Surgically treated chronic maxillary sinusitis: Does the odontogenic etiology alone or in combination with a fungus ball matter?

IF 2.2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-09-24 DOI:10.1016/j.jormas.2024.102086

Edouard Di Donna, Alexandre Perez, Julien Wen Hsieh, Dimitrios Daskalou, Romain Aymon, Basile Nicolas Landis, Paolo Scolozzi

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引用次数: 0

Abstract

Purpose: To determine whether odontogenic maxillary sinusitis, either alone (OMSw/oFB) or in combination with fungus ball (OMSwFB), is associated with specific clinical characteristics and treatment outcomes compared to non-odontogenic maxillary sinusitis.

Materials and methods: A retrospective cohort study was performed on patients who underwent surgical treatment for chronic maxillary sinusitis between 2013 and 2021. OMSw/oFB and OMSwFB patients, were selected as the study group, while patients diagnosed with non-odontogenic maxillary sinusitis (non-OMS) were enrolled as the control group. Predictor variables were OMSw/oFB and OMSwFB. Outcomes were clinical presentation, postoperative complications, and treatment outcome. Descriptive, bivariate, and multiple logistic regression statistics were calculated, and the significance level was set at P ≤ 0.05.

Results: The sample included 200 patients with a mean age of 49.6 ± 20.1 years and 57.5 % were men. Of the 200 patients, 123 (61.5 %) had non-OMS, 55 (27.5 %) had OMSw/oFB, and 22 (11 %) had OMSwFB. Multivariate analysis showed that OMSw/oFB was associated with more successful treatment rates (OR = 8.19, p < 0.01), whereas OMSwFB was associated with a less favorable outcome (OR = 0.27, p = 0.03). Age was associated with an unfavorable outcome in both OMS groups (OR: 0.98, p = 0.03 and p = 0.03, respectively), but no significant associations with other outcomes were found.

Conclusion: This study suggests that OMSwFB is a recalcitrant form of OMS associated with a higher risk of persistent symptoms and less favorable outcome. These patients should be informed about the challenging nature of the disease and closely monitored.

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经手术治疗的慢性上颌窦炎：牙源性病因单独存在还是与真菌球一起存在？

目的：确定与非牙源性上颌窦炎相比，牙源性上颌窦炎单独（OMSw/oFB）或合并真菌球（OMSwFB）是否与特定的临床特征和治疗效果相关：对2013年至2021年间接受手术治疗的慢性上颌窦炎患者进行了一项回顾性队列研究。研究选择了OMSw/oFB和OMSwFB患者作为研究组，而诊断为非牙源性上颌窦炎（非OMS）的患者作为对照组。预测变量为 OMSw/oFB 和 OMSwFB。结果为临床表现、术后并发症和治疗效果。计算了描述性统计、双变量统计和多元逻辑回归统计，显著性水平设定为P≤0.05：样本包括 200 名患者，平均年龄（49.6±20.1）岁，57.5% 为男性。在这 200 名患者中，123 人（61.5%）患有非 OMS，55 人（27.5%）患有 OMSw/oFB，22 人（11%）患有 OMSwFB。多变量分析显示，OMSw/oFB与更高的治疗成功率有关（OR = 8.19，p < 0.01），而OMSwFB与较差的预后有关（OR = 0.27，p = 0.03）。年龄与两组 OMS 的不良预后相关（OR：0.98，p = 0.03 和 p = 0.03），但与其他预后无明显关联：本研究表明，OMSwFB 是一种顽固的 OMS，与较高的持续症状风险和较差的预后相关。应让这些患者了解这种疾病的挑战性，并对其进行密切监测。

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

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.