The purpose of the study was to determine the nature of the complications using the analysis of treatment methods based on the data from medical records in retrospective group patients with the odontogenic maxillary sinusitis with the help of developed computer program for prediction and comparison of the retrospective and the data of the proposed program, in order to confirm their capacity to improve the quality of treatment of patients with odontogenic maxillary sinusitis. Material and methods. We conducted a retrospective analysis of 206 medical records of patients with various odontogenic maxillary sinusitis forms. These patients were treated at the Department of Surgery of the head and neck of Kharkiv Regional Hospital, the clinical base of the Department of Surgical dentistry and maxillofacial surgery of Kharkiv National Medical University in the period from 2014 to 2017. An automated computer program for prediction of the course and treatment of patients with various odontogenic maxillary sinusitis forms was established and approved with the help of a qualified expert group, a reliable database of the most informative diagnostic criteria for the development. Results and discussion. Thee analysis of data in the medical records of the retrospective group of patients with various forms of odontogenic maxillary sinusitis allowed to reveal the most common clinical form of this pathology (exacerbation of chronic with catarrhal and polyposis manifestations in 147 clinical cases (71.3%), to establish the most common causes of the disease (various forms of periodontitis in 89 patients (43.2%), radicular cysts in 73 clinical cases (35.4%). The most common method was the sinusotomy with the removal of the causative tooth / teeth and plastic closure of the defect by local tissues (36% of all surgical interventions). Cyst-sinusotomy with the removal of causative teeth with plastic closure of the defect by local tissues was performed on 51 patients (24.7%). The cyst-sinusotomy with overlapping of the lower nasal passage and removal of the causative tooth was performed on 12 patients (5.8%). A two-step procedure for surgical treatment with prior catheterization of the sinus and removal of causative tooth / teeth against background of cyst tumors was performed in 10 clinical cases (4.8%). The proportion of actual complications depending on the clinical form of odontogenic maxillary sinusitis was 9.22% (19 patients). Conclusions. The obtained data formed the basis of diagnostic criteria for the computerized program which allowed performing the calculations of desirable indicators for an optimized individual approach to each clinical case in order to improve the quality of treatment and prevent the development of complications.

Keywords: odontogenic maxillary sinusitis, expert systems, diagnostics, computer prediction of diseases

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