IATROGENIC AND ODONTOGENIC FORMS OF STOMATOGENIC MAXILLARY SINUSITIS. ULTRASOUND CHARACTERISTIC

  • Suren Varzhapetyan SE «Zaporizhzhia Medical Academy of Postgraduate Education of MHP of Ukraine», Ukraine
Keywords: stomatogenic maxillary sinusitis, iatrogenic sinusitis, odontogenic sinusitis, ultrasound diagnostics

Abstract

The special features of transfer of information of the cone-beam computed tomography allows make conclusions about the character of pathological changes in maxillary sinuses only by the features of form and outlines of shadow of changed mucous tunic of sinus at its equal intensity that often leads to the incorrect interpretation of the results of research.

The high sensitivity of two-dimensional ultrasonography as for thickening (sclerosis) of mucous tunic, its edema (effusion) and exudation (purulent or serous) allows the more widen use of this method in addition to the cone-beam tomography at examination of maxillary sinuses. The other important moment is an absence of harmful influence of ultrasound on organism that makes it ideal for assessment of the dynamics of clinical course and allows prescribe it for pregnant and children.

The two-dimensional ultrasound examination of 86 patients with stomatogenic maxillary sinusitis (iatrogenic – 79,1 % odontogenic – 20,9 % forms)   was carried out using ultrasound diagnostic apparatus АCUSON X 500, ATSmod.539 (SIEMENS, USA) in В-mode by the method of V.V. Shilenkova.

In the result of research was found out that sonographic picture of the maxillary sinuses at stomatogenic maxillary sinusitis depends on etio-pathogenetic form of disease. For iatrogenic form of maxillary sinusitis of stomatogenic origin are typical the ultrasound signs of chronic inflammation with many inflammatory inclusions in sinus, sclerosis of mucous tunic and serous effusion. By frequency prevailed: hyperechogenicity of membrane (30,8 %), its heterogenous echostructure (52,9 %), hyperechogenic character of content (39,7 %), arched outline of the back wall (36,8 %).

For odontogenic form of maxillary sinusitis of stomatogenic origin are typical the ultrasound signs of acute catarrhal inflammation with predomination of exudation in the mucous tunic and absence of contents in the lumen of sinus. By frequency prevailed: hypoechogenicity of membrane (27,8 %), its homogenous echostructure  (45,6 %); acoustic shadow in sinus (72,2 %), arched outline of the back wall (27,8 %).

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Author Biography

Suren Varzhapetyan, SE «Zaporizhzhia Medical Academy of Postgraduate Education of MHP of Ukraine»

PhD, Associate Professor, Department of Surgical and Preventive Dentistry

References

Rosenfeld, R. M., Piccirillo, J. F., Chandrasekhar, S. S., Brook, I., Ashok Kumar, K., Kramper, M. et. al. (2015). Clinical Practice Guideline (Update): Adult Sinusitis. Otolaryngology – Head and Neck Surgery, 152, S1–S39. doi: 10.1177/0194599815572097

Shilenkova, V. V., Kozlov, V. S., Byirihina, V. V. (2006). Two-dimensional ultrasound diagnosis of paranasal sinuses. Yaroslavl, 54.

Sato, H. (2006). Closure of a fistula of the maxillary sinus and oral cavity. Shiyo, 34 (1), 945–951.

Klyonkina E. I. (2011). Differential diagnostic aspects of latent and chronic odontogenic maxillary sinusitis rhinogenous. Sankt-Peterburg, 20.

Varzhapetyan, S. D. (2015). Justification of the choice of methods for initial evaluation of patients with iatrogenic maxillary sinusitis.Voprosi teoreticheskoy i klinicheskoy meditsinyi, 18/2 (98), 43–48.

Babkina, T. M., Demidova, E. A. (2013). Optimization of radiation diagnosis of odontogenic sinusitis. VIsnik stomatologiyi, 3, 42–48.

Varzhapetyan, S. D., Gulyuk, A. G., Farenyuk, O. A. (2013). The use of different radiological methods in the diagnosis of maxillary sinusitis. Visnik stomatologiyi, 3, 38–41.

Fufezan, O., Asavoaie, C., Cherecheş, P. P. (2010). The role of ultrasonography in the evaluation of maxillary sinusitis in pediatrics. Med Ultrason, 12 (1), 4–11.

Haapaniemi, J., Laurikainen, E. (2001). Ultrasound and antral lavage in the examination of maxillary sinuses. Rhinology, 39 (1), 39–42.

Zasteba, T. A. (2004). Ultrasonography in inflammatory diseases of the maxillary sinuses. Tashkent, 18.

Birikhina, V. V. (2007). Two-dimensional ultrasound diagnosis of diseases of the paranasal sinuses. Moscow, 26.

Risavi, R., Klapan, I., Barcan, T., Simović, S. (1998). Effectiveness of ultrasonography in diagnosis of maxillary sinus disease: a prospective comparison with radiographic and sinusoscopic examinations. Croat Med. J.,39 (1), 45–48.

Shapiro, G., Furukawa, C., Pierson, W., Gilbertson, E., & Bierman, C. (1986). Blinded comparison of maxillary sinus radiography and ultrasound for diagnosis of sinusitis. Journal of Allergy and Clinical Immunology, 77 (1), 59–64. doi: 10.1016/0091-6749(86)90324-6

Varonen, H., Mäkelä, M., Savolainen, S., Läärä, E., Hilden, J. (2000). Comparison of ultrasound, radiography, and clinical examination in the diagnosis of acute maxillary sinusitis. Journal of Clinical Epidemiology, 53 (9), 940–948. doi: 10.1016/s0895-4356(99)00213-9

Pukhlik, S. M., Buchatskiy, M. S. (2013). Modern imaging techniques condition of the paranasal sinuses. The experience of ultrasound diagnosis. Rinologiya, 2, 58–64.

Shilenkova, V. V. (2008). Acute and recurrent sinusitis in children (diagnosis and treatment). Moscow, 43.

Jehogennost' i jehostruktura. Uzly shhitovidnoj zhelezy. Available at: http://uzlovoyzob.com/-q-q/66-21-.html

Varzhapetyan, S. D. (2016). Clinical and radiographic parallels some forms of iatrogenic maxillary sinusitis. Wschodnieuropejske Czasopismo Naukowe, 5, 72–79.

Gulyuk, A. G., Varzhapetyan, S. D. (2015). Justification Classification of iatrogenic maxillary sinusitis somatogenic origin. Innovatsiyi v stomatologiyi, 2, 27–38.


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Published
2016-07-31
How to Cite
Varzhapetyan, S. (2016). IATROGENIC AND ODONTOGENIC FORMS OF STOMATOGENIC MAXILLARY SINUSITIS. ULTRASOUND CHARACTERISTIC. EUREKA: Health Sciences, (4), 23-29. https://doi.org/10.21303/2504-5679.2016.00118
Section
Medicine and Dentistry