鼻内窥镜治疗慢性牙源性上颌窦炎的临床观察

目的:探讨应用鼻内窥镜治疗慢性牙源性上颌窦炎的效果。方法:回顾性分析32例慢性牙源性上颌窦炎患者,均采用经鼻内窥镜下联合进路中鼻道上颌窦造口,观察其疗效。结果:所有病例均无面颊肿胀、面颊麻木、上牙槽酸痛等症状,全组病例拔牙率为34.4%(11/32),9例经根管治疗的牙齿保存良好;随访3年未见复发。结论:鼻内窥镜手术能最大限度减少上颌窦黏膜及骨质的损伤,利于术后恢复,在保留鼻窦正常生理功能、保存牙齿及减少复发率等方面有较好效果。

The Clinical Observation of Nasendoscopy Surgery on Patients with Chronic Odontogenic Maxillary Sinusitis

Objective：To explore the therapeutic efficacy of surgery with nasendoscopy on chronic odontogenic maxillary sinusitis.Methods：The clinical data of 32 surgical patients with chronic odontogenic sinuitis of highmore antrum were retrospectively analysed,all cases undergone antrostomy in highmore antrum via middle nasal meatus with nasendoscopy.Results：No symptom such as cheek swelling,cheek numbness in all cases.The incidence rate of exelcymosis was 34.4%（11/32）,and teeth were preserved well by root canal therapy in 9 cases.apertures of nasal meatus recovered to be unobstructed after 3 to 6 months,no recurrence was found after 3 year follow-up visit.Conclusions：nasendoscopy surgery can utmost reduce trauma to mucous membrane of maxillary sinus.There were more therapeutic advantages in patients with antrostomy in highmore antrum via middIe nasaI meatus with nasendoscopy in the tooth preservation and prevention of recurrence.