Modern approaches to diagnostics and treatment of chronic odontogenic maxillary sinusitis

In structure of the hospitalised patients with chronic odontogenic maxillary sinusitis (COMS) the reasons were foreing bodies of maxillary sinuses at 35,58% ofpatients, perforations of sunus bottom at 31,47% ofpatients, periapical odontogenic centres at 19,93% of patients, odontogenic cysts at 10,38% of patients and other reasons at 2,64% of patients. COMS, as a rule, are characterised by the erased clinical picture, at 19,72% with foreing bodies become complicated a fungal infection which proceeds by aspergilloma. The comparative estimation of surgical methods of treatment COMS has shown the superiority endoscopic technologies. Among beam methods of research the most informative are cone-beam computer tomography (CBCT) and multi-spiral computer tomography (MSCT) which allow to estimate not only condition of sinus and osteomeatal complex, but also pathological processes in adjacent area teeth and their mutual relation with a sinus bottom. Endoscopic sinus surgery allows to lower number of complications in comparison with radical sinusotomy. It is necessary to give preference miniinvasive endoscopic technologies among surgical methods of treatment COMS.

odontogenic sinusitis, aspergilloma, endoscopic sinus surgery, computer tomography