副鼻窦真菌球、解剖变异与口腔病理有关系吗?

IF 0.7 Q4 OTORHINOLARYNGOLOGY
Bayram Şahi̇n, Ş. Çomoğlu, Said Sönmez, K. Değer, Meryem Nesil Keleş Türel
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引用次数: 3

摘要

目的:探讨上颌窦真菌球的解剖变异与真菌球的关系,以及牙源性病因与真菌球的关系。方法:我们分析66例接受鼻内窥镜手术治疗FB的患者的临床记录。解剖变异包括鼻中隔偏曲(NSD)和方向,Onodi和Haller细胞的存在,鼻甲大泡和蝶窦外侧隐窝。此外,回顾了牙科x线记录,以发现上颌窦FBs患者的任何可能的牙源性病因。结果:女性41例,男性25例。真菌培养阳性60例(91%),病原菌均为曲霉属。NSD与上颌窦FB定位的相关性有统计学意义(p=0.0409)。上颌窦FB多见于NSD的凹侧。与健康侧相比,口腔病变的存在与上颌窦FB显著相关(p=0.0011)。对于蝶窦FB, NSD在受病侧和未受病侧的检出率相似,无显著相关性(p < 0.05)。然而,蝶窦FB与侧隐窝的存在有显著的关系(p=0.0262)。结论:上颌窦FB多见于偏隔凹侧。此外,口腔病理或牙科治疗史的存在与上颌窦FB有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Paranasal Sinus Fungus Ball, Anatomical Variations and Dental Pathologies: Is There Any Relation?
Objective: The purpose of this study was to investigate the relationship between anatomical variations and the fungus ball (FB), and the association between odontogenic etiologies and the maxillary sinus FB. Methods: We analyzed the clinical records of 66 patients who underwent endoscopic sinus surgery for FB. The anatomical variations determined were nasal septal deviation (NSD) and direction, presence of Onodi and Haller cell, concha bullosa and lateral recess of the sphenoid sinus. Further, dental X-ray records were reviewed to detect any possible odontogenic etiologies in patients with maxillary sinus FBs. Results: There were 41 female and 25 male patients. Positive fungal culture was found in 60 patients (91%) and the causative fungus was Aspergillus species in all cases. The correlation between NSD and localization of the maxillary sinus FB was statistically significant (p=0.0409). Maxillary sinus FB was more common on the concave side of the NSD. Presence of dental pathologies was significantly associated with maxillary sinus FB compared to the healthy side (p=0.0011). For sphenoid sinus FB, NSD was detected in a similar number for both the affected and unaffected side and there were no significant correlations (p>0.05). However, the relationship between sphenoid sinus FB and presence of lateral recess was significant (p=0.0262). Conclusion: Our study revealed that the maxillary sinus FB was more common on the concave side of the deviated septum. Also, dental pathologies or a presence of dental treatment history were associated with maxillary sinus FB.
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