Analysis of the effect of combined fungal balls on clinical characteristics and tissue inflammation patterns of odontogenic maxillary sinusitis
10.16066/j.1672-7002.2025.06.005
- VernacularTitle:合并真菌球对牙源性上颌窦炎临床特征和组织炎症模式的影响分析
- Author:
Bing LIU
1
;
Yuan ZHANG
;
Wenyu SHE
Author Information
1. 首都医科大学附属北京同仁医院 口腔科,北京 100730
- Keywords:
Sinusitis;
Maxillary Sinusitis;
odontogenic maxillary sinusitis;
fungal balls
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2025;32(6):362-365
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the effects of combined fungal balls on the clinical characteristics and tissue inflammatory patterns of odontogenic maxillary sinusitis(OMS).METHODS Retrospective collection of OMS patients admitted to the Department of Allergy of Beijing Tongren Hospital affiliated to Capital Medical University from January 2022 to December 2024,who underwent surgery.CT imaging was used to identify the types of odontogenic causes,and tissue sections stained with HE were used to classify the types of inflammation.The impact of fungal balls on the clinical characteristics and inflammatory patterns of OMS was analyzed.RESULTS Among 43 patients with OMS,44.1%were combined with fungal balls,and there was no statistical difference in gender,age and diabetes combination.OMS with fungal balls is more prone to periodontitis,while OMS without fungal balls is more prone to periapical periodontitis.Whether or not combining with fungal balls has no effect on the incidence of sinus floor destruction.The presence or absence of fungal balls has no effect on the tissue inflammation pattern of OMS,and the lymphocyte type is the most common inflammatory cell type in OMS with(45.4%)and without(41.6%)fungal balls.CONCLUSION OMS often coexists with fungal balls,and periodontitis is more common,but it has no effect on the type of tissue inflammation.
