牙源性鼻窦炎临床研究进展

程 慢慢, 张 英*
青海大学附属医院

摘要


牙源性鼻窦炎（ODS）是耳鼻喉科、颌面外科和牙科领域最常见的疾病之一。近年来，随着种植体、根管
治疗和牙槽手术的增多，牙源性鼻窦炎的发病率也显著增加，引起了多个学科的关注。由于鼻源性和牙源性鼻窦炎
的临床表现相似，多累及上颌窦，伴随流脓涕、鼻塞、鼻臭及嗅觉减退等症状，CT检查时窦膜的变化以增厚或混浊
的形式出现，所以鼻源性和牙源性鼻窦炎的鉴别、诊断也是一大难题，所以了解牙源性鼻窦炎的病因、病理、诊断、
临床表现、检查、治疗从而加深了我们对该病的认识，减少误诊的发生。

关键词


牙源性鼻窦炎；病因；病理；分类；临床表现；辅助检查；治疗

全文:

PDF


参考


[1]郑铭，吴健有，司马宇彤，et al.有/无鼻窦炎症

状的牙源性鼻窦炎患者的临床特征比较[J].首都医科大学

学报，2024，45（02）：239-45.

[2]GâTA A, TOADER C, VALEAN D, et al. Role

of Endoscopic Sinus Surgery and Dental Treatment in the

Management of Odontogenic Sinusitis Due to Endodontic

Disease and Oroantral Fistula [J]. J Clin Med, 2021, 10(12).

[3]FOKKENS W J, LUND V J, HOPKINS C, et al.

European Position Paper on Rhinosinusitis and Nasal Polyps

2020 [J]. Rhinology, 2020, 58(Suppl S29): 1-464.

[4]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.

[5]CRAIG J R. Odontogenic sinusitis: A state-of-theart review [J]. World J Otorhinolaryngol Head Neck Surg,

2022, 8(1): 8-15.

[6]VITALI F C, SANTOS P S, MASSIGNAN C, et

al. Global Prevalence of Maxillary Sinusitis of Odontogenic

Origin and Associated Factors: A Systematic Review and

Meta-Analysis [J]. J Endod, 2023, 49(4): 369-81.e11.

[7]CRAIG J R, TATARYN R W, AGHALOO T L,

et al. Management of odontogenic sinusitis: multidisciplinary

consensus statement [J]. Int Forum Allergy Rhinol, 2020,

10(7): 901-12.

[8]PREDA M A, MUŞAT O, SARAFOLEANU C C,

et al. Oculo-orbital complications of odontogenic sinusitis [J].

Rom J Ophthalmol, 2023, 67(2): 175-9.

[9]MARK I T, GLASTONBURY C M. Role of

Computed Tomography and Magnetic Resonance Imaging in

the Evaluation of Headache Due to Paranasal Sinus and Teeth

Disorder [J]. Neurol Clin, 2022, 40(3): 631-9.

[10]CRAIG J R, POETKER D M, AKSOY U,

et al. Diagnosing odontogenic sinusitis: An international

multidisciplinary consensus statement [J]. Int Forum Allergy

Rhinol, 2021, 11(8): 1235-48.

[11]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): 520-5.

[12]CRAIG J R, TATARYN R W, CHA B Y, et

al. Diagnosing odontogenic sinusitis of endodontic origin:

A multidisciplinary literature review [J]. Am J Otolaryngol,

2021, 42(3): 102925.

[13]PANZARELLA F K, COELHO M S, ESTRELA

C. Association between odontogenic conditions and maxillary

sinus abnormalities [J]. Ann Palliat Med, 2023, 12(5): 887-90.

[14]KARAMIFAR K, TONDARI A, SAGHIRI M A.

Endodontic Periapical Lesion: An Overview on the Etiology,

Diagnosis and Current Treatment Modalities [J]. Eur Endod J,

2020, 5(2): 54-67.

[15]KWON M S, LEE B S, CHOI B J, et al. Closure of

oroantral fistula: a review of local flap techniques [J]. J Korean

Assoc Oral Maxillofac Surg, 2020, 46(1): 58-65.

[16]GOYAL V K, SPILLINGER A, PETERSON E

I, et al. Odontogenic sinusitis publication trends from 1990

to 2019: a systematic review [J]. Eur Arch Otorhinolaryngol,

2021, 278(10): 3857-65.

[17]LONGHINI A B, BRANSTETTER B F,

FERGUSON B J. Otolaryngologists’perceptions of

odontogenic maxillary sinusitis [J]. Laryngoscope, 2012,

122(9): 1910-4.

[18]LONGHINI A B, BRANSTETTER B F,

FERGUSON B J. Unrecognized odontogenic maxillary

sinusitis: a cause of endoscopic sinus surgery failure [J]. Am J

Rhinol Allergy, 2010, 24(4): 296-300.

[19]VISSCHER S H, VAN MINNEN B, BOS R

R. Closure of oroantral communications: a review of the

literature [J]. J Oral Maxillofac Surg, 2010, 68(6): 1384-91.

[20]SAIBENE A M, VASSENA C, PIPOLO C, et al.

Odontogenic and rhinogenic chronic sinusitis: a modern

microbiological comparison [J]. Int Forum Allergy Rhinol,

2016, 6(1): 41-5.

[21]LIN J, WANG C, WANG X, et al. Expert

consensus on odontogenic maxillary sinusitis multidisciplinary treatment [J]. Int J Oral Sci, 2024, 16(1): 11.

[22]VAN DEN MUNCKHOF T, PATEL S, KOLLER

G, et al. Schneiderian membrane thickness variation following

endodontic procedures: a retrospective cone beam computed

tomography study [J]. BMC Oral Health, 2020, 20(1): 133.

[23]KULIGOWSKI P, JAROŃ A, PREUSS O, et

al. Association between Odontogenic and Maxillary Sinus

Conditions: A Retrospective Cone-Beam ComputedTomographic Study [J]. J Clin Med, 2021, 10(13).

[24]WHYTE A, BOEDDINGHAUS R. Imaging of

odontogenic sinusitis [J]. Clin Radiol, 2019, 74(7): 503-16.

[25]INCE YUSUFOGLU S, HASANOGLU

ERBASAR G N, GüLEN O. Evaluation of the effect of

periapical lesions and other odontogenic conditions on

maxillary sinus mucosal thickness characteristics and mucosal

appearance: A CBCT study [J]. J Dent Res Dent Clin Dent

Prospects, 2021, 15(3): 163-71.

[26]WHYTE A, BOEDDINGHAUS R. The maxillary

sinus: physiology, development and imaging anatomy [J].

Dentomaxillofac Radiol, 2019, 48(8): 20190205.

[27]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): 1249-54.

[28]MEIRINHOS J, MARTINS J N R, PEREIRA B,

et al. Prevalence of apical periodontitis and its association with

previous root canal treatment, root canal filling length and

type of coronal restoration - a cross-sectional study [J]. Int

Endod J, 2020, 53(4): 573-84.

[29]黄定明，张岚，满毅.牙保存相关上颌窦底提升

术的生物学基础[J].国际口腔医学杂志，2023，50（03）：

251-62.

[30]SATO K, CHITOSE S I, SATO K, et al.

Pathophysiology of current odontogenic maxillary sinusitis

and endoscopic sinus surgery preceding dental treatment [J].

Auris Nasus Larynx, 2021, 48(1): 104-9.

[31]MOCANU R C, MARTU M A, LUCHIAN I, et

al. Microbiologic Profiles of Patients with Dental Prosthetic

Treatment and Periodontitis before and after Photoactivation

Therapy-Randomized Clinical Trial [J]. Microorganisms,

2021, 9(4).

[32]YASSIN-KASSAB A, BHARGAVA P, TIBBETTS

R J, et al. Comparison of bacterial maxillary sinus cultures

between odontogenic sinusitis and chronic rhinosinusitis [J].

Int Forum Allergy Rhinol, 2021, 11(1): 40-7.

[33]BROOK I. Microbiology of acute and chronic

maxillary sinusitis associated with an odontogenic origin [J].

Laryngoscope, 2005, 115(5): 823-5.

[34]WU J, ZHENG M, ZHAO Y, et al. Bacterial

diversity and community characteristics of the sinus and

dental regions in adults with odontogenic sinusitis [J]. BMC

Microbiol, 2023, 23(1): 201.

[35]GONG X, HAN Z, FAN H, et al. The interplay of

inflammation and remodeling in the pathogenesis of chronic

rhinosinusitis: current understanding and future directions [J].

Front Immunol, 2023, 14: 1238673.

[36]ZHANG Y, LAN F, LI Y, et al. Formation of

papillary mucosa folds and enhancement of epithelial barrier

in odontogenic sinusitis [J]. Int Forum Allergy Rhinol, 2019,

9(11): 1281-8.

[37]CRAIG J R, DAI X, BELLEMORE S, et al.

Inflammatory endotype of odontogenic sinusitis [J]. Int Forum

Allergy Rhinol, 2023, 13(6): 998-1006.

[38]TASCHIERI S, TORRETTA S, CORBELLA S,

et al. Pathophysiology of sinusitis of odontogenic origin [J]. J

Investig Clin Dent, 2017, 8(2).

[39]RAMAN A, PAPAGIANNOPOULOS P,

KUHAR H N, et al. Histopathologic Features of Chronic

Sinusitis Precipitated by Odontogenic Infection [J]. Am J

Rhinol Allergy, 2019, 33(2): 113-20.

[40]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): 1429-35.

[41]KWIATKOWSKA M A, SZCZYGIELSKI K,

CHLOUPEK A, et al. Clinical characteristics of odontogenic sinusitis

with periapical lesions [J]. Am J Otolaryngol, 2022, 43(2): 103338.

[42]SATO K, CHITOSE S I, SATO K, et al.

Histopathology of maxillary sinus mucosa with odontogenic

maxillary sinusitis [J]. Laryngoscope Investig Otolaryngol,

2020, 5(2): 205-9.

[43]KWON K W, GWAK J W, CHUNG Y S.

Retrospective comparison of first-line treatments for

odontogenic sinusitis based on duration of symptoms [J]. Acta

Otorhinolaryngol Ital, 2024, 44(2): 91-9.

[44]WU J, ZHENG M, WANG X, et al. EndoPeriodontal Lesions-An Overlooked Etiology of Odontogenic

Sinusitis [J]. J Clin Med, 2023, 12(21).

[45]付琢惠，谭学莲，黄定明.牙源性上颌窦炎的诊

疗策略[J].国际口腔医学杂志，2021，48（03）：367-72.

[46]AUTIO T J, KOSKENKORVA T, NäRKIö M, et

al. Diagnostic accuracy of history and physical examination inbacterial acute rhinosinusitis [J]. Laryngoscope, 2015, 125(7):

1541-6.

[47]NURCHIS M C, PASCUCCI D, LOPEZ M

A, et al. Epidemiology of odontogenic sinusitis: an old,

underestimated disease, even today. A narrative literature

review [J]. J Biol Regul Homeost Agents, 2020, 34(5 Suppl.

3): 195-200. Technology in Medicine.

[48]MOLTENI R. The way we were (and how we

got here): fifty years of technology changes in dental and

maxillofacial radiology [J]. Dentomaxillofac Radiol, 2021,

50(1): 20200133.

[49]YOO B J, JUNG S M, LEE H N, et al. Treatment

Strategy for Odontogenic Sinusitis [J]. Am J Rhinol Allergy,

2021, 35(2): 206-12.

[50]CRAIG J R, MCHUGH C I, GRIGGS Z H, et al.

Optimal timing of endoscopic sinus surgery for odontogenic

sinusitis [J]. Laryngoscope, 2019, 129(9): 1976-83.

[51]YOSHIDA H, SAKASHITA M, ADACHI

N, et al. Relationship between infected tooth extraction

and improvement of odontogenic maxillary sinusitis [J].

Laryngoscope Investig Otolaryngol, 2022, 7(2): 335-41.

[52]AUKŠTAKALNIS R, SIMONAVIČIŪTĖ R,

SIMUNTIS R. Treatment options for odontogenic maxillary

sinusitis: a review [J]. Stomatologija, 2018, 20(1): 22-6.

[53]BRIGNARDELLO-PETERSEN R. Smokers

may have a higher prevalence of apical periodontitis and root

canal treatment than nonsmokers, but this is not evidence that

smoking is a risk factor for these outcomes [J]. J Am Dent

Assoc, 2020, 151(11): e113.

[54]GANG N, JIAMIN C, YE W, et al. Comparing

the efficacy of sinus irrigation with traditional Caldwell-Luc

procedure following odontogenic cyst surgery involving the

maxillary sinus [J]. Sci Rep, 2021, 11(1): 18136.

[55]CHEN Y W, HUANG C C, CHANG P H, et

al. The characteristics and new treatment paradigm of dental

implant-related chronic rhinosinusitis [J]. Am J Rhinol

Allergy, 2013, 27(3): 237-44.

[56]SHUKLA B, SINGH G, MISHRA M, et al. Closure

of oroantral fistula: Comparison between buccal fat pad and

buccal advancement flap: A clinical study [J]. Natl J Maxillofac

Surg, 2021, 12(3): 404-9.

[57]BERECZKI-TEMISTOCLE D L, GURZU S,

JUNG I, et al. Selecting the Best Surgical Treatment Methods

in Oro-Antral Communications [J]. Int J Environ Res Public

Health, 2022, 19(21).

[58]KOç O, TüZ H H, TOSUN E. A Novel Use of

Buccal Fat Pad Flap for Immediate Reconstruction of Palatal

Tumor Resection Defect [J]. J Craniofac Surg, 2019, 30(7):

e593-e5.

[59]EMES Y, AGA U, CESUR A, et al. Primary

Closure of Oroantral Communication Using Pedicled Buccal

Fat Pad Following Maxillary Cyst Enucleation [J]. J Craniofac

Surg, 2018, 29(2): e131-e3.

[60]郑波，张岚，宋东哲，et al.显微根尖外科手术与

牙源性上颌窦炎临床转归的关联性研究；proceedings of the

第十三次全国老年口腔医学学术年会，中国湖北武汉，F，

2018[C].

[61]LI D, FENG Y, TANG H, et al. A Simplified and

Effective Method for Generation of Experimental Murine

Periodontitis Model [J]. Front Bioeng Biotechnol, 2020, 8: 444.

[62]SIMUNTIS R, KUBILIUS R, TUŠAS P, et al.

Chronic Odontogenic Rhinosinusitis: Optimization of

Surgical Treatment Indications [J]. Am J Rhinol Allergy,

2020, 34(6): 767-74.

[63]MATTOS J L, FERGUSON B J, LEE S. Predictive

factors in patients undergoing endoscopic sinus surgery for

odontogenic sinusitis [J]. Int Forum Allergy Rhinol, 2016,

6(7): 697-700.


Refbacks

  • 当前没有refback。