牙源性上颌窦炎治疗进展

摘要/Abstract

摘要： 牙源性上颌窦炎不仅需要牙髓治疗、抗生素的应用,更多时候还需要手术配合。手术既包括患牙根尖切除术以及口腔-上颌窦瘘修补术,也包括传统或改良的Caldwell-Luc手术、鼻内镜等涉及上颌窦窦腔的手术。本文就牙源性上颌窦炎治疗的研究进展做一综述。

关键词: 牙源性上颌窦炎, 牙髓治疗, 口腔-上颌窦瘘

Abstract: Odontogenic maxillary sinusitis (OMS) is a common disease that requires surgery as well as treatments of the odontogenic source. Surgical treatments include apectomy and closure of oro-antral fistula, classic or modified Caldwell-Luc operation and endoscopic surgery. This article reviewed the progress of surgical treatments of OMS and provided some help for clinical work.

Key words: Odontogenic maxillary sinusitis, Endodontic treatments, Oro-antral fistula

中图分类号:

R782

胡颖恺, 徐光宙, 杨驰. 牙源性上颌窦炎治疗进展[J]. 中国口腔颌面外科杂志, 2014, 12(6): 558-564.

HU Ying-kai, XU Guang-zhou, YANG Chi. Progress of treatments of odontogenic maxillary sinusitis[J]. China J Oral Maxillofac Surg, 2014, 12(6): 558-564.

参考文献

[1] Sandler HJ. Clinical update the teeth and the maxillary sinus: the mutual impact of clinical procedures, disease conditions and their treatment implications. Part 2. Odontogenic sinus disease and elective clinical procedures involving the maxillary antrum: diagnosis and management[J]. Aust Endod J, 1999, 25(1): 32-36.
[2] Hauman CH, Chandler NP, Tong DC. Endodontic implications of the maxillary sinus: a review [J]. Int Endod J, 2002, 35(2): 127-141.
[3] Ariji Y, Obayashi N, Goto M, et al. Roots of the maxillary first and second molars in horizontal relation to alveolar cortical plates and maxillary sinus: computed tomography assessment for infection spread [J]. Clin Oral Investig, 2006, 10(1): 35-41.
[4] Selden HS. Endo-antral syndrome and various endodontic complications [J]. J Endod, 1999, 25(5): 389-393.
[5] Selden HS. The endo-antral syndrome: an endodontic complication [J]. J Am Dent Assoc, 1989, 119(3): 397-398.
[6] Kobayashi A. Asymptomatic aspergillosis of the maxillary sinus associated with foreign body of endodontic origin. Report of a case [J]. Int J Oral Maxillofac Surg, 1995, 24(3): 243-244.
[7] McKendry DJ. Comparison of balanced forces, endosonic, and step-back filing instrumentation techniques: quantification of extruded apical debris [J]. J Endod, 1990, 16(1): 24-27.
[8] Ehrich DG, Brian JD Jr, Walker WA. Sodium hypochlorite accident: inadvertent injection into the maxillary sinus [J]. J Endod, 1993, 19(4): 180-182.
[9] Krennmair G, Lenglinger F. Maxillary sinus aspergillosis: diagnosis and differentiation of the pathogenesis based on computed tomography densitometry of sinus concretions [J]. J Oral Maxillofac Surg, 1995, 53(6): 657-663.
[10] Khongkhunthian P, Reichart PA. Aspergillosis of the maxillary sinus as a complication of overfilling root canal material into the sinus: report of two cases [J]. J Endod, 2001, 27(7): 476-478.
[11] Liston PN, Walters RF. Foreign bodies in the maxillary antrum: a case report [J]. Aust Dent J, 2002, 47(4): 344-346
[12] Geurtsen W. Biocompatibility of root canal filling materials [J]. Aust Endod J, 2001, 27(1): 12-21.
[13] Eberhardt JA, Torabinejad M, Christiansen EL. A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth [J]. Oral Surg Oral Med Oral Pathol, 1992, 73(3): 345-346.
[14] Freedman A, Horowitz I. Complications after apicoectomy in maxillary premolar and molar teeth [J]. Int J Oral Maxillofac Surg, 1999, 28(3): 192-194.
[15] Stammberger H. Endoscopic endonasal surgery concepts in treatment of recurring rhinosinusitis. Part Ⅰ. Anatomic and pathophysiologic considerations [J]. Otolaryngol Head Neck Surg, 1986, 94(2): 143-147.
[16] Benninger MS, Sebek BA, Levine HL. Mucosal regeneration of the maxillary sinus after surgery [J]. Otolaryngol Head Neck Surg, 1989, 101(1): 33-37.
[17] Jerome CE, Hill AV. Preventing root tip loss in the maxillary sinus during endodontic surgery [J]. J Endod, 1995, 21(8): 422-424.
[18] Bahcall JK, DiFiore PM, Poulakidas TK. An endoscopic technique for endodontic surgery [J]. J Endod, 1999, 25(2): 132-135.
[19] Nezafati S, Vafaii A, Ghojazadeh M. Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication[J]. Int J Oral Maxillofac Surg,2012,41(5):624-628.
[20] 邱蔚六. 口腔颌面外科学 [M]. 第6版. 北京: 人民卫生出版社, 2008: 93.
[21] Hori M, Tanaka H, Matsumoto M, et al. Application of the interseptal alveolotomy for closing the oroantral fistula [J]. J Oral Maxillofac Surg, 1995, 53(12): 1392-1396.
[22] Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature [J]. J Oral Maxillofac Surg, 2010, 68(6): 1384-1391.
[23] von Wowern N. Closure of oroantral fistula with buccal flap: rehrmann versus môcz&#x0dbc0;&#x0dd61;r[J]. Int J Oral Surg,1982, 11(3): 156-165.
[24] Ehrl PA. Oroantral communication. Epicritical study of 175 patients, with special concern to secondary operative closure [J]. Int J Oral Surg, 1980, 9(5): 351-358.
[25] Lee JJ, Kok SH, Chang HH, et al. Repair of oroantral communications in the third molar region by random palatal flap [J]. Int J Oral Maxillofac Surg, 2002, 31(6): 677-680.
[26] Salins PC, Kishore SK. Anteriorly based palatal flap for closure of large oroantral fistula [J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 1996, 82(3): 253-256.
[27] Prashanth R, Nandini GD, Balakrishna R. Evaluation of versatility and effectiveness of pedicled buccal fat pad used in the reconstruction of intra oral defects [J]. J Maxillofac Oral Surg, 2013, 12(2):152-159.
[28] Baumann A, Ewers R. Application of the buccal fat pad in oral reconstruction [J]. J Oral Maxillofac Surg, 2000, 58(4): 389-392.
[29] Martín-Granizo R, Naval L, Costas A, et al. Use of buccal fat pad to repair intraoral defects: review of 30 cases [J]. Br J Oral Maxillofac Surg, 1997, 35(2): 81-84.
[30] Buchbinder D, St-Hilaire H. Tongue flaps in maxillofacial surgery [J]. Oral Maxillofac Surg Clin North Am, 2003, 15(4): 475-486.
[31] Bell G. Oro-antral fistulae and fractured tuberosities [J]. Br Dent J, 2011, 211(3): 119-123.
[32] 陈明珍. 双瓣重叠术修复口腔上颌窦瘘[J]. 广东牙病防治, 1998, 6(4): 36.
[33] Watzak G, Tepper G, Zechner W, et al. Bony press-fit closure of oro-antral fistulas: a technique for pre-sinus lift repair and secondary closure [J]. J Oral Maxillofac Surg, 2005, 63(9): 1288-1294.
[34] Peñarrocha-Diago M, García B, Gomez D, et al. Zygomatic bone graft for oral-antral communication closure and implant placement [J]. J Oral Implantol, 2007, 33(5): 305-309.
[35] Haas R, Watzak G, Baron M, et al. A preliminary study of monocortical bone grafts for oroantral fistula closure [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2003, 96(3): 263-266.
[36] StajciZ, TodoroviL J, PetroviV. Tissucol in closure of oroantral communication. A pilot study [J]. Int J Oral Surg, 1985, 14(5): 444-446.
[37] Mitchell R, Lamb J. Immediate closure of oro-antral communications with a collagen implant. A preliminary report [J]. Br Dent J, 1983, 154(6): 171-174.
[38] Ogunsalu C. A new surgical management for oro-antral communication: the resorbable guided tissue regeneration membrane bone substitute sandwich technique [J]. West Indian Med J, 2005, 54(4): 261-263.
[39] Steiner M, Gould AR, Madion DC, et al. Metal plates and foils for closure of oroantral fistulae [J]. J Oral Maxillofac Surg, 2008, 66(7): 1551-1555.
[40] Kitagawa Y, Sano K, Nakamura M, et al. Use of third molar transplantation for closure of the oroantral communication after tooth extraction: a report of 2 cases [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2003, 95(4): 409-415.
[41] Waldrop TC, Semba SE. Closure of oroantral communication using guided tissue regeneration and an absorbable gelatin membrane [J]. J Periodontol, 1993, 64(11): 1061-1066.
[42] Grzesiak-Janas G, Janas A. Conservative closure of antro-oral communication stimulated with laser light [J]. J Clin Laser Med Surg, 2001, 19(4): 181-184.
[43] Logan RM, Coates EA. Non-surgical management of an oro-antral fistula in a patient with HIV infection [J]. Aust Dent J, 2004, 48(4): 255-258.
[44] Kansu L, Akman H, Uckan S. Closure of oroantral fistula with the septal cartilage graft [J]. Eur Arch Otorhinolaryngol, 2010, 267(11): 1805-1806.
[45] Barzilai G, Greenberg E, Uri N. Indications for the Caldwell-Luc approach in the endoscopic era [J]. Otolaryngol Head Neck Surg, 2005, 132(2): 219-220.
[46] Kennedy DW. Sinus surgery: a century of controversy [J]. Laryngoscope, 1997, 107(1): 1-5.
[47] Patel NA, Ferguson BJ. Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis [J]. Curr Opin Otolaryngol Head Neck Surg, 2011, 20(1): 24-28.
[48] Huang YC, Chen WH. Caldwell-Luc operation without inferior meatal antrostomy: a retrospective study of 50 cases [J]. J Oral Maxillofac Surg, 2012, 70(9): 2080-2084.
[49] Venetis G, Bourlidou E, Liokatis PG, et al. Endoscopic assistance in the diagnosis and treatment of odontogenic maxillary sinus disease[J]. J Oral Maxillofac Surg, 2014,18(2).207-212.
[50] Goh YH. Ectopic eruption of maxillary molar tooth an unusual cause of recurrent sinusitis [J]. Singapore Med J, 2001, 42(2): 80-81.
[51] Esther K, James D. Caldwell-Luc procedure [J]. Otolaryngol Head Neck Surg, 2010, 21(3): 163-165.
[52] Matheny KE, Duncavage JA. Contemporary indications for the Caldwell-Luc procedure [J]. Curr Opin Otolaryngol Head Neck Surg, 2003, 11(1): 23-26.
[53] DeFreitas J, Lucente FE. The Caldwell-Luc procedure: institutional review of 670 cases: 1975-1985 [J]. Laryngoscope, 1988, 98(12): 1297-1300.
[54] Cutler JL, Duncavage JA, Matheny K, et al. Results of Caldwell-Luc after failed endoscopic middle meatus antrostomy in patients with chronic sinusitis[J]. Laryngoscope,2003,113(12):2148-2150.
[55] Meltzer EO, Hamilos DL, Hadley JA, et al. Rhinosinusitis: establishing definitions for clinical research and patient care[J]. J Allergy Clin Immunol,2004,114(6):155-1212.
[56] Costa F, Emanuelli E, Robiony M, et al. Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin[J]. J Oral Maxillofac Surg, 2007, 65(2): 223-228.
[57] Unlü HH, Caylan R, Nalça Y, et al. An endoscopic and tomographic evaluation of patients with sinusitis after endoscopic sinus surgery and Caldwell-Luc operation: a comparative study[J]. J Otolaryngol, 1994, 23(3): 197-203.
[58] Senior B, Wirtschafter A, Mai C, et al. Quantitative impact of pediatric sinus surgery on facial growth[J]. Laryngoscope, 2000, 110(11): 1866-1870.
[59] Bothwell MR, Piccirillo JF, Lusk RP, et al. Long-term outcome of facial growth after functional endoscopic sinus surgery [J]. Otolaryngol Head Neck Surg, 2002, 126(6): 628-634.
[60] Joe Jacob K, George S, Preethi S, et al. A comparative study between endoscopic middle meatal antrostomy and Caldwell-Luc surgery in the treatment of chronic maxillary sinusitis [J]. Indian J Otolaryngol Head Neck Surg, 2011, 63(3): 214-219.
[61] Chemli H, Mnejja M, Dhouib M, et al. Maxillary sinusitis of odontogenic origin: surgical treatment [J]. Rev Stomatol Chir Maxillofac, 2012, 113(2): 87-90.
[62] Coleman JR Jr, Duncavage JA. Extended middle meatal antrostomy: the treatment of circular flow [J]. Laryngoscope, 1996, 106(10): 1214-1217.
[63] Al-Belasy FA. Inferior meatal antrostomy: is it necessary after radical sinus surgery through the Caldwell-Luc approach? [J]. J Oral Maxillofac Surg, 2004, 62(5): 559-562.
[64] Hosemann W, Scotti O, Bentzien S. Evaluation of telescopes and forceps for endoscopic transnasal surgery on the maxillary sinus [J]. Am J Rhinol, 2003, 17(5): 311-316.
[65] Saito H, Takanami N, Saito T, et al. Studies on the Caldwell-Luc operation with or without counteropening at the inferior meatus [J]. ORL J Otorhinolaryngol Relat Spec, 1990, 52(4): 249-253.
[66] Alusi HA. A new approach to the surgical treatment of chronic maxillary sinusitis. (a preliminary report) [J]. J Laryngol Otol, 1980, 94(10): 1145-1149.
[67] Kennedy DW, Shaalan H. Reevaluation of maxillary sinus surgery: experimental study in rabbits [J]. Ann Otol Rhinol Laryngol, 1989, 98(11): 901-906.
[68] Davis WE, Templer JW, LaMear WR. Patency rate of endoscopic middle meatus antrostomy [J]. Laryngoscope, 1991, 101(4 Pt 1): 416-420.
[69] el-Hennawi DM. Combined functional endoscopic sinus surgery (FESS): a revisited approach [J]. Rhinology, 1999, 36(4): 196-201.
[70] Lund V. The evolution of surgery on the maxillary sinus for chronic rhinosinusitis [J]. Laryngoscope, 2002, 112(3): 415-419.
[71] Schaefer SD, Manning S, Close LG. Endoscopic paranasal sinus surgery: indications and considerations [J]. Laryngoscope, 1989, 99(1): 1-5.
[72] 刘铭, 韩德民, 周兵, 等. 鼻腔-鼻窦手术中的微创外科体会 [J]. 耳鼻咽喉头颈外科, 2002, 9(3): 139-141.
[73] 周兵, 韩德民, 崔顺九, 等. 鼻内镜下上颌窦手术 [J]. 中国医学文摘(耳鼻咽喉科学分册), 2007, 22(4): 193-195.
[74] Lopatin AS, Sysolyatin SP, Sysolyatin PG, et al. Chronic maxillary sinusitis of dental origin: is external surgical approach mandatory? [J]. Laryngoscope, 2002, 112(6): 1056-1059.
[75] Kraut RA, Smith RV. Team approach for closure of oroantral and oronasal fistulae [J]. Atlas Oral Maxillofac Surg Clin North Am, 2000, 8(1): 55-75.
[76] Sathananthar S, Nagaonkar S, Paleri V, et al. Canine fossa puncture and clearance of the maxillary sinus for the severely diseased maxillary sinus [J]. Laryngoscope, 2005, 115(6): 1026-1029.
[77] Tobita T, Nakamura M, Ueno T, et al. Sinus augmentation surgery after endoscopic sinus surgery for the treatment of chronic maxillary sinusitis: a case report [J]. Implant Dent, 2011, 20(5): 337-340.
[78] Yang TQ, Majima Y, Guo Y, et al. Mucociliary transport function and damage of ciliated epithelium [J]. Am J Rhinol, 2002, 16(4): 215-219.
[79] Moreno PM, Meseguer DH. Bone changes after maxillary sinus surgery: an experimental scanning electron microscopy study [J]. J Laryngol Otol,2008, 122(5): 470-475.
[80] Kennedy DW. First-line management of sinusitis: a national problem? Surgical update [J]. Otolaryngol Head Neck Surg, 1990, 103(5 Pt 2): 884-886.
[81] Hamada Y, Kondoh T, Imamura E, et al. A unique balloon catheter for maxillary sinus surgery [J]. Asian J Oral Maxillofac Surg, 2002, 14(4): 215-218.
[82] 吴崇华, 李汉钊, 丁跃明, 等. 球形气囊在上颌窦根治术中的应用及效果评价[J].大理医学院学报(医学版),1998,7(1):15-16,19.
[83] Shikani AH. A new middle meatal antrostomy stent for functional endoscopic sinus surgery [J]. Laryngoscope, 1994, 104(5 Pt 1): 638-641.
[84] Thottam PJ, Haupert M, Saraiya S, et al. Functional endoscopic sinus surgery (FESS) alone versus balloon catheter sinuplasty (BCS) and ethmoidectomy:a comparative outcome analysis in pediatric chronic rhinosinusitis [J]. Int J Pediatr Otorhinolaryngol, 2012, 76(9): 1355-1360.
[85] Fitzgerald TN, Duffy AJ, Bell RL, et al. Computer-based endoscopy simulation: emerging roles in teaching and professional skills assessment [J]. J Surg Educ, 2008, 65(3): 229-235.
[86] Melgarejo-Moreno PJ, Ribera-Cortada I, Sarroca-Capell E. Radical or partial maxillary sinus surgery: a dilemma today? An experimental study [J]. Rhinology, 1996, 34(2): 110-113.
[87] Kurokawa H, Takeda S, Yamashita Y, et al. Evaluation of a modified method for maxillary sinus surgery reimplantation of the anterior bony wall of the maxillary sinus [J]. Asian J Oral Maxillofac Surg, 2002, 14(3): 144-147.
[88] Lindorf HH. Osteoplastic surgery of the sinus maxillaris the "bone lid"-method[J]. J Maxillofac Surg,1984,12(6):271-276.
[89] Moskow BS. A histomorphologic study of the effects of periodontal inflammation on the maxillary sinus mucosa [J]. J Periodontol, 1992, 63(8): 674-681.
[90] Nurbakhsh B, Friedman S, Kulkarni GV, et al. Resolution of maxillary sinus mucositis after endodontic treatment of maxillary teeth with apical periodontitis: a cone-beam computed tomography pilot study [J]. J Endod, 2011, 37(11): 1504-1511.