scholarly journals The Use of Computed Tomography for the Study of Chronic Maxillary Sinusitis: Based on Crania from the Pucará De Tilcara Fortress, Argentina

2020 ◽  
Vol 48 (3) ◽  
pp. 143-153
Author(s):  
A. V. Zubova ◽  
N. I. Ananyeva ◽  
V. G. Moiseyev ◽  
I. K. Stulov ◽  
L. M. Dmitrenko ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinusitis ◽  
Secondary Infection ◽  
Ostiomeatal Complex ◽  
Odontogenic Origin ◽  
X Ray Computed ◽  
Chronic Maxillary Sinusitis ◽  
Relationship Of ◽  
Skeletal Samples ◽  
Maxillary Sinuses

We discuss the methodological advantages of using X-ray computed tomography (CT) for diagnosing chronic maxillary sinusitis (CMS) of various etiologies on skeletal samples. A CT examination of 20 crania from the Pucará de Tilcara fortress, Argentina (late 8th to 16th centuries AD), was carried out. Criteria for identifying CMS included osteitic lesions in the form of focal destruction, and thickened and sclerotized walls of maxillary sinuses. To determine the etiology of the disease, a tomographic and macroscopic examination of the dentition and bones of the ostiomeatal complex were performed, the presence or absence of facial injuries was assessed, and the co-occurrence of various pathologies was statistically evaluated. Five cases of CMS were identified. Four of these may be of odontogenic origin; in two cases, a secondary infection of the maxillary sinuses is possible. In one instance, the etiology was not determined. No indications of traumatic infection were found. Statistical analysis revealed a relationship of CMS with apical periodontitis and the ante-mortem loss of upper molars and premolars. An indirect symptom of CMS may be the remodeled bone tissue and porosity of the posterior surface of the maxilla.

Mucociliary Clearance of the Maxillary Sinuses in Patients with Recurrent or Chronic Sinusitis

1994 ◽  
Vol 8 (6) ◽  
pp. 285-290 ◽  
Author(s):  
Matti A. Penttilä ◽  
Markus E.P. Rautiainen ◽  
Matti O. Koskinen ◽  
Väinö Turjanmaa ◽  
Jussi E. Laranne ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Mucociliary Clearance ◽  
Chronic Sinusitis ◽  
Maxillary Sinusitis ◽  
Treatment Options ◽  
Clinical Use ◽  
Radiographic Findings ◽  
Chronic Maxillary Sinusitis ◽  
Maxillary Sinuses

This is one of the first human studies of maxillary sinus mucociliary activity using human serum albumin labelled with 99m-technetium (99mTc-HSA) as a tracer in patients suffering from recurrent or chronic maxillary sinusitis. The tracer was injected into both maxillary sinuses through small sinus irrigation catheters. Nasal endoscopy and computed tomography were performed in all patients shortly before the injection. The clearance rates of four case report patients with different endoscopic and radiographic findings showed great individual variation. The technique proved to have viability for clinical use when evaluating sinusitis treatment options and results.

scholarly journals Post-implantation maxillary sinusitis: prevention and diagnosis

2021 ◽  
Vol 20 (1) ◽  
pp. 18-22
Author(s):  
V. V. Vishnyakov ◽  
◽  
A. Yu. Ovchinnikov ◽  
A. M. Panin ◽  
A. V. Bakotina ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Maxillary Sinusitis ◽  
Dental Practice ◽  
The Past ◽  
Dental Implantation ◽  
Ostiomeatal Complex ◽  
Chronic Maxillary Sinusitis ◽  
Implant Treatment ◽  
Post Implantation ◽  
Maxillary Sinuses

According to the data of domestic and foreign authors, the incidence of maxillary sinusitis has doubled over the past 10 years, and the proportion of patients hospitalized in ENT hospitals is increasing annually by 1.5–2.0%, moreover, rhinology and rhinosurgery are the main areas of work of the ENT hospital currently. An important role in the occurrence of chronic maxillary sinusitis is played by the condition of the nasal cavity, especially the area of the ostiomeatal complex. For more than 30 years, rehabilitation of patients with complete or partial absence of teeth using subantral grafting and dental implantation has been widespread in Russian dental practice. Odontogenic maxillary sinusitis is increasingly found as a complication of dental implant treatment in the upper jaw. Patients usually get consultations with an otorhinolaryngologist already with the appearance of complications, and this reduces the effectiveness of dental operations. The question of diagnosis of maxillary sinusitis and insufficient preoperative preparation before implant treatment at the dentist remains open. When preparing a patient for implant treatment at the dentist, important components are the otorhinolaryngological examination and computed tomography of the paranasal sinuses, which can reveal a violation of the architectonics of the nasal cavity, the ostiomeatal complex and the pathology of the maxillary sinuses.

Aspects of X-ray diagnostics of inflammatory processes in the maxillary sinuses

2021 ◽  
pp. 4-10
Author(s):  
A.P. Arzhantsev
Keyword(s):  
Computed Tomography ◽  
Multislice Computed Tomography ◽  
Maxillary Sinusitis ◽  
The State ◽  
X Ray ◽  
The Face ◽  
Inflammatory Processes ◽  
X Ray Computed ◽  
Diagnostic Capabilities ◽  
Maxillary Sinuses

Studying the characteristics X-ray pictures of the maxillary sinuses more than 350 patients with odontogenic diseases of the maxillary sinuses and no odontogenic of origin, as well as images of the maxillary sinuses in normal. We used data of orthopantomography, panoramic zonography middle and upper areas of the face, radiography of the paranasal sinuses, cone-beam and multislice computed tomography. Diseases of the maxillary sinuses characterized by a variety of origin and X-ray manifestations, which makes the complexity of the diagnosis. In this regard, the necessary knowledge of X-ray skialogicheskih features of pathological processes and the efficiency of X-ray techniques to objective detect not only the changes in the sinuses, but the factors causing the them. Multi -projection X-ray computed tomography examination of the maxillary sinus and alveolar process of the maxilla is a reliable method of assessing the state of the maxillary sinuses and the differentiation of the origin of maxillary sinusitis. Common dental X-ray techniques are limited diagnostic capabilities of assessing the state of the mucous membrane and the walls of the maxillary sinuses, which must be considered when interpreting the image.

Temporary Nasosinusal Drainage and Lavage in Chronic Maxillary Sinusitis

1993 ◽  
Vol 102 (11) ◽  
pp. 858-862 ◽  
Author(s):  
Bernard Bertrand ◽  
Philippe Eloy
Keyword(s):  
Computed Tomography ◽  
Treatment Duration ◽  
Saline Solution ◽  
Maxillary Sinusitis ◽  
Drain Tube ◽  
Inferior Meatus ◽  
Chronic Maxillary Sinusitis ◽  
Macroscopic Examination ◽  
Maxillary Sinuses

We report on 498 patients suffering from chronic maxillary sinusitis verified by sinusoscopy through the inferior meatus and by computed tomography of the sinuses, which permitted also the diagnosis of coexisting chronic ethmoidal sinusitis. The patients were treated by temporary drainage through a polyethylene drain tube left in place at the end of the antroscopy for daily lavage with saline solution and daily instillation in the sinus of thiamphenicol glycinate hydrochloride (similar to chloramphenicol) and N-acetyl-l-cysteine. We followed up 847 maxillary sinuses during the lavages according to 2 parameters: 1) recovery of a clean washout product at the macroscopic examination and 2) recovery of normal ostial patency as measured by sinusomanometry. We concluded that 1) the association with ethmoidal sinusitis does not significantly modify the treatment duration, and 2) fewer than 4% of the maxillary sinuses are likely to recover normal parameters after the 23rd day of lavage, and it is therefore useless to continue this treatment much longer. Of the maxillary sinuses, 36.25% were not submitted to any surgery. The results gained by the lavage technique have to be protected from recurrence by the treatment of general, focal, or local causes.

An Assessment of Concentrations of Soluble CD4 and CD8 Receptors in Serum before and after Surgical Treatment in Patients with Chronic Maxillary Sinusitis

2003 ◽  
Vol 17 (3) ◽  
pp. 123-126
Author(s):  
Jurek Olszewski ◽  
Wiesław Chudzik ◽  
Kazimierz Wiśniewski ◽  
Jarosław Miłonski ◽  
Robert Matyja
Keyword(s):  
Surgical Treatment ◽  
Maxillary Sinusitis ◽  
Receptor Expression ◽  
Assay Method ◽  
Control Groups ◽  
Group I ◽  
Before And After ◽  
Chronic Maxillary Sinusitis ◽  
Soluble Cd4 ◽  
Maxillary Sinuses

Background The aim of this study was to assess the concentrations of soluble CD4 (sCD4) and sCD8 receptors in serum of patients before and after surgical treatment of chronic maxillary sinusitis. Methods We examined 57 patients, aged 20–63 years (mean age, 41 ± 0.5 years), and divided them into four groups: group I, 14 patients with chronic maxillary sinusitis without allergy; group II, 15 patients with chronic maxillary sinusitis with allergy; group III, 16 patients with cyst of maxillary sinuses without allergy (control); and group IV, 12 patients with cyst of maxillary sinuses with allergy (control). The assay of sCD4 and sCD8 receptor concentrations was performed by means of enzyme-linked immunosorbent assay method. The concentrations of sCD4 and sCD8 receptors before and after 30 days of surgical treatment of maxillary sinuses were examined. Results In our studies the increase of concentration of sCD4 in groups I and II in comparison with the concentration in control groups were statistically significant. The differences between mean concentrations of sCD8 in groups I and II and in the control groups were not statistically significant. After surgical treatment of chronic maxillary sinusitis, a significant decrease in values of sCD4 and sCD8 in comparison with the results before surgical treatment suggest that the measurement of cell suppression product concentration can be used to assess the extirpation of the inflammatory process and the effectiveness of the operation method. Conclusion Changes in concentration of sCD4 and sCD8 manifest activation or suppression of cells with particular receptor expression.

Bacteriology of Chronic Maxillary Sinusitis in Adults

1989 ◽  
Vol 98 (6) ◽  
pp. 426-428 ◽  
Author(s):  
Itzhak Brook
Keyword(s):  
Staphylococcus Aureus ◽  
Chronic Sinusitis ◽  
Maxillary Sinusitis ◽  
Anaerobic Bacteria ◽  
Chronic Maxillary Sinusitis ◽  
Aerobic And Anaerobic ◽  
And Staphylococcus Aureus ◽  
Culture Positive ◽  
Maxillary Sinuses

Aspirates of 72 chronically inflamed maxillary sinuses were processed for aerobic and anaerobic bacteria. Bacterial growth was present in 66 of the 72 specimens (92%). Anaerobic bacteria were isolated in 58 of the 66 culture-positive specimens (88%). Anaerobes only were recovered in 37 cases (56%) and in 21 (32%) they were mixed with aerobic or facultative bacteria. Aerobic or facultative bacteria were present in eight cases (12%). A total of 185 isolates (2.8 per specimen) — 131 (2.0 per specimen) anaerobes and 54 (0.8 per specimen) aerobes or facultatives — were isolated. The predominant anaerobic organisms were anaerobic cocci and Bacteroides sp, and the predominant aerobes or facultatives were Streptococcus sp and Staphylococcus aureus. Twelve of the 27 Bacteroides sp that were tested for β-lactamase (44%) produced the enzyme. These findings indicate the major role of anaerobic organisms in chronic sinusitis.

Computed tomography evidence of dental restoration as aetiological factor for maxillary sinusitis

2000 ◽  
Vol 114 (7) ◽  
pp. 510-513 ◽  
Author(s):  
S. E. J. Connor ◽  
S. V. Chavda ◽  
A. L. Pahor
Keyword(s):  
Computed Tomography ◽  
Periodontal Disease ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Dental Disease ◽  
Restorative Dentistry ◽  
Sinus Disease ◽  
Sinus Floor ◽  
Chronic Maxillary Sinusitis ◽  
Mucosal Thickening

Maxillary sinusitis due to dental causes is usually secondary to periodontal disease or periapical infection and is commonly associated with mucosal thickening of the floor of the maxillary antrum. Computed tomography (CT) is currently the modality of choice for evaluating the extent of disease and any predisposing factors in patients with symptoms of chronic maxillary sinusitis, but it is unable to diagnose dental disease reliably. The presence of restorative dentistry is, however, easily seen at CT and is associated with both periapical and periodontal disease. We aimed to determine whether its presence at CT may predispose to maxillary sinusitis, and in particular to focal mucosal thickening of the sinus floor characteristic of dental origin.Three hundred and thirty maxillary sinus CT images in 165 patients were reviewed for the presence of restorative dentistry in the adjacent teeth, focal maxillary sinus floor mucosal thickening, any maxillary sinus disease (including complete opacification, air fluid levels, diffuse mucosal thickening, focal mucosal thickening) and evidence of a rhinogenic aetiology (osteomeatal complex pathology, mucosal thickening in other sinuses).One hundred and ninety two sinuses adjacent to restorative dentistry and 178 sinuses not adjacent to restorative dentistry were analysed. Focal floor thickening both with, and without, evidence of a rhinogenic aetiology, was significantly more common adjacent to restorative dentistry. Maxillary sinus disease overall was no more common adjacent to restorative dentistry.This work demonstrated that the presence of restorative dentistry predisposes to focal mucosal thickening in the floor of the maxillary sinus and its presence should prompt clinical and radiographical assessment to exclude dental disease as a source of chronic maxillary sinusitis.

scholarly journals Computed Tomography Image Analysis and Clinical Correlations of Retromaxillary Cells

2020 ◽  
pp. 014556132093696
Author(s):  
Cheng Cao ◽  
Fangwei Zhou ◽  
ZhiYan Song ◽  
Zezhang Tao ◽  
Yu Xu
Keyword(s):  
Computed Tomography ◽  
Paranasal Sinus ◽  
Maxillary Sinusitis ◽  
Anatomical Variation ◽  
Sinus Surgery ◽  
Tomography Image ◽  
Males And Females ◽  
Computed Tomography Image ◽  
Relationship Of ◽  
The Relationship

Objective: This study aimed to investigate and analyze the anatomic characteristics of the retromaxillary cell (RMC) by using computed tomography (CT) images of paranasal sinuses and to improve its identification with ethmomaxillary sinus (EMS). Methods: The paranasal sinus CT scans of 441 outpatients or inpatients in our hospital from January 2018 to October 2018 were analyzed. The incidence of RMC, EMS, Haller cell, imaging anatomical characteristics, and morphological manifestations were observed via sinus CTs. The relationship of RMC and ipsilateral maxillary sinusitis was analyzed. Results: The incidence of RMC is 83.90% (740/882). The incidence of males and females was 83.81% (414/494) and 84.02% (326/388), respectively. The incidence of bilateral (72.79%, 321/441) was much higher than that of unilateral (22.22%, 98/441). The lateral extension of the RMC ranged from 1.18 to 13.31 mm, with an average of 6.10 ± 2.03 mm. The incidence of ipsilateral maxillary sinus opacification on the RMC sides and non-RMC sides has no significance difference (χ2 = .054, P = .459). The incidence of Haller cell and EMS decreased significantly in the presence of RMC ( P < .01). Conclusion: The RMC is an anatomical variation originating from posterior ethmoid cells, which is commonly encountered in the clinic. The pneumatization of RMC is highly variable, and a bilateral is common. During endoscopic sinus surgery, it is necessary to carefully identify such an air cell to ensure the complete opening of the paranasal sinus during surgery.

scholarly journals Challenges in diagnosing odontogenic lesions in maxillary sinuses

2019 ◽  
Vol 74 (2) ◽  
pp. 1-5
Author(s):  
Katarzyna Dobroś ◽  
Joanna Zarzecka
Keyword(s):  
Maxillary Sinusitis ◽  
Pathological Changes ◽  
Disease Symptoms ◽  
Pathological Lesions ◽  
Dental Examination ◽  
Dental Origin ◽  
Odontogenic Origin ◽  
Development Methods ◽  
Maxillary Sinuses

Objectives: The study aimed to identify the patients with pathological lesions in the maxillary sinuses in which the reported symptoms might be indicative of odontogenic origin, as well as to establish specific causative risk factors promoting their development. Methods and Materials: The study covered 44 patients with suspected odontogenic maxillary sinusitis. Dental examination and Cone Bean Computed Tomography was completed. Their age ranged 19 - 69 years, mean age was 43 (SD = 13.9) years. Results: Out of 44 patients, 22 (50%) had non-odontogenic lesions in maxillary sinuses, while in 15 (34.1%) dental origin was established. In the remaining 7 (15.9%) patients, no pathological changes were found in the sinuses. A median of reported symptoms was 10 months (Q1 = 4, Q3 = 24). Reported complaints were not associated with the actual cause of pathological lesions. Conclusions: Odontogenic cause of the lesions in the sinuses should primarily be hypothesized, especially in the patients with long-term disease symptoms, also with regard to any unilateral inflammations.

scholarly journals Comparative analysis of features of chronic maxillary sinusitis of various genesis

2019 ◽  
Vol 9 (33) ◽  
pp. 27-33
Author(s):  
Aleksandre Kobakhidze ◽  
Elena Merkulova ◽  
Natalia Gvozdeva ◽  
Dilyana Vicheva
Keyword(s):  
Nasal Septum ◽  
Chronic Sinusitis ◽  
Maxillary Sinusitis ◽  
Maxillofacial Surgery ◽  
Treatment Strategies ◽  
Cone Beam ◽  
Oral And Maxillofacial Surgery ◽  
Ethmoid Bone ◽  
Ostiomeatal Complex ◽  
Chronic Maxillary Sinusitis

Abstract BACKGROUND. There are not many works devoted to the structures of a nasal cavity in odontogenic maxillary sinusitis and to a condition of an alveolar ridge of the maxilla with a rhinogenous genesis of the disease. MATERIAL AND METHODS. 100 patients (N) with chronic sinusitis hospitalized at the ENT (N=50) and Oral and Maxillofacial Surgery (N=50) Departments were examined. The character of anatomic options of a nasal septum in chronic maxillary sinusitis is estimated according to a cone-beam computed tomography (CBCT) with use of our own developed scheme of coordinates in the form of “triangles” which allows establishing versions of the block of the ostiomeatal complex and nasal septum deviation. RESULTS. In cases of rhinogenous and odontogenic causes of maxillary sinusitis, the triangle deviation is detected more often, including a perpendicular plate of the ethmoid bone, the vomer and the quadrangular cartilage, contributing to the block of the ostiomeatal complex. This scheme has allowed us to establish a group of patients with the mixed genesis of maxillary sinusitis in the Otorhinolaryngology and MFS Departments (36% and 42% respectively) and that, in its turn, requires a cross-disciplinary approach when choosing a strategy of treatment. CONCLUSION. In case of rhinogenous genesis of the disease, the bilateral nature of the process with involvement of other paranasal sinuses in the inflammatory process is detected more often. The category of patients with mixed genesis (rhinogenous plus odontogenic) of sinusitis demands a cross-disciplinary approach to diagnosis and making a decision about treatment strategies.

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