牙源性鼻窦炎的管理:多学科共识声明2020

2020-06-07 Int Forum Allergy Rhinol (IF not found) . 2020 Jun 7. doi: 10.1002/alr.22598.

牙源性鼻窦炎(ODS)可能是一个治疗难题,因为已经有多种治疗策略的报道。已经发表了ODS综述文章,但它们缺乏多学科合作和循证方法。本文的目的是对ODS管理方案进行循证回顾,并制定ODS管理方案的多学科

中文标题:

牙源性鼻窦炎的管理:多学科共识声明2020

发布机构:

发布日期:

2020-06-07

简要介绍:

牙源性鼻窦炎(ODS)可能是一个治疗难题,因为已经有多种治疗策略的报道。已经发表了ODS综述文章,但它们缺乏多学科合作和循证方法。本文的目的是对ODS管理方案进行循证回顾,并制定ODS管理方案的多学科共识声明。

方法
使用PubMed、EMBASE和Cochrane Review数据库对截至2019年12月的ODS管理的牙科和医学文献进行了循证审查。排除标准包括非英语文章、少于10名患者的病例系列、真菌性鼻窦炎和未报告治疗成功率的研究。由于推荐的总证据水平不高于C级,因此使用修改后的德尔菲法进行了临床共识声明。

研究结果
有16篇文章符合关于以下ODS管理方案的循证审查标准:单独的牙科治疗或与ESS联合治疗各种牙科病理,以及单独的内窥镜鼻窦手术(ESS)治疗与牙科种植相关的ODS。在10项临床声明中,有9项达成了强烈的共识,其中最强烈的是使用共同决策来选择管理策略。对于确定不复杂的ODS所需的ESS程度,没有达成共识。

结论:在确定非复杂的 ODS 所需的 ESS 程度方面没有达成共识。

相关资料下载:
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  1. [GetPortalCommentsPageByObjectIdResponse(id=916265, encodeId=3d49916265c0, content=有幸我曾先后从事口腔及耳鼻喉专业,均好多年。明确牙源性的上颌窦感染,病的根本在于患牙,如果病因不能有效治疗,根尖的炎症一直会影响上颌窦。这个病首先治疗患牙。不能保留的必须拔除,剩下的比较好办了。如何判断是否需要拔牙,明确拔牙适应症及禁忌症即可,按牙科的指南操作即可。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=54e54017165, createdName=qiujier, createdTime=Wed Jan 13 16:25:06 CST 2021, time=2021-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894813, encodeId=991e894813c9, content=根尖炎引起上颌窦感染也是难办, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8015429383, createdName=ms1000001735849115, createdTime=Tue Oct 27 11:42:10 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892633, encodeId=ebbe89263343, content=可以,现在检查技术先进,很多都是无意中发现, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e3285426603, createdName=ms7000001125919205, createdTime=Sat Oct 17 11:59:54 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807009, encodeId=c89680e00911, content=有收获,感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c53f5409679, createdName=ms2000000422666799, createdTime=Sat Aug 08 21:26:29 CST 2020, time=2020-08-08, status=1, ipAttribution=)]
    2021-01-13 qiujier

    有幸我曾先后从事口腔及耳鼻喉专业,均好多年。明确牙源性的上颌窦感染,病的根本在于患牙,如果病因不能有效治疗,根尖的炎症一直会影响上颌窦。这个病首先治疗患牙。不能保留的必须拔除,剩下的比较好办了。如何判断是否需要拔牙,明确拔牙适应症及禁忌症即可,按牙科的指南操作即可。

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=916265, encodeId=3d49916265c0, content=有幸我曾先后从事口腔及耳鼻喉专业,均好多年。明确牙源性的上颌窦感染,病的根本在于患牙,如果病因不能有效治疗,根尖的炎症一直会影响上颌窦。这个病首先治疗患牙。不能保留的必须拔除,剩下的比较好办了。如何判断是否需要拔牙,明确拔牙适应症及禁忌症即可,按牙科的指南操作即可。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=54e54017165, createdName=qiujier, createdTime=Wed Jan 13 16:25:06 CST 2021, time=2021-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894813, encodeId=991e894813c9, content=根尖炎引起上颌窦感染也是难办, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8015429383, createdName=ms1000001735849115, createdTime=Tue Oct 27 11:42:10 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892633, encodeId=ebbe89263343, content=可以,现在检查技术先进,很多都是无意中发现, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e3285426603, createdName=ms7000001125919205, createdTime=Sat Oct 17 11:59:54 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807009, encodeId=c89680e00911, content=有收获,感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c53f5409679, createdName=ms2000000422666799, createdTime=Sat Aug 08 21:26:29 CST 2020, time=2020-08-08, status=1, ipAttribution=)]
    2020-10-27 ms1000001735849115

    根尖炎引起上颌窦感染也是难办

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=916265, encodeId=3d49916265c0, content=有幸我曾先后从事口腔及耳鼻喉专业,均好多年。明确牙源性的上颌窦感染,病的根本在于患牙,如果病因不能有效治疗,根尖的炎症一直会影响上颌窦。这个病首先治疗患牙。不能保留的必须拔除,剩下的比较好办了。如何判断是否需要拔牙,明确拔牙适应症及禁忌症即可,按牙科的指南操作即可。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=54e54017165, createdName=qiujier, createdTime=Wed Jan 13 16:25:06 CST 2021, time=2021-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894813, encodeId=991e894813c9, content=根尖炎引起上颌窦感染也是难办, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8015429383, createdName=ms1000001735849115, createdTime=Tue Oct 27 11:42:10 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892633, encodeId=ebbe89263343, content=可以,现在检查技术先进,很多都是无意中发现, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e3285426603, createdName=ms7000001125919205, createdTime=Sat Oct 17 11:59:54 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807009, encodeId=c89680e00911, content=有收获,感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c53f5409679, createdName=ms2000000422666799, createdTime=Sat Aug 08 21:26:29 CST 2020, time=2020-08-08, status=1, ipAttribution=)]
    2020-10-17 ms7000001125919205

    可以,现在检查技术先进,很多都是无意中发现

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=916265, encodeId=3d49916265c0, content=有幸我曾先后从事口腔及耳鼻喉专业,均好多年。明确牙源性的上颌窦感染,病的根本在于患牙,如果病因不能有效治疗,根尖的炎症一直会影响上颌窦。这个病首先治疗患牙。不能保留的必须拔除,剩下的比较好办了。如何判断是否需要拔牙,明确拔牙适应症及禁忌症即可,按牙科的指南操作即可。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=54e54017165, createdName=qiujier, createdTime=Wed Jan 13 16:25:06 CST 2021, time=2021-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894813, encodeId=991e894813c9, content=根尖炎引起上颌窦感染也是难办, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8015429383, createdName=ms1000001735849115, createdTime=Tue Oct 27 11:42:10 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892633, encodeId=ebbe89263343, content=可以,现在检查技术先进,很多都是无意中发现, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e3285426603, createdName=ms7000001125919205, createdTime=Sat Oct 17 11:59:54 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807009, encodeId=c89680e00911, content=有收获,感谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c53f5409679, createdName=ms2000000422666799, createdTime=Sat Aug 08 21:26:29 CST 2020, time=2020-08-08, status=1, ipAttribution=)]
    2020-08-08 ms2000000422666799

    有收获,感谢

    0