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Tema9

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1) Overview of chronic sinus inflammation 2) Classification of chronic sinusitis: -Partially diffuse purulent hyperplastic with oral communication jaw, acute 3) Causative factors in favor and maxillary sinusitis 4) Etiopathogeny 5) Anatomic Phatology 6) symptoms 7) diagnosis: - clinical examination - Point sinusografia with contrast - radiography - Diafanoscopia - rino - and sinusoscopia 8) Differential diagnosis is made with: - rinogena chronic sinusitis, intrasinusal mucous cyst, cystic tumors dental specific sinusitis 9) Treatment: radical surgery after Caldwell-Luc. after Dencher

3) Causative factors in favor and maxillary sinusitis 4) Etiopathogeny ETIOLOGY 1.After extension: a) Partial and b) Broadcast 2. Main causes: a) lower body resistance b) chronic inflammation of the lining of the nasal-sinus c) ostia obstruction of the middle meatus d) Sinus polyps e) deviations of the septum Determining factors:? .2) Classification of chronic sinusitis: -Partially diffuse purulent hyperplastic with oral communication jaw. acute Odontogenic origin chronic sinus: 1. After clinical forms: a) purulent b) hyperplastic c) communication oro-maxillary c) Re worse.

a) apical periodontitis or chronic granulomatous spurt b) osteitis alveolar process c) radicular cysts and follicular d) deep periodontal pockets e) latent root infections f) traumatic endodontic treatments g) dental extraction of teeth sinus h) endosseous implants 5) Anatomic Phatology pathological Anatomy Mucosa shows an infiltrated limfoplasmocitar Processes occurring fibrosis and numerous polyps In advanced stages polyps can obstruct the ostium and cavity bucosinusala This sinus empyema and rebound effect of the inflammatory process. Pain especially in the morning February. Cacosmia Three. 6) symptoms Symptoms Subjective January. Moderate feeling of tension geniosuborbitara .

the sign is positive Valsava and liquids can network through the nose April. Mucosa hyperemia. Sinus puncture .Objective January. April. Elimination of unilateral mucopurulent secretion February. oro-sinus fistula. Visual inspection of the alveolar arches emphasizes dental periodontal lesions. The ostium sinus polyps proliferative Examination dental arches January.affected sinus wall is more sensitive compared to the healthy. Laboratory examination Radiography . laryngitis which creates a general malaise 7) diagnosis: Diagnosis Physical examination January. Three. if oral-sinus communication. sinus polyps. thickened mucosa that may present adenoids Diafanoscopia highlight the following signs: a) sign of Hering-lack of transparency of the sinus b) sign-Davidson's lack of lighting on the affected nerve head c) the sign of Garel-sufferer does not charge light on the affected side.practiced inferior meatus or the anterior wall of the maxillary sinus pus highlights. February. or polyps empty socket. . Percussion .Sinus value less intense and less homogeneous. Previous rhinoscopy . overall usually not affected but may indicate pharyngitis. bold covered with scabs Three. oro-antral fistula Three. causal periodontal dental injuries February.unilateral purulent mucus.

Antipyretics. intrasinusal cyst (mucocel) Three. after Dencher The goal of treatment Removing etiological factor Action on microbial agent. Dental cystic tumors April. Rehabilitation of disturbed functions. epithelioma of mesostructured-over and nasal secretions are accompanied by small hemorrhages. 9) Treatment: radical surgery after Caldwell-Luc. rinogena which is bilateral maxillary sinus and causes lacks dentoparodontale February. suprastin). General and local antibiotic treatment by introducing into the maxillary sinus. abnormal sensitivity of the affected nerve. Processing of the maxillary sinus drug. naftezin). Hiposensibilizante (Dimitrol.With aliens tooth causes: Antibioticogramei the antibiotics.8) Differential diagnosis is made with: Differential Diagnosis January. Body immunity. Drug treatment . . Limiting the expansion of infectious process. Vasoconstrictorii (glazolin. cacosmie. Analgesics.

Providing naso-sinus drainage by opening the inferior meatus 6. 3.Detoxified surgery -Caldwell-Luc operation -The process Denker Caldwell-Luc operation 1. 4. Removal of sinus secretions 5. Buccal gingival incision above the gum adhesive portion of the upper lip frenulum until 2nd premolar. Anterior wall of the sinus trepanation canine fossa. Vestibular incision suture. Introduction in sinus antibiotic powder 7. Denker procedure . Loco-regional anesthesia 2.

Loco-regional anesthesia. February. . Opening and removing sinus mucosa affected April. Taking off pyriform crest and inferior meatus of canines fossa Three.January. Suture the mucosa.