Management of complications of odontogenic maxillary sinusitis

Olga Procopenco, Sofia Lehtman, D. Hitu, Liliana Nastas, Anatol Caitaz, Alina Croitor
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Abstract

Odontogenic maxillary sinusitis is damage to the mucosa of the maxillary sinus caused by the spread of inflammation from periapical dental processes in the immediate proximity or prominent in the maxillary sinus. Another ethiology can be trauma or dental tumors with or without infection. Failure to identify the etiological dental factor usually causes severe complications. An early history and a thorough clinical examination, together with a radiological evaluation, are key factors in establishing a correct final diagnosis. The multidisciplinary approach between dentists, ophthalmologists, otorhinolaryngologists, neurologists and other specialists is necessary to avoid further complications, which sometimes put the patient’s life at risk. A medical management and an early diagnosis corresponding to the dental pathology, remain critical in the treatment of maxillary sinusitis of dental origin and the prevention of severe complications.
牙源性上颌窦炎并发症的处理
牙源性上颌窦炎是由于上颌窦邻近或突出的根尖周牙病程引起的炎症扩散对上颌窦粘膜造成的损伤。另一种病因可能是有或没有感染的外伤或牙齿肿瘤。如果不能确定牙科病因,通常会引起严重的并发症。早期病史和全面的临床检查以及放射学评估是确定正确最终诊断的关键因素。牙科医生、眼科医生、耳鼻喉科医生、神经科医生和其他专家之间的多学科合作是避免进一步并发症的必要条件,并发症有时会危及患者的生命。在治疗牙源性上颌窦炎和预防严重并发症方面,医疗管理和与牙科病理相应的早期诊断仍然至关重要。
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