Endoscopic antrostomy in the treatment of odontogenic maxillary sinusitis – two cases report

Aleksandar  Dimić; Božidar Brković; Milan Erdoglija; Uglješa Grgurević; Jelena Sotirović; Dejan Rašić

doi:10.2298/VSP160921011D

Aleksandar Dimić Department of Otorhinolaryngology. Military Medical Academy, Belgrade, Serbia.
Božidar Brković University of Belgrade, Faculty of Dentistry, Clinic of Oral Surgery, Belgrade, Serbia
Milan Erdoglija Military Medical Academy, Department of Otorhinolaryngology, Belgrade, Serbia
Uglješa Grgurević Military Medical Academy, Department of Otorhinolaryngology, Belgrade, Serbia
Jelena Sotirović Military Medical Academy, Department of Otorhinolaryngology, Belgrade, Serbia
Dejan Rašić Military Medical Academy, Department of Otorhinolaryngology, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP160921011D

Ključne reči: maksilarni sinuzitis;, dijagnoza;, kompjuterizovana tomografija konusnog zraka;, strana tela;, hirurgija, otorinolaringološka, procedure;, endoskopija.

Sažetak

Uvod. Maksilarni sinuzitis dentogenog porekla je dobro poznato stanje koje nastaje zbog blizine korenova gornjih zuba i maksilarnog sinusa. Prikazali smo dva bolesnika sa simptomima i znacima hroničnog zapaljenja maksilarnog sinusa dentogenog porekla. Prikaz bolesnika. Kod oba bolesnika, nakon kliničkog pregleda, mikrobioloških ispitivanja, kožnih proba sa inhalacionim alergenima, kao i endoskopije nosne šupljine, urađena je kompjuterizovana tomografija konusnog zraka – [cone beam computed tomography (CBCT)], koja je pokazala zadebljanje sluznice maksilarnog sinusa. Otok sluznice doveo je do opstrukcije ostiomeatalnog kompleksa. Uočeno je prisustvo stranog tela u desnom alveolarnom recesusu u prvom, i u predelu ostiomeatalnog kompleksa, u drugom slučaju. Oba strana tela davala su senku sličnu koštanoj supstanci. Dno alveolarnog recesusa sinusa je u oba slučaja bilo ispod ravni poda nosne šupljine. Bolesnici su operisani endoskopskim pristupom, kombinacijom srednje i donje antrostomije. Odstranjena je zadebljala sluznica u predelu ostiomeatalnog kompleksa, a nakon toga su uklonjena strana tela. Histopatološka analiza je u oba slučaja pokazala da su strana tela bili korenovi zuba. Zaključak. Ovim prikazom se ukazuje na mogućnost uspešnog hirurškog uklanjanja stranih tela iz maksilarnog sinusa endoskopskim pristupom, kombinacijom srednje i donje antrostomije.

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Endoskopska antrostomija u lečenju dentogenog maksilarnog sinuzitisa

Sažetak

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