牙源性鼻窦炎中上颌窦异物的处理：基于单中心经验的算法

文献信息

中文摘要

目的： 本研究旨在评估伴有异物的牙源性上颌窦炎患者的管理。
方法： 我们回顾性审查了在本机构接受治疗的165例患者；48例符合纳入标准并进行分析。所有患者均表现为牙源性鼻窦炎伴上颌窦异物，并根据基于临床和影像学发现的多学科治疗算法接受手术。
结果： 32例患者接受口腔与鼻腔联合入路同期治疗，12例仅接受口腔入路，4例仅接受鼻腔入路。所有病例均实现异物完全取出和症状完全缓解。
结论： 在这组回顾性系列中，全部48例患者的手术治疗均获得成功。我们的结果支持，多学科方法是我们队列中最常采用的策略，并在适当选择的患者中对于伴有上颌窦异物的牙源性鼻窦炎的管理被证明高度有效，使外科医生能够根据具体的解剖和临床表现量身定制手术入路。

英文摘要

PURPOSE: This study aimed to evaluate the management of patients with odontogenic maxillary sinusitis associated with foreign bodies.
METHODS: We retrospectively reviewed 165 patients treated at our institution; 48 met the inclusion criteria and were analyzed. All presented odontogenic sinusitis with a maxillary sinus foreign body and underwent surgery according to a multidisciplinary treatment algorithm based on clinical and radiological findings.
RESULTS: Thirty-two patients were treated with a simultaneous combined oral and nasal approach, 12 with an oral approach alone, and 4 with a nasal approach alone. Complete removal of the foreign body and complete symptom resolution were achieved in all cases.
CONCLUSION: In this retrospective series, surgical treatment was successful in all 48 patients. Our results support that a multidisciplinary approach was the most frequently utilized strategy in our cohort and proved highly effective in appropriately selected patients for the management of odontogenic sinusitis associated with maxillary foreign bodies, allowing surgeons to tailor the surgical approach to the specific anatomical and clinical presentation.