CAJ | 학술논문

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.
목적:탐토응용비내규경치료만성아원성상합두염적효과.방법:회고성분석32례만성아원성상합두염환자,균채용경비내규경하연합진로중비도상합두조구,관찰기료효.결과:소유병례균무면협종창、면협마목、상아조산통등증상,전조병례발아솔위34.4%(11/32),9례경근관치료적아치보존량호;수방3년미견복발.결론:비내규경수술능최대한도감소상합두점막급골질적손상,리우술후회복,재보류비두정상생리공능、보존아치급감소복발솔등방면유교호효과.
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.