国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (3): 367-372.doi: 10.7518/gjkq.2021057

• 综述 • 上一篇    

牙源性上颌窦炎的诊疗策略

付琢惠(),谭学莲,黄定明()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙体牙髓病科 成都 610041
  • 收稿日期:2020-10-05 修回日期:2021-01-20 出版日期:2021-05-01 发布日期:2021-05-14
  • 通讯作者: 黄定明
  • 作者简介:付琢惠,硕士,Email： 736842524@qq.com
  • 基金资助:
    四川大学华西口腔医院探索与研发项目(LCYJ2019-6)

Diagnosis and treatment of odontogenic maxillary sinusitis

Fu Zhuohui(),Tan Xuelian,Huang Dingming()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-10-05 Revised:2021-01-20 Online:2021-05-01 Published:2021-05-14
  • Contact: Dingming Huang
  • Supported by:
    Research and Develop Program, West China Hospital of Stomatology, Sichuan University(LCYJ2019-6)

RichHTML

622

PDF (PC)

3019

摘要：

因解剖关系密切,牙源性感染及口腔操作可引起上颌窦炎的发生。牙源性上颌窦炎约占所有上颌窦炎的40%,好发于40岁以上的中老年人;其诊治需考虑上颌窦炎及牙源性感染或刺激两个方面,涉及两个学科的交互,具有一定的难度。本文总结了牙源性上颌窦炎的发病机制及诊疗方法,同时简介了其他常见的上颌窦疾病,以期帮助口腔医生更好地分辨上颌窦黏膜异常,并能正确地处置牙源性上颌窦炎。

关键词: 牙源性上颌窦炎, 发病机制, 诊断, 治疗, 上颌窦疾病

Abstract:

Given their close anatomical relationship, dental infection and oral operation may cause maxillary sinusitis. Odontogenic maxillary sinusitis accounts for about 40% of all maxillary sinusitis, most commonly occurring in people over 40. Maxillary sinusitis and odontogenic infection or stimulation should be considered during the diagnosis and treatment of odontogenic maxillary sinusitis. However, the diagnosis and treatment of this condition can be difficult because of the interaction of the two disciplines. This review comprehensively summarizes the pathogenesis, diagnosis, and treatment of odontogenic maxillary sinusitis and other common maxillary sinus diseases. This paper may serve as a reference for dentists to distinguish maxillary sinus mucosal abnormalities and deal with odontogenic maxillary sinusitis.

Key words: odontogenic maxillary sinusitis, pathogenesis, diagnosis, treatment, maxillary sinus diseases

中图分类号: 

  • R78
[1] Workman AD, Granquist EJ, Adappa ND. Odontogenic sinusitis: developments in diagnosis, microbio-logy, and treatment[J]. Curr Opin Otolaryngol Head Neck Surg, 2018,26(1):27-33.
doi: 10.1097/MOO.0000000000000430 pmid: 29084007
[2] Manor Y, Garfunkel AA. Brain abscess following dental implant placement via crestal sinus lift‒a case report[J]. Eur J Oral Implantol, 2018,11(1):113-117.
[3] McCarty JL, David RM, Lensing SY, et al. Root cau-se analysis: an examination of odontogenic origins of acute maxillary sinusitis in both immunocompetent & immunocompromised patients[J]. J Comput Assist Tomogr, 2017,41(3):484-488.
doi: 10.1097/RCT.0000000000000522
[4] 姚瑶, 潘巨利. 上颌窦黏膜在上颌窦提升术中成骨作用的研究进展[J]. 国际口腔医学杂志, 2015,42(4):432-435.
Yao Y, Pan JL. Osteogenic potential of maxillary sinus membrane in the progress on sinus membrane eleva-tion[J]. Int J Stomatol, 2015,42(4):432-435.
[5] Whyte A, Boeddinghaus R. The maxillary sinus: phy-siology, development and imaging anatomy[J]. Dentomaxillofac Radiol, 2019,48(8):20190205.
[6] Lu Y, Liu ZJ, Zhang L, et al. Associations between maxillary sinus mucosal thickening and apical perio-dontitis using cone-beam computed tomography scanning: a retrospective study[J]. J Endod, 2012,38(8):1069-1074.
doi: 10.1016/j.joen.2012.04.027
[7] Hauman CH, Chandler NP, Tong DC. Endodontic implications of the maxillary sinus: a review[J]. Int Endod J, 2002,35(2):127-141.
pmid: 11843967
[8] Nascimento EH, Pontual ML, Pontual AA, et al. Association between odontogenic conditions and ma-xillary sinus disease: a study using cone-beam computed tomography[J]. J Endod, 2016,42(10):1509-1515.
doi: 10.1016/j.joen.2016.07.003 pmid: 27522456
[9] Legert KG, Zimmerman M, Stierna P. Sinusitis of odontogenic origin: pathophysiological implications of early treatment[J]. Acta Otolaryngol, 2004,124(6):655-663.
doi: 10.1080/00016480310016866
[10] Sakir M, Ercalik Yalcinkaya S. Associations between periapical health of maxillary molars and mucosal thi-ckening of maxillary sinuses in cone-beam compu-ted tomographic images: a retrospective study[J]. J Endod, 2020,46(3):397-403.
doi: 10.1016/j.joen.2019.12.004
[11] Zhang B, Wei Y, Cao J, et al. Association between the dimensions of the maxillary sinus membrane and molar periodontal status: a retrospective CBCT study[J]. J Periodontol, 2020,91(11):1429-1435.
doi: 10.1002/jper.v91.11
[12] de Souza-Nunes LA, Verner FS, Rosado LDPL, et al. Periapical and endodontic status scale for endodontically treated teeth and their association with maxillary sinus abnormalities: a cone-beam computed tomographic study[J]. J Endod, 2019,45(12):1479-1488.
doi: S0099-2399(19)30661-2 pmid: 31630784
[13] Raman A, Papagiannopoulos P, Kuhar HN, et al. Histopathologic features of chronic sinusitis precipitated by odontogenic infection[J]. Am J Rhinol Allergy, 2019,33(2):113-120.
doi: 10.1177/1945892418811210
[14] Kim S, Kratchman S. Microsurgery in endodontics[M]. Hoboken: Wilet, 2018: 160.
[15] Sjögren U, Sundqvist G, Nair PN. Tissue reaction to gutta-percha particles of various sizes when implan-ted subcutaneously in Guinea pigs[J]. Eur J Oral Sci, 1995,103(5):313-321.
pmid: 8521123
[16] Taschieri S, Torretta S, Corbella S, et al. Pathophy-siology of sinusitis of odontogenic origin[J]. J Investig Clin Dent, 2017,8(2). doi: 10.1111/jicd.12202.
[17] Naros A, Peters JP, Biegner T, et al. Fungus ball of the maxillary sinus-modern treatment by osteoplastic approach and functional endoscopic sinus surgery[J]. J Oral Maxillofac Surg, 2019,77(3):546-554.
doi: 10.1016/j.joms.2018.10.010
[18] Orlandi RR, Kingdom TT, Hwang PH, et al. International consensus statement on allergy and rhinology: rhinosinusitis[J]. Int Forum Allergy Rhinol, 2016,6(S1):S22-S209.
[19] 孔维佳, 周梁. 耳鼻咽喉头颈外科学[M]. 北京: 人民卫生出版社, 2016: 296-298.
Kong WJ, Zhou L. Otorhinolaryngology-head and ne-ck surgery[M]. Beijing: People’s Medical Publishing House, 2016: 296-298.
[20] Costa F, Emanuelli E, Franz L, et al. Single-step surgical treatment of odontogenic maxillary sinusitis: a retrospective study of 98 cases[J]. J Craniomaxillofac Surg, 2019,47(8):1249-1254.
doi: 10.1016/j.jcms.2019.04.012
[21] Phothikhun S, Suphanantachat S, Chuenchompoonut V, et al. Cone-beam computed tomographic evidence of the association between periodontal bone loss and mucosal thickening of the maxillary sinus[J]. J Perio-dontol, 2012,83(5):557-564.
[22] Simuntis R, Vaitkus J, Kubilius R, et al. Comparison of sino-nasal outcome test 22 symptom scores in rhinogenic and odontogenic sinusitis[J]. Am J Rhinol Allergy, 2019,33(1):44-50.
doi: 10.1177/1945892418804975
[23] Tsuji T, Tanaka S, Nishide Y, et al. Clinical implications of taste thresholds in patients with odontoge-nic maxillary sinusitis[J]. Int J Oral Maxillofac Surg, 2018,47(3):379-385.
doi: 10.1016/j.ijom.2017.11.002
[24] Hargreaves KM, Berman LH. Cohen’s pathways of the pulp[M]. 11th ed. Canada: Elsevier Inc, 2016: 23.
[25] Wuokko-Landén A, Blomgren K, Välimaa H. Acute rhinosinusitis-are we forgetting the possibility of a dental origin? A retrospective study of 385 patients[J]. Acta Otolaryngol, 2019,139(9):783-787.
doi: 10.1080/00016489.2019.1634837
[26] Radman WP. The maxillary sinus: revisited by an endodontist[J]. J Endod, 1983,9(9):382-383.
doi: 10.1016/S0099-2399(83)80189-7
[27] Patel S, Brown J, Pimentel T, et al. Cone beam computed tomography in endodontics‒a review of the literature[J]. Int Endod J, 2019,52(8):1138-1152.
doi: 10.1111/iej.13115 pmid: 30868610
[28] Expert Panel on Neurologic Imaging, Kirsch CFE, Bykowski J, et al. ACR appropriateness criteria® sinonasal disease [J]. J Am Coll Radiol, 2017,14(11S):S550-S559.
doi: 10.1016/j.jacr.2017.08.041
[29] Whyte A, Boeddinghaus R. Imaging of odontogenic sinusitis[J]. Clin Radiol, 2019,74(7):503-516.
doi: S0009-9260(19)30123-0 pmid: 30926134
[30] Bajoria AA, Sarkar S, Sinha P. Evaluation of odontogenic maxillary sinusitis with cone beam compu-ted tomography: a retrospective study with review of literature[J]. J Int Soc Prev Community Dent, 2019,9(2):194-204.
doi: 10.4103/jispcd.JISPCD_435_18 pmid: 31058071
[31] Vestin Fredriksson M, Öhman A, flygare L, et al. When maxillary sinusitis does not heal: findings on CBCT scans of the sinuses with a particular focus on the occurrence of odontogenic causes of maxillary sinusitis[J]. Laryngoscope Investig Otolaryngol, 2017,2(6):442-446.
doi: 10.1002/lio2.130 pmid: 29299521
[32] Starkey JL, Mortman RE. Treatment of maxillary sinusitis of odontogenic origin: a case series[J]. Compend Contin Educ Dent, 2019,40(8):516-522.
pmid: 31478698
[33] 郑波. 慢性根尖周炎与上颌窦底黏膜增厚的关系研究[D]. 成都: 四川大学, 2019: 1-68.
Zheng B. The relationship between chronic apical periodontitis and membrane thickness of maxillary sinus[D]. Chengdu: Sichuan University, 2019: 1-68.
[34] N Lathiya V, P Kolte A, A Kolte R, et al. Effect of periodontal therapy on maxillary sinus mucous membrane thickening in chronic periodontitis: a split-mou-th study[J]. J Dent Res Dent Clin Dent Prospects, 2018,12(3):166-173.
doi: 10.15171/joddd.2018.026
[35] 任颂, 庄广慧, 孙江, 等. 口腔颌面锥形束CT评价牙周非手术治疗对慢性牙周炎上颌窦黏膜变化的影响[J]. 中华口腔医学杂志, 2019,54(2):87-93.
doi: 10.3760/cma.j.issn.1002-0098.2019.02.003 pmid: 30695909
Ren S, Zhuang GH, Sun J, et al. Effect of nonopera-tive periodontal treatment on changes of schneide-rian membrane thickness of maxillary sinus in the chronic periodontitis patients using cone-beam CT[J]. Chin J Stomatol, 2019,54(2):87-93.
doi: 10.3760/cma.j.issn.1002-0098.2019.02.003 pmid: 30695909
[36] Fadda GL, Berrone M, Crosetti E, et al. Monolateral sinonasal complications of dental disease or treatment: when does endoscopic endonasal surgery require an intraoral approach[J]. Acta Otorhinolaryngol Ital, 2016,36(4):300-309.
doi: 10.14639/0392-100X-904 pmid: 27734983
[37] Zirk M, Dreiseidler T, Pohl M, et al. Odontogenic sinusitis maxillaris: a retrospective study of 121 cases with surgical intervention[J]. J Craniomaxillofac Surg, 2017,45(4):520-525.
doi: 10.1016/j.jcms.2017.01.023
[38] Safadi A, Ungar OJ, Oz I, et al. Endoscopic sinus surgery for dental implant displacement into the ma-xillary sinus‒a retrospective clinical study[J]. Int J Oral Maxillofac Surg, 2020,49(7):966-972.
doi: 10.1016/j.ijom.2020.01.009
[39] Wang KL, Nichols BG, Poetker DM, et al. Odontogenic sinusitis: a case series studying diagnosis and management[J]. Int Forum Allergy Rhinol, 2015,5(7):597-601.
doi: 10.1002/alr.2015.5.issue-7
[40] 王虎, 谭震, 游梦, 等. 上颌窦囊性改变的影像分类诊断及上颌窦提升术的探讨[J]. 华西口腔医学杂志, 2019,37(5):457-462.
Wang H, Tan Z, You M, et al. Imaging classification diagnosis and maxillary sinus floor augmentation of maxillary sinus cystic lesions[J]. West China J Sto-matol, 2019,37(5):457-462.
[1] 刘世一, 陈中, 张素欣. 程序性死亡受体/配体免疫治疗策略在人乳头瘤病毒阳性头颈部鳞状细胞癌中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 21-27.
[2] 和子慕, 李风兰. 数字化口腔定位支架在头颈部肿瘤放射治疗中的应用现状[J]. 国际口腔医学杂志, 2024, 51(1): 28-35.
[3] 傅豫, 何薇, 黄兰. 铁死亡在口腔疾病中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 36-44.
[4] 韩冲,何东宁,余飞燕,吴东潮. 口腔种植术后疼痛机制及治疗的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 99-106.
[5] 夏溦瑶,贾仲林. 维生素与唇腭裂发生相关性的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 632-638.
[6] 胡佳,王秀清,卢国英,黄晓晶. 再生性牙髓治疗在成人根尖发育不全恒牙应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 686-695.
[7] 陆磊,王鑫,康泽标,谢富强. 计算机辅助导航手术在复杂颌面部骨折中的应用新进展[J]. 国际口腔医学杂志, 2023, 50(6): 696-703.
[8] 杨冬叶,朱萍,吴淑仪. 舌位的影响因素及临床意义[J]. 国际口腔医学杂志, 2023, 50(6): 723-728.
[9] 刘洋,尹德强. 关于颌位调整方法的思考和改进[J]. 国际口腔医学杂志, 2023, 50(5): 499-505.
[10] 李奕君, 徐子昂, 李一. 前哨淋巴结在头颈部鳞状细胞癌检测的应用进展[J]. 国际口腔医学杂志, 2023, 50(5): 521-527.
[11] 戢晓,张岚,黄定明. 牙源性与非牙源性上颌窦炎鉴别诊断及其治疗方案的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 566-572.
[12] 赵苑汐,苏勤. 根管再治疗中根管充填物去除辅助技术的应用与发展[J]. 国际口腔医学杂志, 2023, 50(5): 581-586.
[13] 宋文鹏,龚蓓文,李聃,曾剑玉,仇玲玲. 机械疗法在正畸治疗中应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 603-612.
[14] 刘婷,武秀萍. 唐氏综合征的口腔-颅颌面表征及治疗进展[J]. 国际口腔医学杂志, 2023, 50(5): 618-622.
[15] 吴思佳,舒畅,王洋,王媛,邓淑丽,王慧明. 根管内感染控制对年轻恒牙牙髓再生治疗的影响及研究进展[J]. 国际口腔医学杂志, 2023, 50(4): 388-394.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 高卫民,李幸红. 发达国家牙医学院口腔种植学教学现状[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[8] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[9] 杨美祥. 前牙厚度在预测上下颌牙量协调性中的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 赵艳丽. 手术刀、电凝、CO_2和KTP激光对大鼠舌部创口的作用[J]. 国际口腔医学杂志, 1999, 26(04): .