Journal of Clinical Otolaryngology Head and Neck Surgery (임상이비인후과)

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회 부산,울산,경남 지부회)
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Unilateral Maxillary Sinus Lesion : A Retrospective Study of 318 Cases with Surgical Treatment

수술로써 치료한 일측성 상악동 병변 318예의 후향적 연구

  • Lee, Ho Byoung (Department of Otorhinolaryngology, Busan Saint Mary's Hospital) ;
  • Lee, Sang Hoon (Department of Otorhinolaryngology, Busan Saint Mary's Hospital) ;
  • Moon, Ji Seung (Department of Otorhinolaryngology, Busan Saint Mary's Hospital) ;
  • Park, Geun Hyung (Department of Otorhinolaryngology, Busan Saint Mary's Hospital) ;
  • Koo, Soo Kweon (Department of Otorhinolaryngology, Busan Saint Mary's Hospital)
  • 이호병 (부산성모병원 이비인후과) ;
  • 이상훈 (부산성모병원 이비인후과) ;
  • 문지승 (부산성모병원 이비인후과) ;
  • 박근형 (부산성모병원 이비인후과) ;
  • 구수권 (부산성모병원 이비인후과)
  • Received : 2018.08.03
  • Accepted : 2018.11.12
  • Published : 2018.12.30

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Abstract

Background and Objectives : Unilateral maxillary sinus lesions are relatively common but may occur in variety of causes. Therefore, accurate diagnosis and appropriate treatment are needed. The aim of this study is to review patients with unilateral maxillary sinus lesion who underwent surgical treatment and to analyze causes and characteristics of unilateral maxillary sinus lesions with literature review. Materials and Methods : A retrospective chart analysis was completed on 318 patients with unilateral maxillary sinus lesions who underwent surgical treatment from January, 2008 through May, 2018. Clinical history and data such as age, sex, symptoms of initial, radiologic and dental finding, operation type were collected from medical record. Results : Patients mean age was 50.7 years with slight male gender dominance. Most common type was sinusitis (42.7%), followed by odontogenic sinusitis (22.3%) and fungal ball (19.5%). In particular, the most common cause of odontogenic sinusitis was post dental surgery such as implant. Middle meatal antrostomy (90.9%) was accounted for a great part of surgery underwent to patients. Patients complained of post nasal discharge (62.9%), nasal obstruction (40.9%) and odor smell(35.2%) most commonly. Periapical lucency (35.8%) was the most common in CT finding followed by implant perforation (17.3%) and oroantral fistula (12.3%) in odontogenic sinusitis. Conclusions : Unilateral maxillary sinus lesions are relatively common, but they are increasing recently with dental procedures such as implant surgery, and serious adverse effects due to malignant tumors or improper treatment may occur, so accurate diagnosis and treatment are needed.

Keywords

References

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