Comparative clinical and radiological characteristics of changes in the facial skeleton and paranasal sinuses in patients with osteonecrosis of the jaws of various etiologies

   The article is devoted to the analysis of the main clinical and radiological characteristics of the lesions of the paranasal sinuses in patients with osteonecrosis of the jaws of various origins. In the last decade, patients with atypical forms of osteomyelitis of the jaws have entered clinical practice, which, due to the peculiarities of the course, are referred to as osteonecrosis. Lesions of the middle zone of the face are almost never found in classical odontogenic and traumatic osteomyelitis. However, in patients with drug-associated osteonecrosis and covid-19-associated osteonecrosis of the jaws, this kind of pathological process becomes the leading one. Analysis of clinical and radiological data of 25 patients with osteonecrosis, conducted on the clinical basis of the N. I. Pirogov State Clinical Hospital No. 1 in Moscow, revealed similarities and differences, features of damage to the anatomical structures of bones, paranasal sinuses, and the soft-tissue component of the middle zone of the face in these diseases. The upper jaw with paranasal sinuses showed the presence of sequestration and the localization of the lesion.

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