牙源性上颌窦炎误诊1例

Odontogenic Maxillary Sinusitis Misdiagnose One Example

上颌后牙与上颌窦关系密切,上颌后牙根尖周炎症可以扩散至上颌窦而并发牙源性上颌窦炎(odontogenic maxillary sinusitis)。这种情况在临床较为少见,有可能造成误诊、误治。本例报告提示,详细的病史采集在相关鉴别诊断中有重要意义,尤其是在提倡把医学作为人文科学的现在,应该是对作为整体的人的关爱和人性化服务。医疗不应只着眼于局部,而应多学科合作,共同维护患者的健康。

There is a close relationship between maxillary posterior teeth and maxillary sinus, maxillary periapical inflammation can spread to the maxillary sinus and cause concurrent odontogenic maxillary sinusitis. This situation is relatively rare in clinical, and it may lead to misdiagnosis and mistreatment. This case report suggests that a detailed medical history collection is very important in the relevant differential diagnosis, especially in today＇s situation that promoting the idea of considering medical science as humanities and also as the care and humanistic service on the basis of taking person as a whole.Medical care should not only focus on locality, but should cooperate with multiple sciences to safeguard the health of patients.