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.

scholarly journals Odontogenic Sinusitis Caused by an Inflammation of a Dentigerous Cyst and Subsequent Finding of a Fibrous Dysplasia. A Case Report

2016 ◽  
Vol 10 (1) ◽  
pp. 647-655 ◽  
Author(s):  
Carmen López-Carriches ◽  
Inmaculada López-Carriches ◽  
Rafael Baca-Perez Bryan
Keyword(s):  
Maxillary Sinus ◽  
Fibrous Dysplasia ◽  
Maxillary Sinusitis ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Complete Recovery ◽  
Diagnostic Methods ◽  
Radiographic Examination ◽  
Follicular Cyst ◽  
Odontogenic Sinusitis

We report the case of a 38-year old male patient with sinusitis caused by an infected follicular cyst due to an ectopic impacted third molar in the right maxillary sinus. A 10-day antibiotherapy regimen was administered; subsequently, the cyst and the third molar were removed achieving complete recovery. Fibrous dysplasia was diagnosed at follow-up examination (occupation of the maxillary sinus by bone tissue was observed in a radiographic examination) and confirmed by biopsy. In cases of odontogenic sinusitis, thorough examination is crucial, as evidenced by the case reported in this study. A Literature review was performed in order to identify the diagnostic methods currently available and the clinical features, complications and treatment for both, odontogenic maxillary sinusitis and fibrous dysplasia.

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%).

Treatment of Rheumatoid Arthritis by Phototherapy: Advances and Perspectives

Nanoscale ◽  
2021 ◽  
Author(s):  
Yunxia Dong ◽  
Wei Cao ◽  
Jie Cao
Keyword(s):  
Rheumatoid Arthritis ◽  
Drug Therapy ◽  
Human Health ◽  
Inflammatory Disease ◽  
Frequent Administration ◽  
Slow Progression ◽  
Traditional Drug

Rheumatoid arthritis (RA) is a worldwide inflammatory disease that seriously threatens human health. Though traditional drug therapy can alleviate RA symptoms and slow progression, high dosage and frequent administration would...

Microsurgical Resection of an Intramedullary Spinal Cord Hemangioblastoma Through an Anterior Cervical Approach: 2-Dimensional Operative Video

2020 ◽  
Author(s):  
Kyle Lindsey McCormick ◽  
Nikita Alexiades ◽  
Paul C McCormick
Keyword(s):  
Spinal Cord ◽  
Tumor Resection ◽  
Residual Tumor ◽  
Complete Recovery ◽  
Surgical Removal ◽  
Intramedullary Spinal Cord ◽  
Dural Closure ◽  
Cervical Approach ◽  
Anterior Cervical Approach ◽  
Microsurgical Resection

Abstract This video demonstrates the microsurgical removal of an intramedullary spinal cord hemangioblastoma through an anterior cervical approach. While most spinal hemangioblastomas arise from the dorsal or dorsolateral pial surface and can be safely resected through a posterior approach,1,2 ventral tumors can present a significant challenge to safe surgical removal.3-5 This patient presented with a progressively symptomatic ventral pial based hemangioblastoma at the C5-6 level with large polar cysts extending from C3 to T1. The tumor was approached through a standard anterior cervical exposure with a C5 and C6 corpectomy. Following midline durotomy, the tumor was identified and complete microsurgical resection was achieved. The principles and techniques of tumor resection are illustrated and described in the video. Following tumor resection and dural closure, a fibular allograft was inserted into the corpectomy defect and a C4-C7 fixation plate was placed. The patient was maintained in a supine position for 36 h. He was discharged home on postoperative day 3 in a cervical collar. The patient did well with near-complete recovery of neurological function. Postoperative magnetic resonance imaging at 6 wk showed a substantial resolution of the polar cysts and no evidence of residual tumor. The patient featured in this video consented to the procedure.

scholarly journals Influence of osteopathic correction on the psychoemotional state and quality of life of pregnant women with concomitant pathology of the urinary system

2020 ◽  
pp. 66-74
Author(s):  
E. N. Nenashkina
Keyword(s):  
Drug Therapy ◽  
Pregnant Women ◽  
Emotional State ◽  
Life Quality ◽  
Pain Syndrome ◽  
Main Group ◽  
Chronic Pyelonephritis ◽  
Control Group ◽  
Psychoemotional State ◽  
Traditional Drug

Introduction. The presence of somatic diseases during pregnancy leaves a serious imprint on the emotional state of a woman, significantly worsens the quality life indicators and affects the clinical characteristics of pregnancy. One of these diseases is chronic pyelonephritis. There are a fairly large number of recommendations for the treatment of this pathology. However the focus is mainly on drug therapy. At the same time the existing restrictions on the number of drugs using during pregnancy, the problem of polypragmasia, and the increase in the number of allergic complications of drugs using dictate the need to search alternative methods of treatment, primarily non-drug ones. Moreover, the problems of pregnant women life quality with chronic pyelonephritis during complex drug therapy are often not given due attention.The goal of research — to assess the impact of osteopathic correction on the psycho-emotional state and life quality of pregnant women with concomitant pathology of the urinary system.Materials and methods. A prospective controlled randomized study was conducted in the period 03.2016– 01.2018 on the basis of medical clinics of LLC «Mokhov Institute of osteopathy» and LLC «Vasileostrovskaya clinic of reproduction and genetics». There were observed work 48 pregnant women with chronic pyelonephritis aged 25–45 years, with a gestation period 13–27 weeks. During the processing of the clinical material, 8 patients were eliminated. As a result of the selection process, a group of 40 people was formed. All pregnant women with chronic kidney disease, depending on the used treatment method, were divided into two groups using a simple randomization method with a random number generator. There was formed the main group (20 people), and the control group (20 people). Patients of the main group received medication and osteopathic correction (3 procedures with an interval of 7–10 days). Patients in the control group received only traditional drug therapy. All pregnant women with chronic pyelonephritis had an osteopathic examination before and after treatment with forming an osteopathic conclusion, and the assessment of the pain syndrome severity by a visual analog scale (VAS), the general psycho-emotional state (the method of rapid assessment of health, activity and mood — HAM), and the level of life quality (Questionnaire Medical Outcomes Study — Short Form).Results. Pregnant women with chronic pyelonephritis were characterized by a weak pain syndrome, a psychoemotional state violations in the categories «well-being» and «activity», and a decrease in both the physical and mental components of life quality. After the complex treatment including the additional to traditional drug therapy osteopathic correction methods, the statistically significant decrease of the pain severity degree (p=0,001), increase of psychoemotional state rates in the category of «activity» (p=0,05) and the increase of physical and mental components of life quality (p=0,02) were observed in the main group compared with the control.Conclusion. Chronic pathology of the kidneys during pregnancy affects the emotional state of a woman, significantly worsens life quality indicators. The use of osteopathic correction as a part of the complex therapy of pregnant women with chronic pyelonephritis can improve the emotional state and life quality; reduce the pain severity, and so can be used to improve medical care for this population category. 

scholarly journals Medical rehabilitation of patients with urinary incontinence

2018 ◽  
Vol 19 (3) ◽  
pp. 48-52
Author(s):  
Sh. R. Satybaldyev ◽  
E. Sh. Satybaldyeva ◽  
V. V. Evdokimov
Keyword(s):  
Urinary Incontinence ◽  
Drug Therapy ◽  
Treated Group ◽  
Medical Rehabilitation ◽  
Traditional Treatment ◽  
Study Objective ◽  
Sf 36 ◽  
Different Types ◽  
Traditional Drug ◽  
Complex Influence

The study objectiveis to evaluate the effectiveness of physiotherapy, therapeutic gymnastics and psychotherapy in the medical rehabilitation of patients with different types of urinary incontinence (UI).Materials and methods.In the departments of urology of the Kyrgyz Research Institute of Balneology and Rehabilitation were treated 164 patients with UI. Patients were divided into groups depending on the type of treatment: 132 patients were included in the treated group (UI developed as a complication of prostatectomy in 90 of them, as a complication of chronic cystitis – in 42), who used drug therapy and rehabilitation complexes. In 32 patients, only traditional drug therapy was performed, they formed a comparison group.Results.There was a significant improvement in the clinical characteristics: the severity of pain, frequent urination, UI decreased after rehabilitation treatment by 1.5–2.0 points, after traditional treatment – by 0.3–0.8 points. The average number of UI episodes decreased by 48 % compared to the baseline, the volume of urination increased by 37 %. Urination rate decreased by 55 %. The clinical effect of rehabilitation complexes was confirmed by subjective sensations recorded in the SF-36 questionnaire.Conclusion.Complex influence (the differentiated application of physiotherapy, physiotherapy in combination with psychotherapy, electrostimulation and magnetotherapy) caused high clinical level of rehabilitation.

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.

scholarly journals Innovative Targeting Strategies in Drug Therapy for Inflammatory Diseases: Mechanistic Approaches

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Duen-Suey Chou ◽  
Joen-Rong Sheu ◽  
Philip A. Thomas ◽  
Muniyan Sakthivel
Keyword(s):  
Drug Therapy ◽  
Inflammatory Diseases
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