scholarly journals Clinical study of pathways rising inflammatory diseases in the maxillary sinuses

2004 ◽  
Vol 51 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Alek Racic ◽  
Ljiljana Janosevic ◽  
S. Stosic-Divjak ◽  
Vojko Djukic ◽  
Radomir Radulovic ◽  
...  
Keyword(s):  
Inflammatory Diseases ◽  
Maxillary Sinusitis ◽  
The Past ◽  
Clinical Procedures ◽  
Inflammatory Processes ◽  
Underlying Causes ◽  
Odontogenic Sinusitis ◽  
Epidemiologic Characteristics ◽  
Spontaneous Onset ◽  
Maxillary Sinuses

Pathways of the maxillary sinus diseases is an interesting issue investigated by many authors during the past decades. The goal of this research was to study the pathways of infection spreading into the maxillary sinuses and to compare them in relation to their frequency, underlying causes and general epidemiologic characteristics of the involved population. A total number of 150 adult patients of both gender suffering different diseases of maxillary sinuses were included into the study. Pathways rising maxillary sinuses diseases were diagnosed on the basis of standard clinical procedures including CT sceau and MRI of the region. We found inflammatory processes to dominate the tumorous ones (107:43 patients). Rhinogenic type of sinusitis was the most frequent disease (72 patients) while odontogenic sinusitis (35 patients) was significantly less frequent. No case of traumatic or hematogenic maxillary sinusitis was found. Rhinogenic maxillary sinusitis is characterized by spontaneous onset while odontogenic one is mostly of arteficial origin after surgical procedures in the oral cavity (88% of patients). In contrast to rhinogenie type, odontogenic maxillary sinusitis is far more frequent in younger patients.

scholarly journals Razlike u hirurskom lecenju maksilarnih sinuzitisa

2005 ◽  
Vol 52 (3) ◽  
pp. 59-63
Author(s):  
Alek Racic ◽  
M. Dimitrijevic ◽  
Svetlana Stosic-Divjak ◽  
I.P. Pendjer ◽  
D. Basaric
Keyword(s):  
Surgical Treatment ◽  
Inflammatory Diseases ◽  
Maxillary Sinusitis ◽  
Maxillofacial Surgery ◽  
Dental Surgery ◽  
Odontogenic Sinusitis ◽  
Maxillary Sinuses

From September 2001. to February 2004. in the Institute for ENT and Maxillofacial Surgery were investigated 107 patients with the inflammatory diseases of the maxillary sinuses. Patients with sinusitis were separated into group of patients with rhinogenic (72) and patients with odontogenic maxillary sinusitis (35). We found that the etiology of odontogenic sinusitis was mostly artificial caused after some dental surgery (88%), what is totally opposite to the spontaneous etiology of rhinogenic sinusitis. Surgical treatment of rhinogenic sinusitis mostly was endonasal polypectomy with operation by Caldwell-Luc or FESS. Odontogenic sinusitises were mostly treated by FESS and surgical ? closing? of oral-antral fistula by local mucogingival flap (51%).

Local use of augmentin in the treatment of patients with inflammatory diseases of the nose and accessory nasal sinuses

1999 ◽  
Vol 80 (2) ◽  
pp. 109-109
Author(s):  
V. N. Krasnozhen
Keyword(s):  
Antibacterial Therapy ◽  
Inflammatory Diseases ◽  
Maxillary Sinusitis ◽  
Physiological Solution ◽  
Acute Sinusitis ◽  
Frontal Sinusitis ◽  
Nasal Sinus ◽  
Local Use ◽  
Maxillary Sinuses

Augmentin in the form of aerosol is used as an independent remedy of antibacterial therapy in a dose of 100 mg dissolved in 2 ml of water for injection 2 times per day into the nasal sinus or maxillary sinuses by drainage using a sprayer. The nasal sinus and sinuses were washed properly by a physiological solution. The drug was used in 22 patients with acute sinusitis. Acute maxillary sinusitis was diagnized in 16 patients, acute ethmoiditis in 2 patients, acute frontal sinusitis metopantritis in 4 patients. The positive dynamics was noted in all patients after the begining of the treatment.

Correlation of Middle Meatal and Maxillary Sinus Cultures in Acute Maxillary Sinusitis

1997 ◽  
Vol 11 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Abhay M. Vaidya ◽  
James M. Chow ◽  
James A. Stankiewicz ◽  
M. Rita I. Young ◽  
Herbert L. Mathews
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Bacterial Flora ◽  
Acute Sinusitis ◽  
Middle Meatus ◽  
The Past ◽  
Colony Forming Units ◽  
Sinus Ostium ◽  
Convincing Data ◽  
Maxillary Sinuses

Cultures obtained from the middle meatus have been used frequently in the past to direct therapy in patients with acute maxillary sinusitis. However, no convincing data have been published to indicate that middle meatal cultures accurately represent the bacterial flora within the maxillary sinus. The hypothesis of this experiment is that bacteria obtained by directed middle meatal cultures qualitatively and quantitatively correlate with cultures taken by maxillary sinus puncture. Acute sinusitis was induced by injecting 108 colony-forming units of bacteria directly into the maxillary sinuses of rabbits in which the ostia were occluded with cotton packs. Eight animals were injected with Staphylococcus aureus, eight with Haemophilus influenzae, and eight with Streptococcus pneumoniae. The packs were removed after 3 days, and specimens were obtained from the middle meatus in the region of the maxillary sinus ostium, and from the maxillary sinus, 1 day later. The contralateral maxillary sinuses of six of the animals were injected with normal saline and served as controls. There was a 100% correlation rate between cultures of specimens obtained from the maxillary sinus and from the middle meatus in all 24 animals. In addition, the quantitative counts from the middle meatus and the maxillary sinus correlated. Control animals showed no bacterial growth from either the middle meatus or the maxillary sinus. These results show that, in an animal model of acute sinusitis, cultures of specimens from the middle meatus reflect the contents of the maxillary sinus.

scholarly journals Post-implantation maxillary sinusitis: prevention and diagnosis

2021 ◽  
Vol 20 (1) ◽  
pp. 18-22
Author(s):  
V. V. Vishnyakov ◽  
◽  
A. Yu. Ovchinnikov ◽  
A. M. Panin ◽  
A. V. Bakotina ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Maxillary Sinusitis ◽  
Dental Practice ◽  
The Past ◽  
Dental Implantation ◽  
Ostiomeatal Complex ◽  
Chronic Maxillary Sinusitis ◽  
Implant Treatment ◽  
Post Implantation ◽  
Maxillary Sinuses

According to the data of domestic and foreign authors, the incidence of maxillary sinusitis has doubled over the past 10 years, and the proportion of patients hospitalized in ENT hospitals is increasing annually by 1.5–2.0%, moreover, rhinology and rhinosurgery are the main areas of work of the ENT hospital currently. An important role in the occurrence of chronic maxillary sinusitis is played by the condition of the nasal cavity, especially the area of the ostiomeatal complex. For more than 30 years, rehabilitation of patients with complete or partial absence of teeth using subantral grafting and dental implantation has been widespread in Russian dental practice. Odontogenic maxillary sinusitis is increasingly found as a complication of dental implant treatment in the upper jaw. Patients usually get consultations with an otorhinolaryngologist already with the appearance of complications, and this reduces the effectiveness of dental operations. The question of diagnosis of maxillary sinusitis and insufficient preoperative preparation before implant treatment at the dentist remains open. When preparing a patient for implant treatment at the dentist, important components are the otorhinolaryngological examination and computed tomography of the paranasal sinuses, which can reveal a violation of the architectonics of the nasal cavity, the ostiomeatal complex and the pathology of the maxillary sinuses.

scholarly journals Neuroimmune Interaction in Inflammatory Diseases

2008 ◽  
Vol 2 ◽  
pp. CCRPM.S547 ◽  
Author(s):  
Peyman Otmishi ◽  
Joshiah Gordon ◽  
Seraj El-Oshar ◽  
Huafeng Li ◽  
Juan Guardiola ◽  
...  
Keyword(s):  
Nervous System ◽  
Immune System ◽  
Inflammatory Diseases ◽  
Neuroimmune Interaction ◽  
Parasympathetic Nerves ◽  
The Past ◽  
Area Of Interest ◽  
Inflammatory Processes ◽  
The Central Nervous System ◽  
Neuroimmune Modulation

The inflammatory response is modulated through interactions among the nervous, endocrine, and immune systems. Intercommunication between immune cells and the autonomic nervous system is a growing area of interest. Spatial and temporal information about inflammatory processes is relayed to the central nervous system (CNS) where neuroimmune modulation serves to control the extent and intensity of the inflammation. Over the past few decades, research has revealed various routes by which the nervous system and the immune system communicate. The CNS regulates the immune system via hormonal and neuronal pathways, including the sympathetic and parasympathetic nerves. The immune system signals the CNS through cytokines that act both centrally and peripherally. This review aims to introduce the concept of neuroimmune interaction and discuss its potential clinical application, in an attempt to broaden the awareness of this rapidly evolving area and open up new avenues that may aid in the treatment of inflammatory diseases.

scholarly journals Clinical and Immunological Characteristics of Patients with Odontogenic Maxillary Sinusitis

2021 ◽  
pp. 184-195
Author(s):  
Artem Viktorovich Eldzharov ◽  
Diana Arturovna Niazyan ◽  
Ruslan Kazbekovich Esiev ◽  
George Vladimirovich Toboev ◽  
Jamilya Khuseinovna Uzdenova ◽  
...  
Keyword(s):  
Drug Therapy ◽  
Inflammatory Diseases ◽  
Maxillary Sinusitis ◽  
Complete Recovery ◽  
Surgical Removal ◽  
Filling Material ◽  
Treatment Standard ◽  
Infection Focus ◽  
Traditional Drug ◽  
Odontogenic Sinusitis

Inflammatory diseases of the maxillary sinus of odontogenic aetiology have a high prevalence and hold leading positions in the structure of otorhinolaryngological and dental morbidity. High-intensity lesions in all age and social groups, the lack of over the last decade a downward trend in frequency, refractory to traditional drug therapy determine the high medical and social problem significance.To date, the main treatment standard is the surgical removal of the “causal” infection focus, but this stage is not always resolved by complete recovery, in consequence of which the disease acquires a cyclical character. Many authors point out the role of the immune system in chronization of the inflammatory process in the sinuses and the development of exacerbation frequent periods. Treatment of odontogenic sinusitis is more complex and prone to relapses. The main objectives of treatment are differential diagnosis of odontogenic sinusitis and its treatment.In this regard, determination of the immunological reactivity state and search for pathogenetically significant disorders in the effector protective link in patients with odontogenic sinusitis becomes especially relevant. The article presents a detailed analysis of the immune status of 60 patients with odontogenic maxillary sinusitis caused by acute periodontitis, radicular cyst, and filling material. Clearly demonstated the results of the paranasal sinuses x-ray examination and clinical examination of patients. In the course of the research were found significant changes of immunological indicators for several considered criteria. They indicate the presence of pronounced autoimmune shifts in the subjects, which play a key role in aggravating the disease severity and its outcome. This type of research is crucial for the development of improved drug therapy strategies for individuals with odontogenic sinusitis aimed at correcting immune disorders. The aim of the article is research of the immunological molecular changes that occur in odontogenic sinusitis, and to lay the foundation for studying the molecular mechanism of odontogenic sinusitis.

Obesity, Inflammation, and Periodontal Disease

2007 ◽  
Vol 86 (5) ◽  
pp. 400-409 ◽  
Author(s):  
N. Pischon ◽  
N. Heng ◽  
J.-P. Bernimoulin ◽  
B.-M. Kleber ◽  
S.N. Willich ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Periodontal Disease ◽  
Inflammatory Diseases ◽  
Systemic Disease ◽  
Industrialized Countries ◽  
Oral Diseases ◽  
Cross Sectional ◽  
The Past ◽  
Inflammatory Processes ◽  
Prevalence Of Obesity

The prevalence of obesity has increased substantially over the past decades in most industrialized countries. Obesity is a systemic disease that predisposes to a variety of co-morbidities and complications that affect overall health. Cross-sectional studies suggest that obesity is also associated with oral diseases, particularly periodontal disease, and prospective studies suggest that periodontitis may be related to cardiovascular disease. The possible causal relationship between obesity and periodontitis and potential underlying biological mechanisms remain to be established; however, the adipose tissue actively secretes a variety of cytokines and hormones that are involved in inflammatory processes, pointing toward similar pathways involved in the pathophysiology of obesity, periodontitis, and related inflammatory diseases. We provide an overview of the definition and assessment of obesity and of related chronic diseases and complications that may be important in the periodontist’s office. Studies that have examined the association between obesity and periodontitis are reviewed, and adipose-tissue-derived hormones and cytokines that are involved in inflammatory processes and their relationship to periodontitis are discussed. Our aim is to raise the periodontist’s awareness when treating obese individuals.

Aspects of X-ray diagnostics of inflammatory processes in the maxillary sinuses

2021 ◽  
pp. 4-10
Author(s):  
A.P. Arzhantsev
Keyword(s):  
Computed Tomography ◽  
Multislice Computed Tomography ◽  
Maxillary Sinusitis ◽  
The State ◽  
X Ray ◽  
The Face ◽  
Inflammatory Processes ◽  
X Ray Computed ◽  
Diagnostic Capabilities ◽  
Maxillary Sinuses

Studying the characteristics X-ray pictures of the maxillary sinuses more than 350 patients with odontogenic diseases of the maxillary sinuses and no odontogenic of origin, as well as images of the maxillary sinuses in normal. We used data of orthopantomography, panoramic zonography middle and upper areas of the face, radiography of the paranasal sinuses, cone-beam and multislice computed tomography. Diseases of the maxillary sinuses characterized by a variety of origin and X-ray manifestations, which makes the complexity of the diagnosis. In this regard, the necessary knowledge of X-ray skialogicheskih features of pathological processes and the efficiency of X-ray techniques to objective detect not only the changes in the sinuses, but the factors causing the them. Multi -projection X-ray computed tomography examination of the maxillary sinus and alveolar process of the maxilla is a reliable method of assessing the state of the maxillary sinuses and the differentiation of the origin of maxillary sinusitis. Common dental X-ray techniques are limited diagnostic capabilities of assessing the state of the mucous membrane and the walls of the maxillary sinuses, which must be considered when interpreting the image.

Use of a Braunula® for maxillary sinus irrigation

1989 ◽  
Vol 103 (3) ◽  
pp. 279-280 ◽  
Author(s):  
Y. Zohar ◽  
Y. P. Talmi ◽  
Y. Finkelstein ◽  
Y. Shem-Tov
Keyword(s):  
Maxillary Sinus ◽  
Chronic Sinusitis ◽  
Maxillary Sinusitis ◽  
Common Procedure ◽  
The Past ◽  
Chronic Maxillary Sinusitis ◽  
Maxillary Sinuses

AbstractPuncture and lavage of the maxillary sinuses is a common procedure in ENT practice. Repeated irrigations are required in chronic sinusitis refractory to treatment. In our department we use a No. 14 gauge Braunula® for such cases. Over 100 patients have been treated over the past two years with no significant complications. This device is inexpensive, sterile, safe and easy to use and we recommend its use for patients with chronic maxillary sinusitis requiring repeated irrigations.

scholarly journals Obstructive Sleep Apnea and Inflammation: Proof of Concept Based on Two Illustrative Cytokines

2019 ◽  
Vol 20 (3) ◽  
pp. 459 ◽  
Author(s):  
Leila Kheirandish-Gozal ◽  
David Gozal
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Inflammatory Diseases ◽  
Sleep Apnea Syndrome ◽  
Special Focus ◽  
Normal Body Mass Index ◽  
Low Grade ◽  
Obstructive Sleep ◽  
Inflammatory Processes ◽  
Factor Α

Obstructive sleep apnea syndrome (OSAS) is a markedly prevalent condition across the lifespan, particularly in overweight and obese individuals, which has been associated with an independent risk for neurocognitive, behavioral, and mood problems as well as cardiovascular and metabolic morbidities, ultimately fostering increases in overall mortality rates. In adult patients, excessive daytime sleepiness (EDS) is the most frequent symptom leading to clinical referral for evaluation and treatment, but classic EDS features are less likely to be reported in children, particularly among those with normal body-mass index. The cumulative evidence collected over the last two decades supports a conceptual framework, whereby sleep-disordered breathing in general and more particularly OSAS should be viewed as low-grade chronic inflammatory diseases. Accordingly, it is assumed that a proportion of the morbid phenotypic signature in OSAS is causally explained by underlying inflammatory processes inducing end-organ dysfunction. Here, the published links between OSAS and systemic inflammation will be critically reviewed, with special focus on the pro-inflammatory cytokines tumor necrosis factor α (TNF-α) and interleukin 6 (IL-6), since these constitute classical prototypes of the large spectrum of inflammatory molecules that have been explored in OSAS patients.

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