| Popis: |
The problem of treatment of odontogenic maxillary sinusitis lies at the interface of two specialties – otorhinolaryngology and dentistry. Dental manipulations in the area of large molars of the upper jaw, performed in violation of the guidelines of treatment of tooth hard tissue pathology, may result in the development of odontogenic maxillary sinusitis. A damage of the lower wall and mucous membrane of the maxillary sinus is not always properly assessed by dentists. In such cases, it is necessary to involve an otorhinolaryngologist to determine the further treatment approach. To improve the quality of care of patients with odontogenic maxillary sinusitis, the development of an integrated approach in the treatment of odontogenic maxillary sinusitis by both dentist and otorhinolaryngologist is a relevant and promising direction. The article suggests a new method of odontogenic maxillary sinusitis treatment based on interdisciplinary approach, used in the Clinic of Otolaryngology of the Military Medical Academy. The authors present clinical cases of odontogenic maxillary sinusitis, in which this technique was applied. Different variants of the course of odontogenic maxillary sinusitis called for simultaneous participation of an otorhinolaryngologist and maxillofacial surgeon. Joint examination, high-quality X-ray diagnosis, precise determination of the cause, regular interaction at different stages of treatment, determination of indications and contraindications to surgery provide a new look at the clinical outcome of odontogenic maxillary sinusitis. |
