International Journal of Oral-Medical Sciences
Online ISSN : 2185-4254
Print ISSN : 1347-9733
ISSN-L : 1347-9733
Original Articles
Differential Diagnosis between Fungal Maxillary Sinusitis and Odontogenic Sinusitis Using CT Images
Kotaro ItoYoshinobu HaraNorihito IizukaEri SawadaMasaaki SuemitsuKayo KuyamaTakashi Kaneda
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2019 Volume 17 Issue 3-4 Pages 100-107

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Abstract

Objectives The purposes of this study were to investigate image findings and clinical symptoms of fungal maxillary sinusitis and odontogenic sinusitis, and to assessment of usefulness of differential diagnosis between fungal maxillary sinusitis and odontogenic sinusitis.

Study Design The study included 32 patients (16 fungal sinusitis, 16 odontogenic sinusitis)with a confirmed histopathologic diagnosis of fungal sinusitis or odontogenic sinusitis. Computed tomography(CT)images were used to evaluate such as 1)location and shape of mucosal thickening, 2)calcification, 3)osteolysis, 4)osteosclerosis and 5)thickening of bony wall. Moreover, we investigated clinical symptoms of all patients.

Results There were significant differences between fungal sinusitis and odontogenic sinusitis in sex difference, shape of mucosal thickening, calcification, osteosclerosis,thickening of bony wall and clinical symptoms.

Conclusions This study suggested that these findings are useful for differential diagnosis between fungal maxillary sinusitis and odontogenic sinusitis.

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© 2019 Research Institute of Oral Science Nihon University School of Dentistry at Matsudo
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