The Role of the Pathological Changes in the Nasal Cavity and Paranasal Sinuses in Chronic Odontogenic Maxillary Sinusitis

Introduction. Complications that often arise at different stages of treatment of patients with chronic odontogenic maxillary sinusitis caused by pathological changes in the nasal cavity and paranasal sinuses leading to obstruction of the upper respiratory tract and oppression drainage function. This is not always respected maxillofacial surgeons for treatment planning. Therefore, the aim of this study was to explore the relationship between the presence, nature and severity of pathological changes in the maxillary sinuses with odontogenic maxillary sinusitis and the presence and severity of associated pathological changes in the nasal cavity and paranasal sinuses. Materials and methods. Use of MSCT on 108 patients allowed to achieve accurate visualizing and identification of those pathological changes, which cannot be detected by clinical examination, as well as using traditional x-ray methods. Results. The presence of combined congenital or acquired pathological manifestations contributes to the formation of so-called “vicious circles” or syndromes mutual aggravation. Obstruction of the upper respiratory tract leads to violations of the outflow of mucus and fluid from the maxillary sinus, and the oppression of mucociliary transport. This creates conditions for the development of chronic maxillary sinusitis. In addition, violation of the airway increase the risk of development of complications in early and late postoperative periods. Conclusion. Detection of pathological changes not only in the maxillary sinus, but in the nasal cavity, and other paranasal sinuses is extremely important at the stage of examination and planning of complex treatment.

хронический верхнечелюстной синусит, придаточные пазухи носа, верхнечелюстная пазуха, полость носа, компьютерное томографическое исследование, chronic maxillary sinusitis, paranasal sinuses, maxillary sinus, the nasal cavity, computer tomographic study

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