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Khirurgii

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Year 2018 Vol. 26 No 5

MAXILLOFACIAL SURGERY

I.O. POHODENKO-CHUDAKOVA1, K.V. VILKITSKAYA1, N.I. POLIAKOVA2, I.M. BAIRIKOV3

DIAGNOSTICS METHODS OPTIMIZATION OF ODONTOGENIC ORIGIN CHRONIC INFLAMMATORY PROCESSES AND MAXILLARY SINUS NEOPLASIA

Belarusian State Medical University 1, Minsk
Maryina Gorka Central Regional Hospital 2, Maryina Gorka,
The Republic of Belarus,
Samara State Medical University 3, Samara,
The Russian Federation

Objective. To improve the diagnostics of chronic inflammatory processes of odontogenic etiology and neoplasia in the maxillary sinus.
Methods. 65 cone-beam computed tomograms of patients with X-ray signs of chronic odontogenic inflammatory processes in the maxillary sinus (main group) and 65 without sinus diseases (control group) were studied. In the main group, the age of patients was 18-74 years (mean – 42.9 years), in the control group were enrolled patients aged 18-76 years (mean – 42.5 years). Based on the data of the three-dimensional ray method, the volume of formation was calculated, the anatomical and topographical features of the structure of sinus maxillaris were studied, which resulted in the development of the severity indices of chronic odontogenic sinusitis and neoplasms extending into the lumen of the maxillary sinus. In all patients, using cone-beam computed tomography, the disease risk and severity of pathological process were determined.
Results. Maxillary sinus volume of the main group patients significantly exceeded the same in the comparison groups (p <0.05), and also depended on the sex of the examined patients. The main risk factors for the development of odontogenic etiology diseases are hyperpneumatization and the first type ratio of the lateral teeth group roots with the bottom of sinus maxillaris. The most common degree of disease is the average severity, according to the indicators of chronic odontogenic sinusitis and the severity of the neoplasm. In 62.3% of cases, the risk of developing the disease of the odontogenic etiology maxillary sinus was revealed in the control group of patients.
Conclusions. The developed severity indices of chronic odontogenic sinusitis and neoplasms extending into the lumen of the maxillary sinus make it possible to supplement the diagnostic capabilities of the three-dimensional radiation methods of the study and optimize their subsequent clinical interpretation, thereby improving the quality of the patients’ examination with the possibility of subsequent individual prophylaxis planning of the development of the disease and its treatment.

Keywords: maxillary sinus, odontogenic sinusitis, neoplasms, X-ray methods, cone-beam computed tomography, disease severity, inflammatory process
p. 586-593 of the original issue
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Address for correspondence:
220116, The Republic of Belarus,
Minsk, Dzerzhinsky Ave., 83,
Belarusian State Medical University,
Department of Surgical Dentistry,
Tel. office: +375 17 254-32-44,
e-mail: drkristin.v@gmail.com,
Kristina V. Vilkitskaya
Information about the authors:
Pohodenko-Chudakova Irina O., MD, Professor, Head of the Department of Surgical Dentistry, Belarusian State Medical University, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-0353-0125
Vilkitskaya Kristina V., PhD, Associate Professor of the Department of Surgical Dentistry, Belarusian State Medical University, Minsk, Republic of Belarus.
https://orcid.org/0000-0001-5344-1465
Poliakova Natalia I., Surgeon-Dentist, Maryina Gorka Central Regional Hospital, Maryina Gorka, Republic of Belarus.
https://orcid.org/0000-0002-2748-9630
Bairikov Ivan M., MD, Professor, Head of the Department and Clinic of Maxillofacial Surgery and Dentistry, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0002-4943-2619
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