Clinical feature of odontogenic maxillary sinusitis. Symptomatology and the grade in development of the maxillary sinus in cases with dental maxillary sinusitis.

Kaneko, Isao; Harada, Kouichi; Ishii, Toyota; Furukawa, Kozo; Yao, Kazuo; Takahashi, Hiroomi; Shitara, Tetsuya

doi:10.3950/jibiinkoka.93.1034

Cited by 6 publications

(3 citation statements)

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“…The incidence of sinusitis associated with odontogenic infections is very low despite the high frequency of dental infections 5. However, this incidence is gradually increasing.…”

Section: Discussionmentioning

confidence: 99%

Clinical Features and Treatments of Odontogenic Sinusitis

2010

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PurposeThe aim of this study was to investigate how clinical features such as sex, age, etiologic factors, and presenting symptoms of odontogenic sinusitis are differentiated from other types of sinusitis. Also, this study was designed to find methods for reducing the incidence of odontogenic sinusitis.Materials and MethodsA retrospective chart analysis was completed on twenty-seven patients with odontogenic sinusitis. They were all treated at Kangbuk Samsung Hospital between February 2006 and August 2008. The study protocol and informed consent forms were approved by the institutional review boards for human beings at Kangbuk Samsung Hospital.ResultsTen patients (37.0%) had dental implant related complications and 8 (29.6%) had dental extraction related complications. Unilateral purulent nasal discharge was the most common symptom (66.7%). The therapeutic modality included transnasal endoscopic sinus surgery in 19 (70.4%) patients, and a Caldwell-Luc operation in two (7.4%) patients.ConclusionIn our study, there was no significant difference in the incidence between genders. The average age of the patients was 42.9 years. The incidence was highest in the fourth decade. There were no significant differences between the symptoms of odontogenic sinusitis and that of other types of sinusitis. However, almost all of the patients with odontogenic sinusitis had unilateral symptoms. Iatrogenic causes, which include dental implants and dental extractions, were the most common etiologic factors related to the development of odontogenic sinusitis. Therefore, a preoperative consultation between a rhinologist and a dentist prior to the dental procedure should be able to reduce the incidence of odontogenic sinusitis.

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“…The incidence of sinusitis associated with odontogenic infections is very low despite the high frequency of dental infections 5. However, this incidence is gradually increasing.…”

Section: Discussionmentioning

confidence: 99%

Clinical Features and Treatments of Odontogenic Sinusitis

2010

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“…Hind limb ischemia was induced in 15 animals as described previously 19 , 20 (ischemia group). Briefly, a 5 mm wide × 1 mm thick rubber band was used as a tourniquet to induce arterial ischemia in the right hindlimb.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, here we aim to evaluate the ability of EIM to detect early muscle ischemia in an established murine model of compression-induced muscle injury 19 , 20 . Understanding that acute compartment syndrome is not a pure pressure problem but a hypoxic and ischemic phenomenon, we hypothesize that EIM measurements are sufficiently sensitive to detect early changes in compression-induced murine muscle ischemia.…”

Section: Introductionmentioning

confidence: 99%

Electrical impedance myography for the early detection of muscle ischemia secondary to compartment syndrome: a study in a rat model

Lechtig,

Hanna,

Nagy

et al. 2023

Sci Rep

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Acute Compartment Syndrome (ACS) is one of the most devastating orthopedic conditions, affecting any of the body’s many compartments, which, if sufficiently severe, may result in disability and amputation. Currently, intra-compartmental pressure measurements serve as the gold standard for diagnosing ACS. Diagnosing limbs at risk for ACS before irreversible damage to muscle and nerve is critical. Standard approaches for diagnosing impending compartment syndrome include clinical evaluation of the limb, such as assessment for “tightness” of the overlying skin, reduced pulses distally, and degree of pain, none of which are specific or sensitive. We have proposed a novel method to detect ACS via electrical impedance myography (EIM), where a weak, high-frequency alternating current is passed between one pair of electrodes through a region of tissue, and the resulting surface voltages are measured via a second pair. We evaluated the ability of EIM to detect early muscle ischemia in an established murine model of compression-induced muscle injury, where we collected resistance, reactance, and their dimensionless product, defined as Relative Injury Index (RII) during the study. Our model generated reproducible hypoxia, confirmed by Hypoxyprobe™ staining of endothelial regions within the muscle. Under conditions of ischemia, we demonstrated a reproducible, stable, and significant escalation in resistance, reactance, and RII values, compared to uninjured control limbs. These data make a reasonable argument for additional investigations into using EIM for the early recognition of muscle hypoperfusion and ischemia. However, these findings must be considered preliminary steps, requiring further pre-clinical and clinical validation.

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