Đặc điểm lâm sàng, X-quang của viêm xoang hàm do răng tại Bệnh viện Răng hàm mặt Trung ương Hà Nội

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Tác giả: Việt Hải Hoàng, Hoàng Thao Khổng, Thu Trang Phạm, Thị Bích Hạnh Phan, Cao Bính Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 616.21 *Diseases of nose, nasopharynx, paranasal sinuses, larynx

Thông tin xuất bản: Nghiên cứu y học (Đại học Y Hà Nội), 2023

Mô tả vật lý: 179-187

Bộ sưu tập: Metadata

ID: 502258

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Nghiên cứu được thực hiện từ tháng 3/2022 đến tháng 6/2023 tại Khoa Điều trị Nội nha, Bệnh viện Răng Hàm Mặt Trung ương Hà Nội trên 32 người bệnh được chẩn đoán viêm xoang hàm do răng, nhằm đánh giá đặc điểm lâm sàng và Xquang ở nhóm đối tượng trên. Kết quả cho thấy, tình trạng đau nhức vùng mặt chiếm 90,6%, đau nhức răng hàm trên cùng bên chiếm 90,6%. Mờ xoang hàm cùng bên một phần chiếm 62,5%, hình ảnh viêm quanh chóp chiếm 87,5%, hình ảnh tiêu xương quanh chóp chiếm 84,4% Như vậy, viêm xoang hàm do răng có hai triệu chứng gợi ý rất có giá trị là đau nhức vùng mặt và đau nhức răng hàm trên cùng bên. Trên phim chụp cắt lớp chùm tia hình nón (Conebeam Computed Tomography - CBCT), cần phát hiện những dấu hiệu quan trọng hướng đến nguyên nhân viêm xoang do răng là mờ xoang hàm cùng bên và viêm quanh chóp răng, tiêu xương quanh chóp. Phim chụp cắt lớp chùm tia hình nón có giá trị chẩn đoán tổn thương xoang hàm và đánh giá chi tiết tổn thương răng nguyên nhân, giúp lập kế hoạch điều trị phối hợp xoang và răng.The study was carried out from March 2022 and June 2023 at the Department of Endodontics, Hanoi Central Hospital of Odonto-Stomatology
32 patients were evaluated for clinical and subclinical characteristics of odntogenic maxillary sinusitis. We found that facial pain accounted for 90.6%, pain in the maxillary teeth on the same side accounted for 90.6%. Partial opacity of the ipsilateral maxillary sinus accounted for 62.5%, periapical inflammation pictures accounted for 87.5%, image of bone loss around the apex accounted for 84.4%. So odontogenic maxillary sinusitis has two highly suggestive symptoms, which are pain in the face and pain in the maxillary teeth on the same side. On Conebeam Computed Tomography, it is necessary to detect important signs leading to the cause of dental sinusitis, such as opacity of the ipsilateral maxillary sinus and periodontitis, bone loss around the apex. Conebeam Computed Tomography is valuable for diagnosing maxillary sinus lesions and assessing in detail asteeth lession, helping to plan a combination of sinus and dental treatment

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