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Choosing a method of surgical treatment in patients with chronic odontogenic maxillary sinusitis

DOI: https://doi.org/10.29296/25877305-2021-01-11
Issue: 
1
Year: 
2021

E. Remizova, Candidate of Medical Sciences; D. Mustafaev, Candidate of Medical Sciences; M.
Magomedov Moscow Regional Scientific Research and Clinical Institute named after M.F. Vladimirsky

Odontogenic maxillary sinusitis is a common desease in the practice of maxillofacial surgeon and otorhinolaryngologist. At the same time, despite the improvement of diagnostic and treatment methods, the development of endoscopic technologies, choosing the optimal surgical technique for the treatment of this group of patients remains open. An additional complication is that in a number of patients in this group, dental implantation and surgical preparation for it (sinus-lifting) are included in the plan of dental rehabilitation, which requires the most sparing effect on the maxillary sinus. We have reviewed the most common methods of surgical treatment of odontogenic maxillary sinusitis. Fundamentals. Currently, due to the development of modern technologies, endoscopically assisted sinusotomy using various surgical approaches and their combinations is widely used. At the same time, the method of radical sinusotomy gradually loses its relevance due to the high risk of postoperative complications and serious (compared to endoscopic methods) surgical trauma. Conclusions. The use of endoscopic technologies in the surgical treatment of patients with odontogenic maxillary sinusitis provides a low traumatic operation and a shorter period of rehabilitation. For treatment planning and choice of surgical access required to conduct the computer tomography of the paranasal sinuses.

Keywords: 
surgery
otorhinolaryngology
odontogenic maxillary sinusitis
maxillary sinusotomy
maxillary sinusoscopy
maxillary sinus
foreign body of maxillary sinus



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