Root canal therapy combined with endoscopic sinus surgery for odontogenic sinusitis:Efficacy comparison in a cohort study  

作　　者：Jun-Wen Xiao Ping Yu Zhang Zhao 

机构地区：[1]Department of Stomatology,Wuhan No.9 Hospital,Wuhan 430081,Hubei Province,China [2]Department of Otorhinolaryngology,People's Hospital of Xishui County,Huanggang 438200,Hubei Province,China [3]Department of Otorhinolaryngology,Hubei No.3 People’s Hospital of Jianghan University,Wuhan 430033,Hubei Province,China

出　　处：《World Journal of Clinical Cases》2025年第5期13-21,共9页世界临床病例杂志（英文）

摘　　要：BACKGROUND Odontogenic maxillary sinusitis,often triggered by dental issues like periapical periodontitis,significantly contributes to chronic sinusitis,mainly affecting adults around 50 years old,emphasizing the need for a multidisciplinary diagnostic and treatment approach.AIM To investigate the therapeutic effect and clinical value of root canal therapy combined with nasal endoscopic surgery compared with simple root canal the-rapy in the treatment of severe odontogenic maxillary sinusitis caused by peria-pical periodontitis.METHODS The clinical data,diagnosis,and treatment of 200 patients with severe odonto-genic maxillary sinusitis caused by periapical periodontitis from October 2020 to October 2021 were analyzed retrospectively.Among them,63 patients were treated with simple root canal therapy as the control group,and 137 patients were treated with root canal therapy combined with nasal endoscopic surgery as the observation group.The therapeutic effect,Lund-Kennedy endoscopic score,paranasal sinus Lund-Mackay score,complication rate,recurrence rate,and patient satisfaction were compared between the two groups.RESULTS First,we compared the effective rates:23 cases were cured,22 were improved,and 8 were ineffective in the control group,yielding a total effective rate of 84.90%.Meanwhile,97 cases were cured,34 improved,and 6 were ineffective in the observation group,resulting in a total effective rate of 95.62%.The observation group had a higher total effective rate compared with the control group(P<0.05).Second,we compared the Lund–Kennedy endoscopic score.Before treatment,no significant difference(P>0.05)was observed in this score between the two groups.After treatment,the Lund–Kennedy endoscopic score decreased in both groups.The Lund–Kennedy endoscopic score of the observation group at 3 and 6 mo after treatment was lower compared to that of the control group(P<0.05).Third,we compared the Lund–Mackay score of paranasal sinuses.Before treatment,there was no significant difference in this score betwe

关 键 词：Root canal therapy Nasal endoscopic surgery Periapical periodontitis Odontogenic maxillary sinusitis Therapeutic effect Clinical value 

分 类 号：R781.05[医药卫生—口腔医学]