상악동 진균구 발생과 치성 원인의 연관성 분석
Relationship Between Maxillary Fungal Sinusitis and Odontogenic Infection, Dental Implant
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Background and Objectives One of the common causes of chronic bacterial sinusitis isodontogenic infection, which has recently attracted attention and many studies are being con-ducted. However, studies on the relationship between chronic fungal sinusitis and odontogenicinfection, which are commonly encountered in clinical practice, are still lacking. In this study,we investigated the association between chronic fungal sinusitis, odontogenic infection anddental implant. Subjects and Method We retrospectively reviewed medical records and paranasal sinus(PNS) CT scans of 198 patients who were treated in our institution for maxillary fungal sinus-itis between March 2010 and October 2020. Results We defined two groups of maxillary sinuses (MS) according to the presence of fun-gal ball (fungal group; n=204 vs. normal group; n=192). Fungal sinusitis was diagnosed in all204 cases of the fungal group. In the normal group, the mean MS volume was 17.0±6.2 mL,and in the fungal group, the mean MS volume was 13.8±5.2 mL. The volumes of MS were sta-tistically small in the fungal group ( p<0.001). In 141 (69.1%) of 204 sinuses in the fungal group,findings suggestive of odontogenic infection were confirmed on the PNS CT scans and werestatistically significant ( p<0.001, odds ratio=2.537). Of 204 sinuses in the fungal group, 26(12.7%) had dental implants and were not statistically significant ( p=0.107, odds ratio=1.724). Conclusion This study suggests odontogenic infection to be a risk factor for developingfungal sinusitis in the ipsilateral maxillary sinus.
Abstract
Background and Objectives One of the common causes of chronic bacterial sinusitis isodontogenic infection, which has recently attracted attention and many studies are being con-ducted. However, studies on the relationship between chronic fungal sinusitis and odontogenicinfection, which are commonly encountered in clinical practice, are still lacking. In this study,we investigated the association between chronic fungal sinusitis, odontogenic infection anddental implant. Subjects and Method We retrospectively reviewed medical records and paranasal sinus(PNS) CT scans of 198 patients who were treated in our institution for maxillary fungal sinus-itis between March 2010 and October 2020. Results We defined two groups of maxillary sinuses (MS) according to the presence of fun-gal ball (fungal group; n=204 vs. normal group; n=192). Fungal sinusitis was diagnosed in all204 cases of the fungal group. In the normal group, the mean MS volume was 17.0±6.2 mL,and in the fungal group, the mean MS volume was 13.8±5.2 mL. The volumes of MS were sta-tistically small in the fungal group ( p<0.001). In 141 (69.1%) of 204 sinuses in the fungal group,findings suggestive of odontogenic infection were confirmed on the PNS CT scans and werestatistically significant ( p<0.001, odds ratio=2.537). Of 204 sinuses in the fungal group, 26(12.7%) had dental implants and were not statistically significant ( p=0.107, odds ratio=1.724). Conclusion This study suggests odontogenic infection to be a risk factor for developingfungal sinusitis in the ipsilateral maxillary sinus.
참고문헌 (30)
- Pagella F, "Paranasal sinus fungus ball : Diagnosis and management", Mycoses, 50(6), pp.451~456 (2007)
- Klossek JM, "Functional endoscopic sinus surgery and 109 mycetomas of paranasal sinuses", Laryngoscope, 107(1), pp.112~117 (1997)
- Anavi Y, "Complications of maxillary sinus augmentations in a selective series of patients", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 106(1), pp.34~38 (2008)
- Craig JR, "Diagnosing odontogenic sinusitis : An international multidisciplinary consensus statement", Int Forum Allergy Rhinol, 11(8), pp.1235~1248 (2021)
- Psillas G, "Odontogenic maxillary sinusitis : A comprehensive review", J Dent Sci, 16(1), pp.474~481 (2021)
- Burnham R, "Aspergillosis of the maxillary sinus secondary to a foreign body(amalgam)in the maxillary antrum", Br J Oral Maxillofac Surg, 47(4), pp.313~315 (2009)
- Fanucci E, "Diagnosis and treatment of paranasal sinus fungus ball of odontogenic origin: Case report", Oral Implantol(Rome), 6(3), pp.63~66 (2013)
- Giardino L, "Aspergillus mycetoma of the maxillary sinus secondary to overfilling of a root canal", J Endod, 32(7), pp.692~694 (2006)
- Khongkhunthian P, "Aspergillosis of the maxillary sinus as a complication of overfilling root canal material into the sinus : Report of two cases", J Endod, 27(7), pp.476~478 (2001)
- Matjaz R, "Sinus maxillaris mycetoma of odontogenic origin : Case report", Braz Dent J, 15(3), pp.248~250 (2004)
- Milroy CM, "Aspergillosis of the nose and paranasal sinuses", J Clin Pathol, 42(2), pp.123~127 (1989)
- Shams MG, "Aspergilloma of the maxillary sinus complicating an oroantral fistula", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 96(1), pp.3~5 (2003)
- Sohn DS, "Fungal infection as a complication of sinus bone grafting and implants : A case report", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107(3), pp.375~380 (2009)
- Huumonen S, "Radiological aspects of apical periodontitis", Endod Topics, 1(1), pp.3~25 (2002)
- Oei A, "The acute apical abscess: Aetiology, microbiology, treatment and prognosis", Endodontic Practice Today, 12(2), pp.75~85 (2018)
- Kwiatkowska MA, "Clinical characteristics of odontogenic sinusitis with periapical lesions", Am J Otolaryngol, 43(2), pp.103338~ (2022)
- Park MJ, "Features of odontogenic sinusitis associated with dental implants", Laryngoscope, 133(2), pp.237~243 (2023)
- Legent F, "The role of dental canal fillings in the development of Aspergillus sinusitis. A report of 85 cases", Arch Otorhinolaryngol, 246(5), pp.318~320 (1989)
- Mensi M, "Mycetoma of the maxillary sinus : Endodontic and microbiological correlations", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 98(1), pp.119~123 (2004)
- Tomazic PV, "Potential correlations of dentogenic factors to the development of clinically verified fungus balls : A retrospective computed tomography-based analysis", Laryngoscope, 126(1), pp.39~43 (2016)
- Brook I, "Sinusitis of odontogenic origin", Otolaryngol Head Neck Surg, 135(3), pp.349~355 (2006)
- 김주환, "치성 부비동염의 임상 양상: 병인과 치료에 대한 고찰", 대한이비인후-두경부외과학회지, 52(7), pp.585~590 (2009), 대한이비인후과학회
- Borregaard N, "Energy metabolism of human neutrophils during phagocytosis", J Clin Invest, 70(3), pp.550~557 (1982)
- Krawczyk CM, "Toll-like receptor-induced changes in glycolytic metabolism regulate dendritic cell activation", Blood, 115(23), pp.4742~4749 (2010)
- Roiniotis J, "Hypoxia prolongs monocyte", macrophage survival and enhanced glycolysis is associated with their maturation under aerobic conditions, 2009, pp.182(12), 7974~7981
- Tannahill GM, "The emerging role of metabolic regulation in the functioning of Toll-like receptors and the NODlike receptor Nlrp3", FEBS Lett, 585(11), pp.1568~1572 (2011)
- Clary-Meinesz C, "Influence of external pH on ciliary beat frequency in human bronchi and bronchioles", Eur Respir J, 11(2), pp.330~333 (1998)
- Stammberger H, "Endoscopic surgery for mycotic and chronic recurring sinusitis", Ann Otol Rhinol Laryngol Suppl, 119, pp.1~11 (1985)
- Huang Z, "Clinical predictors of neo-osteogenesis in patients with chronic rhinosinusitis", Int Forum Allergy Rhinol, 5(4), pp.303~309 (2015)
- Bossolesi P, "The silent sinus syndrome : Diagnosis and surgical treatment", Rhinology, 46(4), pp.308~316 (2008)