Sensitization of the sphenopalatine ganglion (SPG) by periodontal inflammation: A possible etiology of sinusitis and headache in children

• Main Author: Haryono Utomo (Author)
• Format: Book
• Published: Universitas Airlangga, 2006-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Sinusitis is a frequent complication of allergic rhinitis. Theoretically, sinusitis could be found in human since infancy. The </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>prevalence of diagnosed sinusitis is 20% of ambulatory patients in daily practice. Unfortunately, a lot of sinusitis cases must be </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>treated by surgical operation. Other cases are treated conservatively with decongestants, corticosteroids, antibiotics and diathermy. </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>However, dental treatment approach for sinusitis management is rarely discussed. Headache, especially migraine is also a common </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>problem in children. Sinusitis and migraine, are closely related; sinusitis sufferers often accompanied by migraine and vice versa. </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>This phenomenon resulting in misdiagnosis of the main etiology of sinusitis and migraine; if this case happens in young children, the </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>diagnosis should be more complicated. Dental procedures which may directly reduce the periodontal inflammation were done to </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>children diagnosed as sinusitis by otolaryngologist and pediatrician. In a short period of time, the sinusitis and headache symptoms </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>subsided. The objective of this case reports is to propose the possible explanation of the neurogenic switching mechanism cut off, that </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>resulting in the instant relief of sinusitis and headache symptoms. Regarding the immediate relief of the symptoms, the role of </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>autonomic nervous system should also be considered. Since parasympathetic innervations of nasal, sinus mucosa and maxillary </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>periodontal tissues originated from the sphenopalatine ganglion; the conclusion is that the periodontal inflammation may sensitize </em><span style="font-family: TribuneItalic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>the sphenopalatine ganglion which may trigger sinusitis and headache in children.</em></span></span></span></span></span></span></span></span></span></span></span></span><br style="font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px;" /></span>

Item Description

1978-3728
2442-9740
10.20473/j.djmkg.v39.i2.p63-67