Treatment of non-chronic odontogenic sinusitis: maxillary sinus lavage via extraction socket after tooth or implant removal

• 발행기관: 대한구강악안면외과학회
• 저자명: Ji-Yun Kim Pil-Young Yun Jeong-Kui Ku
• 간행물 정보: 『대한구강악안면외과학회지』제51권 제3호, 168~173쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2025.06.30

국문 초록

Objectives: This study evaluates the feasibility and clinical outcomes of treating acute or subacute odontogenic maxillary sinusitis using sinus irrigation through an extraction socket following the extraction of the causative tooth or implant. Materials and Methods: This retrospective case series included patients over 19 years old with acute or subacute odontogenic maxillary sinusitis who underwent maxillary sinus lavage through the extraction socket to resolve non-chronic odontogenic maxillary sinusitis. Exclusion criteria were previous sinus surgery, bilateral disease, or maxillary sinus pathology unrelated to dental origin. The treatment involved extracting the causative tooth or implant, intentionally perforating the sinus through the extraction socket with a 19-gauge needle, and performing sinus irrigation with saline. Antibiotic therapy was administered based on culture and sensitivity results. Results: Seven patients were included. Following the removal of causative teeth or implants, the average number of sinus irrigation sessions via the extraction socket required to resolve symptoms was 2.7±1.3. Saline irrigation combined with appropriate antibiotic treatment led to symptom resolution. Conclusion: Treating non-chronic odontogenic maxillary sinusitis through sinus irrigation via the extraction site, combined with appropriate antibiotic therapy, was effective in resolving symptoms and avoiding additional surgeries.

목차

I. Introduction

II. Materials and Methods

III. Results

IV. Discussion

V. Conclusion

References

키워드

Odontogenic maxillary sinusitis Sinus irrigation Extraction socket Antibiotic therapy