Comparing the efficacy of sinus irrigation with traditional Caldwell-Luc procedure following odontogenic cyst surgery involving the maxillary sinus.
Aged
Biopsy
Disease Management
Female
Head and Neck Neoplasms
/ complications
Humans
Immunohistochemistry
Male
Maxillary Sinus
/ surgery
Middle Aged
Odontogenic Cysts
/ diagnosis
Postoperative Complications
/ etiology
Prognosis
Therapeutic Irrigation
/ adverse effects
Tomography, X-Ray Computed
Treatment Outcome
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
13 09 2021
13 09 2021
Historique:
received:
15
06
2021
accepted:
25
08
2021
entrez:
14
9
2021
pubmed:
15
9
2021
medline:
16
12
2021
Statut:
epublish
Résumé
A large maxillary odontogenic cyst could intrude into the maxillary sinus. The traditional approach following surgery for such a cyst is the Caldwell-Luc procedure. However, the traditional CDL procedure is associated with more complications and damage of the sinus mucosa. The purpose of this study was to assess a new method with easier operation, which not only prevented postoperative infection but also caused less damage to the maxillary sinus mucosa. A large odontogenic cyst in the maxillary sinus of 40 patients was diagnosed through radiographic imaging and postoperative histopathology. Twenty patients were treated with maxillary sinus saline irrigation after surgery, while 20 patients underwent the traditional Caldwell-Luc procedure. The therapeutic efficacy was evaluated by clinical examination and radiographic imaging; the longest follow-up was 36 months. The postoperative reaction was evaluated. There was a statistically significant difference in facial swelling, visual analog scale (VAS) and temperature elevation between the 2 groups. Sinus irrigation following large odontogenic cyst surgery involving the maxillary sinus can serve as an alternative to standard CDL and has the advantages of fewer complications, reduced trauma, restoration of the mucosa and more satisfactory results.
Identifiants
pubmed: 34518580
doi: 10.1038/s41598-021-97477-z
pii: 10.1038/s41598-021-97477-z
pmc: PMC8437990
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
18136Informations de copyright
© 2021. The Author(s).
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