Abstract:
We assume that the nature of the pathological changes in the mucous membrane of the maxillary sinus should also depend on the nature of the stomatology procedures that were carried out before the development of maxillary sinusitis. The literature suggests that changes in the composition of glycoconjugates correlate with the transformation of chronic maxillary sinusitis, with hyperplasia of the sinus mucosa and hypersecretion. Thus, changes in the microenvironment and in local inflammatory reactions in sinusitis can affect the carbon fragments of the cell surface. The aim: to study the pathogenetic bases of differentiation of maxillary sinusitis, which develop on the background of dental manipulations. Sampling of biomaterial, a portion of the mucous membrane of the maxillary sinus was performed with 129 (100.0 %) patients, which were distributed according to etio-pathogenetic groups of stomatological maxillary sinusitis. Into the group of odontogenic form of stomatogenic maxillary sinusitis (OMS) there were 14 (10.9 %) patients who had inflammation in the sinus developed from previously untreated teeth. Into the group of infectious-allergic form of iatrogenic maxillary sinusitis (IAFIMS) there were 22 (19.1 %) patients who had established a periapical infection of previously treated teeth in the sinus in the etiology of the disease; The group of the mixed form of iatrogenic maxillary sinusitis (MixFINS) included 24 (20.9 %) patients with a filling material or a fragment of the tooth root in the lumen of the sinus. 12 (10.4 %) patients (who iatrogenic maxillary sinusitis of stomatologic origin which of chronic used medication hormones, antibiotics, drugs) were included in the medical form group (MFIMS). In the group of traumatic form of iatrogenic maxillary sinusitis (TFIMS) there were 57 (49.6%) patients with sinusitis which developed against surgical manipulations in the area of the alveolar process or the body of the upper jaw.
