Mixed forms of iatrogenic maxillary sinusitis (clinical and radiographic parallels)
Keywords:maxillary sinusitis, iatrogenic maxillary sinusitis, differential diagnostics, clinical symptomatology, radiographic signs
Introduction. The one of the factors that determine the character of pathomorphologic and biochemical changes in the mucous tunic of maxillary sinusitis is the nature of foreign body (root fragment, filling material, implant and so on) found in its lumen.
Although the detection of the foreign body in the sinus lumen is not very difficult the results of the study of the special features of clinical manifestations of the mixed form of iatrogenic sinusitis can be the ground of differential diagnostics and elaboration of the complex treatment of the different forms of maxillary sinusitis.
Aim of research. An improvement of differential diagnostics of the different forms of iatrogenic maxillary sinusitis of stomatogenic origin by systematization and comparison of the main mixed form symptoms.
Materials and methods of research. There were examined 32 patients: the final objectivization of the foreign bodies was carried out by intraoperative method at revision of maxillary sinus. There was carried out clinical analysis and assessment of diagnostic value of the found symptoms.
Results of research. At the mixed form of iatrogenic sinusitis there were found 19 clinical and radiographic signs of sinusitis. At the mixed form of iatrogenic sinusitis it is possible the manifestation of all symptoms that have differential and diagnostic value at the other forms of sinusitis. In this case these symptoms determine the severity of the clinical course. The sign that indicate the presence of foreign body in the sinus lumen (100,0 %)is enough for mixed form differential diagnostics of iatrogenic maxillary sinusitis. At this form of disease the edema of mucous tunic of the maxillary sinus (59,4 %) prevails over other radiographic manifestations of inflammatory injury of the Schneider membrane
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