{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:46:47Z","timestamp":1780321607455,"version":"3.54.1"},"reference-count":18,"publisher":"Akademiai Kiado Zrt.","issue":"9","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,3,2]]},"abstract":"<jats:p>Az odontogen sinusitis az orrmell\u00e9k\u00fcreg-gyullad\u00e1sok szekunder izol\u00e1lt form\u00e1ja,\n                    amelynek h\u00e1tter\u00e9ben odontogen g\u00f3cos folyamat, idegen test \u00e9s\/vagy a\n                    Schneider-membr\u00e1nt \u00e9rint\u0151 kor\u00e1bbi beavatkoz\u00e1s \u00e1llap\u00edthat\u00f3 meg. A rhinosinusitist\n                    a g\u00e1tolt orrl\u00e9gz\u00e9s, el\u00fcls\u0151 vagy garati v\u00e1lad\u00e9kcsorg\u00e1s, fesz\u00edt\u00e9s\/f\u00e1jdalom\u00e9rz\u00e9s \u00e9s\n                    szagl\u00e1sveszt\u00e9s t\u00fcnetsorb\u00f3l legal\u00e1bb kett\u0151 jelenl\u00e9te \u00e9s orrendoszk\u00f3pos elt\u00e9r\u00e9sek\n                    jellemzik. Az akut forma infektol\u00f3giai k\u00f3rk\u00e9p, a kr\u00f3nikus viszont\n                    immunpatol\u00f3giai jelleg\u0171, primer diff\u00faz k\u00e9toldali betegs\u00e9g. Az odontogen\n                    sinusitis, illetve az akut \u00e9s a kr\u00f3nikus rhinosinusitis a t\u00fcnetekben, a\n                    patomechanizmusban \u00e9s a ter\u00e1pi\u00e1ban jelent\u0151sen elt\u00e9r\u0151 k\u00f3rform\u00e1k, ez\u00e9rt a pontos\n                    diagn\u00f3zis alapvet\u0151 fontoss\u00e1g\u00fa. Az odontog\u00e9n sinusitis megjelen\u00e9s\u00e9ben az akut\n                    bakteri\u00e1lis rhinosinusitishez hasonl\u00f3, a b\u0171z\u00f6s orrfoly\u00e1s \u00e9s\/vagy az orrb\u00f3l ered\u0151\n                    foetor jellegzetes lehet, illetve a szagl\u00e1sveszt\u00e9s nem jellemz\u0151. T\u00edpusos\n                    klinikai t\u00fcnetek \u00e9s endoszk\u00f3pos lelet n\u00e9lk\u00fcl az arckoponya-CT-n \u00e9szlelt\n                    ny\u00e1lkah\u00e1rtya-elv\u00e1ltoz\u00e1sok \u00f6nmagukban nem elegend\u0151ek az odontogen sinusitis\n                    diagn\u00f3zis\u00e1nak fel\u00e1ll\u00edt\u00e1s\u00e1hoz. A ter\u00e1pia c\u00e9lja minden esetben az akut panaszok\n                    kezel\u00e9se, a gyullad\u00e1s megsz\u00fcntet\u00e9se, a megfelel\u0151 arc\u00fcregi dren\u00e1zs biztos\u00edt\u00e1sa, a\n                    g\u00f3c szan\u00e1l\u00e1sa, az esetleges idegen test elt\u00e1vol\u00edt\u00e1sa, illetve az oroantralis\n                    fistula z\u00e1r\u00e1sa. Az els\u0151 h\u00e1rom c\u00e9lpont tekintet\u00e9ben a konzervat\u00edv gy\u00f3gyszeres\n                    ter\u00e1pi\u00e1t r\u00e9szes\u00edtj\u00fck el\u0151nyben, amennyiben ez nem vezet eredm\u00e9nyre, akkor az\n                    endoszk\u00f3pos sinusseb\u00e9szeti beavatkoz\u00e1sok k\u00f6vetkeznek. Az egyedi \u00e9s\/vagy\n                    komplik\u00e1lt esetekben l\u00e9nyeges szempont a\n                    fogorvosi\/sz\u00e1jseb\u00e9szeti\/f\u00fcl-orr-g\u00e9g\u00e9szeti konz\u00edlium, valamint az ism\u00e9telt CT \u00e9s\n                    endoszk\u00f3pos vizsg\u00e1lat. A d\u00f6nt\u00e9shozatalban diagnosztikus \u00e9s ter\u00e1pi\u00e1s algoritmusok\n                    lehetnek seg\u00edts\u00e9g\u00fcnkre. Orv Hetil. 2025; 166(9): 323\u2013330.<\/jats:p>","DOI":"10.1556\/650.2025.33258","type":"journal-article","created":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T11:16:45Z","timestamp":1741000605000},"page":"323-330","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Az odontogen sinusitis diagnosztikai \u00e9s ter\u00e1pi\u00e1s aktualit\u00e1sai"],"prefix":"10.1556","volume":"166","author":[{"given":"Andor","family":"Hirschberg","sequence":"first","affiliation":[{"name":"\u00c9szak-budai Szent J\u00e1nos Centrumk\u00f3rh\u00e1z, F\u00fcl-, Orr-, G\u00e9ge-, Fej-Nyak \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"1455","DOI":"10.1556\/650.2019.31503","article-title":"[A fog\u00e1szati implant\u00e1tumok csontbe\u00e9p\u00fcl\u00e9s\u00e9t befoly\u00e1sol\u00f3 \"klasszikus\" t\u00e9nyez\u0151k v\u00e1ltoz\u00e1sai az elm\u00falt \u00e9vtizedekben","volume":"160","author":"1 Kopp\u00e1ny","year":"2019","unstructured":"1 Kopp\u00e1ny F, B\u00e9rczy K, K\u00f6rm\u00f6czi K, et al. 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[Biol\u00f3giai ter\u00e1pia a fels\u0151 l\u00e9g\u00fati gyullad\u00e1sos betegs\u00e9gekben: az endot\u00edpus-alap\u00fa megk\u00f6zel\u00edt\u00e9s a kr\u00f3nikus rhinosinusitis kezel\u00e9s\u00e9ben.] Orv Hetil. 2023; 164: 694-701.","DOI":"10.1556\/650.2023.32792"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1002\/alr.23099","article-title":"Inflammatory endotype of odontogenic sinusitis","volume":"13","author":"3 Craig","year":"2023","unstructured":"3 Craig JR, Dai X, Bellemore S, et al. Inflammatory endotype of odontogenic sinusitis. Int Forum Allergy Rhinol. 2023; 13: 998-1006.","journal-title":"Int Forum Allergy Rhinol"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4 Fokkens WJ, Lund VJ, Hopkins C, et al. European position paper on rhinosinusitis and nasal polyps 2020 (EPOS2020). 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