耳鼻咽喉科と連携して行った上顎洞関連手術における検討

抄録

For maxillary sinus-related diseases, dental and oral surgery dealing with adjacent areas and otolaryngology do not often cooperate surgically. This report examined 27 cases of maxillary sinus-related surgery performed from January 2016 to December 2019 by Tokuyama Central Hospital Dental and Oral Surgery and Otolaryngology. The causes of maxillary sinus-related operations were maxillary sinusitis in 20 cases, maxillary bone tumor in 5 cases, anti-resorptive agent-related osteonecrosis of the jaw in one case, and postoperative maxillary cyst in one case. Dental and oral surgery was performed by various methods. However, the otorhinolaryngological procedure was endoscopic sinus surgery or intranasal packing. In addition, all otorhinolaryngological procedures for maxillary sinusitis, which accounted for 74.1% of the causative diseases, were endoscopic sinus surgery. This is an easy method to choose because the operative procedure can avoid hyposensitivity and neuralgia of the buccal region and upper lip, which occur due to radical surgery of the maxillary sinus （Caldwell–Luc method）, and it can obtain physiological healing of the sinus in a minimally invasive way. In order to realize safe and anatomically ideal medical treatment, it was considered important to strengthen cooperation with the otolaryngology department which handles adjacent fields.