Year 2015 Vol. 23 No 3

MAXILLOFACIAL SURGERY

I.O. POHODENKO-CHUDAKOVA, A.Z. BARMUTZKAYA, A.V. SURIN

SURGICAL TREATMENT OF ODONTOGENIC CHRONIC SINUSITIS IN THE FUNDUS OF THE MAXILLARY SINUS

EE "Belarusian State Medical University",
The Republic of Belarus

Objectives. To justify expediency of the tooth-preserving operations in the area of premolars and molars of the maxilla and sparing sinusotomy in patients with chronic odontogenic sinusitis of the maxillary sinus (MS) in the ambulatory conditions.
Methods. 41 patients with chronic apical periodontitis and its complications in the MS fundus were observed (23 patients with chronic granulomatous periodontitis, 18 patients with cystogranulomas and cysts). The operation was performed by proposed authors method. Treatment efficacy was assessed by clinical examination, taking into account the cone beam computed tomography (CBCT) data.
Results. The immediate result of the operation in all patients was considered as positive. Postoperative wounds healed by primary intention. The pain in the operated teeth was absent. The nasal breathing was free without any nasal discharge on the side of lesion.
After 1 month there was no any signs of inflammation in the area of postoperative scar. The percussion of operated tooth was painless. Free breathing through the nose was noted without any nasal discharge on the affected side. After 3 months the fistulous passages with the segregated pyogenic exudate in the projection of the apexes of the operated teeth were registrated in 12,2% of patients. In the group of patients with chronic granulomatous periodontitis the number of complications was 13%. In the group of patients with cystogranulomas and cysts the number of complications 11,1%. All complications were regarded as negative results of endodontic preparation of "causal" tooth. There were no recurrences or signs of inflammation of the maxillary sinus mucous membrane subjected to the operative intervention within 6 and 12 months according to CBCT.
Conclusion. The presented results show the validity and expediency of performance of preserving tooth operations in the region of premolars and molars of the upper jaw and sparing sinusotomy in patients with chronic odontogenic sinusitis of maxillary sinus in the ambulatory conditions.

Keywords: odontogenic maxillary sinusitis, apical periodontitis, percussion, nasal breathing, surgical treatment, sparing sinusotomy, ambulatory conditions
p. 314-320 of the original issue
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Address for correspondence:
220116, Respublika Belarus,
g. Minsk, pr. Dzerzhinskogo, d. 83,
UO "Belorusskiy gosudarstvennyiy meditsinskiy universitet",
kafedra khirurgicheskoy stomatologii,
tel. office: 375 17 254 32-44,
e-mail: ip-c@yandex.ru,
Pohodenko-Chudakova Irina Olegovna
Information about the authors:
Pohodenko-Chudakova I.O. MD, professor, a head of the surgical dentistry chair of EE "Belarusian State Medical University".
Barmutzkaya A.Z. PhD, an associate professor of the surgical dentistry chair of EE "Belarusian State Medical University".
Surin A.V. A post-graduate student of the surgical dentistry chair of EE "Belarusian State Medical University".
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