耳症状を主訴とした歯性副鼻腔炎の2例
スポンサーリンク
概要
- 論文の詳細を見る
Two cases of dental sinusitis were treated. Their chief complaints were ear symptoms due to insufficiency of function of the Eustachian tube. Dental sinusitis in both patients was induced by the already treated teeth with little subjective and objective symptoms.The first case had been troubled with purulent otorrhea in spite of half a year of continuous conservative treatment followed by obstruction of the Eustachian tube for several months. The second had been suffering from feelings of fullness in the ear after a month of tympanic inflation by catheterization.The extraction of diseased teeth, currettage of sequester of alveolar bone, and in addition, sinusotomy were done. The above two ear symptoms did not heal until the operation of dental sinusitis.First case reported that purulent inflammation occurred in the middle ear which had been obstructed. But the inflammation was cured and perforation of tympanic membrane closed itself, due to recovery of function of the Eustachian tube after the operation of dental sinusitis.The lesions on teeth and on alveolar bone which are respectively one part of bone of face, are intimately connected with sinuses, eyes and with ears. Thus, attention must be paid also to the ear and eye disease.Three deductions may be allowed concerning the obstruction of the Eustachian tube caused by rhinitis and sinusitis, as follows;(1) Inflammatory swelling on pharyngeal orifice of the Eustachian tube.(2) Inflammatory swelling caused by edema, congestion and stagration of the lymph in deeper part of the peritubal tissue.(3) Complication of the above two.In addition, there can be seen some special Eustachian tube which is strongly affected by rhinitis and sinusitis even if symptom itself is very mild.Both patients showed marked improvement on ear symptoms after antral lavage, though the inflammations and swellings were not obvious in pharyngeal orifice of the Eustachian tubes.This is considered to be the same mechanism to the prompt improvement of the swelling on nasal concha at sinusitis after antral lavage.The obstruction of the Eustachian tube mentioned above appeared to be caused by deduction (2)
- 社団法人 日本耳鼻咽喉科学会の論文