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Ano: 2012  Vol. 16   Num. Suppl. 1  - May - (218º)
DOI: 10.7162/S1809-977720120S1PO-049 		Print:
Seção: 11º CONGRESSO DA FUNDAÇÃO OTORRINOLARINGOLOGIA - Poster Otorhinolaryngology
Texto Text in English
MICROBIOLOGIA EM 10 PACIENTES COM SINUSITE MAXILAR APÓS AUMENTO DO ASSOALHO DO SEIO MAXILAR, IMPLANTE DENTÁRIO E/OU CIRURGIA ENDODÔNTICA
MICROBIOLOGY IN 10 PATIENTS WITH MAXILLARY SINUSITIS AFTER INCREASE OF THE BOARD OF THE MAXILLARY SINUS, DENTAL IMPLANTATION AND/OR ENDODONTIC SURGERY
Author(s):
Jan Alessandro Socher, Pedro Geisel Santos
Resumo:

Objetivo: Levantar os principais achados microbiológicos em 10 pacientes que evoluíram para sinusite maxilar após serem operados por cirurgiões-dentistas. Material e métodos: Foram encaminhados para investigação bacteriológica e fúngica o conteúdo do seio maxilar de 10 pacientes submetidos sinusectomia maxilar endoscópica para tratamento de sinusite maxilar. Os pacientes tinham sido submetidos previamente a cirurgia de aumento do soalho de seio maxilar, implante dentário e/ou cirurgia endodôntica. Ao evoluir para sinusite maxilar foram tratados pelos cirurgiões-dentistas com antibioticoterapia sem melhora dos sinais e sintomas e assim encaminhados para especialista em Otorrinolaringologia. Resultados: Os achados foram de uma infecção polimicrobiana, composta por aeróbicos e anaeróbicos. Nos casos agudos houve predomínio de Streptococcus pneumoniae, Haemophilus influenzae, Prevotella sp., Peptostreptococcus sp. e Fusobacterium sp. Já nos casos crônicos predominaram estreptococos hemolíticos, Microaerophilic streptococci, Staphylococcus aureus, Prevotella sp., Peptostreptococcus sp. e Fusobacterium sp. Em 2 casos com evolução crônica foram identificados a presença de Aspergillus niger. Conclusão: No caso de sinusite maxilar o conhecimento da microbiologia é importante na definição da terapêutica com antimicrobianos e/ou cirurgia destes pacientes.
Abstract:

OBJECTIVE: To raise the main microbiological founds in 10 patients who had evolved after maxillary sinusitis to be operated for surgeon-dentists. MATERIAL AND METHODS: They had been directed for bacteriological and fungal inquiry the content of the maxillary sinus of 10 submitted sinusotomy patients to maxillary endoscopic for treatment of maxillary sinusitis. They had been directed for bacteriological and fungal inquiry the content of the maxillary sinus of 10 submitted patients to maxillary sinusotomy endoscopic for treatment of the maxillary sinus. When evolving maxillary sinusitis had been dealt with by the surgeon-dentists with antibiotic therapy without improvement the signals and symptoms and thus directed for specialist in Otolaryngologist. RESULTS: The findings had been of a polymicrobial, composed infection for aerobics and anaerobic. In the acute cases pneumoniae had predominance of Streptococcus, Haemophilus influenzae, Prevotella sp., Peptostreptococcus sp. e Fusobacterium sp. Already in the chronic cases streptococcus - hemolytic, Microaerophilic had predominated streptococci, Staphylococcus aureus, Prevotella sp., Peptostreptococcus sp. an Fusobacterium sp. In 2 cases with chronic evolution they had been identified the presence of Aspergillus to Niger. CONCLUSION: In the case maxillary sinusitis the knowledge of the microbiology is important in the definition of therapeutical with antimicrobials and/or the surgery of these patients.

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