腔鼻胞胀作为奥登托基性鼻炎的预测因素
Hussein Mackie1, Japnam Jassal2, Carl Wilson3
1Michigan State University College of Human Medicine, East Lansing, Michigan, USA.
The Laryngoscope
|December 19, 2025
概括
鼻膜胀 (MSPE) 是诊断口腔性鼻炎 (ODS) 的可靠指标,显示100%的灵敏度. 虽然它并不总是确定的,但它的存在强烈地表明,在单边鼻疾病中,它是一种臭源.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 牙科病理学 牙科病理学
背景情况:
- 牙性鼻炎 (ODS) 源于大鼻的牙感染,通常是单边的.
- 尽管有特征性的临床症状,但诊断ODS可能具有挑战性.
- 上腔突 papillary edema (MSPE) 是一种潜在的ODS诊断标志物.
研究的目的:
- 为了评估上鼻 papillary edema (MSPE) 在预测口腔性鼻炎 (ODS) 的诊断价值.
- 评估MSPE在区分ODS与其他形式的单边鼻疾病中的可靠性和预测准确性.
主要方法:
- 单侧鼻病 (USD) 患者进行大肠静脉修复的回顾性队列研究.
- 包括三个队列:ODS,没有鼻息肉的慢性鼻炎 (CRSsNP) 和非传染性CRSwNP.
- 由三个盲目鼻科医生进行内镜图像审查,以识别MSPE,与评价者之间的协议计算和预测模型生成.
主要成果:
- MSPE存在于100%的ODS病例中,22.7%的传染性CRSsNP,0%的非传染性CRSwNP.
- 对于MSPE识别的高互评级协议 (κ = 0.927).
- MSPE对ODS表现出100%的敏感性和89.1%的特异性,具有100%的负预测值.
结论:
- 上鼻胞性 (MSPE) 是一种明显且可靠地识别的发现,在口腔性鼻炎 (ODS).
- 缺少MSPE有效排除了ODS (100%负预测值).
- 虽然MSPE不是病理性,但它的存在 (85.7%的积极预测值) 证明了对牙产生源的怀疑.
关键词:
性牙周炎 (apical periodontitis) 是一种牙周炎.慢性鼻鼻炎是什么内镜内腔外科手术是指内镜外科手术.鼻腔多重体是指鼻腔多重体.牙引起的鼻炎 (odontogenic sinusitis) 是一种引起鼻炎的疾病.耳鼻裂是一种耳鼻裂.更多相关视频
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