牙源性慢性鼻窦炎

Jiří Blecha, T. Filipovský, J. Betka, T. Králová, L. Dostálová, Šárka Zavázalová, J. Astl
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引用次数: 0

摘要

慢性鼻窦炎是鼻和副鼻窦的常见病。我们注意到牙齿源性疾病的发生越来越有规律。这个原因往往被忽视。与鼻源性鼻窦炎相比,由于厌氧菌的较高患病率,治疗时间更长,更复杂。治疗可分为两个主要步骤。首先是消除牙源性感染本身的原因,其次是使用功能性内窥镜手术(FESS)修复继发鼻腔。为了正确治疗这种疾病,耳鼻喉科医生和牙医或口腔外科医生之间的跨学科合作是必要的。本文的结论是强调将这两个看似独立的问题和程序纳入一个功能单元的想法,这对患者来说是最有效的,负担最少的。在我看来,全面解决这个问题似乎是理想的。这缩短了治疗时间,并消除了患者在不同科室之间移动的需要。关键词:根尖牙周炎-牙源性鼻窦炎-口窦瘘-牙源性上颌鼻窦炎-内窥镜鼻窦手术-根管感染
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chronic rhinosinusitis of dental origin
Chronic rhinosinusitis is a common disease of the nose and paranasal sinuses. We note diseases of dental origin occurring with an increasing regularity. This cause tends to be overlooked. Treatment is longer and more complicated compared to rhinogenic sinusitis due to the higher prevalence of anaerobic bacteria. The treatment can be divided into two main steps. The first is to remove the cause of the odontogenic infection itself, followed by the remediation of secondary nasal cavities using functional endoscopic surgery (FESS). In order to treat this disease properly, inter-disciplinary cooperation between an otorhinolaryngologist and a dentist or oral surgeon is necessary. Conclusions of this paper is to highlight the idea of treating these two seemingly separate issues and procedures into one functional unit that will be most effective and least burdensome for the patient. From my point of view, it seems ideal to address this issue comprehensively. This shortens the treatment time and eliminates the need for the patient to move between different departments. Keywords: apical periodontitis – odontogenic sinusitis – oroantral fi stula – maxillary sinusitis of dental origin – endoscopic sinus surgery – root canal infection
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