率

0.00%

发文量

385

审稿时长

6-12 weeks

期刊介绍： Ear, Nose & Throat Journal provides practical, peer-reviewed original clinical articles, highlighting scientific research relevant to clinical care, and case reports that describe unusual entities or innovative approaches to treatment and case management. ENT Journal utilizes multiple channels to deliver authoritative and timely content that informs, engages, and shapes the industry now and into the future.