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PERIODONTITIS IS ASSOCIATED WITH THE DEVELOPMENT OF FUNGAL SINUSITIS:A NATIONWIDE 12-YEAR FOLLOW-UP STUDY
1DEPARTMENT OF PHARMACOLOGY, JEONBUK NATIONAL UNIVERSITY MEDICAL SCHOOL, JEONJU, REPUBLIC OF KOREA2RESEARCH INSTITUTE OF CLINICAL MEDICINE OF JEONBUK NATIONAL UNIVERSITY–BIOMEDICAL RESEARCH INSTITUTE OF JEONBUK NATIONAL UNIVERSITY HOSPITAL,JEONJU, REPUBLIC OF KOREA3DEPARTMENT OF MEDICAL INFORMATICS, JEONBUK NATIONAL UNIVERSITY MEDICAL SCHOOL, JEONJU, REPUBLIC OF KOREA4DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, JEONBUK NATIONAL UNIVERSITY MEDICAL SCHOOL, JEONJU, REPUBLIC OF KOREA5DEPARTMENT OF STATISTICS (INSTITUTE OF APPLIED STATISTICS), JEONBUK NATIONAL UNIVERSITY, JEONJU, REPUBLIC OF KOREA6DOCTORS DENTAL CLINIC, GUNSAN, REPUBLIC OF KOREA7SAE BOM DENTAL CLINIC, JEONJU, REPUBLIC OF KOREA8DEPARTMENT OF FORENSIC MEDICINE, JEONBUK NATIONAL UNIVERSITY MEDICAL SCHOOL, JEONJU, REPUBLIC OF KOREA9DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, CHA BUNDANG MEDICAL CENTER, CHA UNIVERSITY SCHOOL OF MEDICINE, BUNDANG, REPUBLIC OF KOREA
SOLA HAN, MIN GUL KIM©ö ©÷, MIN GU KANG©ø ©ù, MIN GYU LEE©ø ©ù, SEONG J YANG⁵, SANG WOO YEOM©ø ©ù, JONG HWAN LEE©ù, SANG MOON CHOI⁶, JI HYUN YOON⁷, EUN JUNG LEE©÷ ©ù, SANG JAE NOH©÷ ⁸, MIN-SU KIM⁹, JONG SEUNG KIM©÷ ©ø ©ù
¸ñÀû: invasive fungal sinusitis, periodontitis, sinonasal fungal ball ¹æ¹ý:The periodontitis group was randomly selected from theNational Health Insurance Service database. The non-periodontitis group was obtainedby propensity score matching considering several variables. The primary end point wasthe diagnosis of sinonasal fungal balls (SFBs) and invasive fungal sinusitis (IFS). °á°ú:The periodontitis and non-periodontitis groups included 12,442 and 12,442individuals, respectively. The overall adjusted hazard ratio (aHR) for SFBs in the peri-odontitis group was 1.46 (p=.002). In subgroup analysis, the aHR for SFBs was 1.59(p=0.008) for those with underlying chronic kidney disease (CKD), 1.58 (p=.022)for those with underlying atopic dermatitis, 1.48 (p=.019) for those with chronicobstructive pulmonary disease (COPD), and 1.36 (p=.030) for those with diabetesmellitus (DM), but these values are applicable only when considering the relationshipbetween periodontitis and SFB. The aHR for IFS in the periodontitis group was higherthan in the non- periodontitis group (2.80;p=.004). °á·Ð:The risk of SFBs and IFS increased after diagnosis of periodontitis. Thistrend is often more severe in patients with DM, COPD, or CKD, but this associationwith underlying diseases is applicable only when considering the association betweenperiodontitis and fungal sinusitis


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