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Odontogenic Maxillary Sinusitis – Need for Multidisciplinary Approach-A Review
Odontogenic maxillary sinusitis (OMS) is a very common disease.Most of the cases present or referred to otorhinolaryngologists by General physicians and from other specialties.Many otorhinolaryngologists fail to find the exact etiology especially in the early cases having dental origin.Failure to detect this leads to failure of medical and surgical treat ment by otorhinolaryngologist .Opinion from Dental Surgeon before treatment helps to find or rule out odontogenic pathology as its helps to decide type of medical and surgical intervention.This article reviews the common clinical features and the management protocols which wil l help the otolaryngologists ,Dental Surgeons & other Specialists to efficiently treat odontogenic Maxillary Sinusitis ,thereby preventing recurrence ,spread to other sinuses & complications.
The Egyptian Journal of Otolaryngology
Maxillary air sinus (MS) is the largest and clinically most important air sinus because of its anatomical relationship with the nasal cavity and especially with teeth of the upper jaw. Periapical dental infection frequently spreads to the maxillary sinus leading to its secondary infection. The occurrence of maxillary sinusitis due to the odontogenic causes is one of the common clinical conditions which is frequently encountered by the endodontists. While handling such cases, the gross anatomy and structure of MS are visualized using various radiological images. However, most of the time, it is challenging for dentists to understand the MS due to its complicated morphology. Keeping this in mind, this literature review is done to comprehensively compile the details on MS from anatomy, radiology, and endodontic importance point of view. The articles were selected from databases like PubMed, Scopus, Embase, and Google Scholar using the keywords “maxillary sinus,” “maxillary sinusitis,” ...
Diagnosis and Treatment of an Odontogenic Maxillary Sinusitis: A Case Report Study
Thrita
Introduction: Given the improvements of diagnostic equipment, including new imaging modalities, the diagnosis of odontogenic sinusitis cases has been growing rapidly in recent years. The disorder is mainly caused by Aspergillus species since this species, as the most common pathogen, usually appears asymptomatic, leading to a delay in diagnosis. In this regard, the common manifestations involve headache, cough, nasal discharge, and facial pain. Clinicians usually disregard the odontogenic origin while seeking the etiology of symptomatic rhinosinusitis. Case Presentation: In this paper, we report a case of odontogenic maxillary sinusitis in the left maxillary sinus of a patient complaining about intermittent pain, post-nasal discharge, anosmia, and oral malodor. According to the clinical examinations and radiographs, maxillary sinusitis was diagnosed, and the patient was treated with the surgical debridement of the affected tissue. Conclusions: Odontogenic sinusitis is most commonly ...
Maxillary Sinusitis of Dental Origin. A Case Report and Literature Review
Int. J. …, 2009
The inflammatory lesions that affect the paranasal sinuses receive the generic denomination sinusitis; the maxillary sinus is the most commonly affected. This inflammation can have various origins, including the tooth. We describe a case of maxillary sinusitis in a 56-year-old patient who experienced pain on the left-side maxilla, referred to a tooth and performed a partial review of the literature. KEY WORDS: sinusitis, maxillary sinus, dental origin, i-CAT. CANTÍN, L. M.; CORONADO, G. C.; SUAZO, G. I. & SAN PEDRO, V. J. Maxillary sinusitis of dental origin. A case report and literature review. Int. J. Odontostomat., 3(1):5-9, 2009. CANTÍN, L. M.; CORONADO, G. C.; SUAZO, G. I. & SAN PEDRO, V. J. Maxillary sinusitis of dental origin. A case report and literature review. Int. J. Odontostomat., 3(1):5-9, 2009.
Clinical aspects of odontogenic maxillary sinusitis: a case series
International forum of allergy & rhinology
The incidence of odontogenic maxillary sinusitis (OMS) is unknown. Failure to address dental pathology causing sinusitis can lead to failure of medical and surgical treatments. The purpose of this article is to present an OMS patient series. Retrospective review of prospectively accrued patients. Sinusitis guidelines were reviewed for OMS incidence and management. The clinical aspects of OMS in 21 patients diagnosed by sinus computed tomography (CT) scan over the last 30 months were assessed. In our series the mean age was 53 years (range, 21-70 years), mean duration of symptoms was 2.6 years (range, 1 month to 15 years), rotten smell or bad taste was present in 10 of 21 (48%) patients, dental pain was present in 6 of 21 (29%) patients, and unilateral maxillary opacification was present in 12 of 23 (57%) patients. Dental pathology was not noted in 6 of 7 (86%) of pre-CT dental films and 14 of 21 (67%) of initial sinus CT reports but reevaluation of CT scans found dental pathology in...
Middle Meatal Antrostomy inthe Management of Chronic Maxillary Sinusistis
Introduction: sinusitis is a group of disorders characterized by inflammation of the mucosa of the paranasal sinuses.Chronic sinusitis is defined as symptoms lasting longer than 8 weeks, with a global prevalence of around 10.9% with significant impairment in health related quality of life. Imaging advances, increased understanding of the anatomy and the pathophysiology of chronic sinusitis, and image-guided surgery have allowed surgeons to perform more complex procedures with increased safety.FESS emerges as the primary surgical modality for sinus diseases, the most common procedure being middle meatal antrostomy (MMA).Controversy exists over the effectiveness of FESS, judging on subjective and objective parameters .Hence it warrants further research. AIM:To determine the efficacy of middle meatal antrostomy in the management of chronic maxillary sinusitis in subjective and objective parameters. Methodology:A hospital based prospective study done in the department of otorhinolaryngology and head neck surgery, VSSIMSAR Burla from October 2015 to September 2017 with a sample size of 60 patients, who meet inclusion and exclusion criteria after clearance from the institutional ethical committee. Pre and post-operative endoscopic and radiological scoring [Lund Mackay], mean area of maxillary ostium as well as symptom and complication charting was done and compared.All data was entered into excel sheets and statistical analysis was done by SPSS version 20 using Pearson chi square test. Data was compared between baseline and 6 months, baseline and 1 year and 6months and 1 year. Statistical significance was set at p <0.05. Results: There was significant improvement in the post-operative period in SUBJECTIVE (symptoms) and OBJECTIVE (endoscopic/radiological) parameters. Conclusion: Our study is conclusive evidence that Middle meatal antrostomy is a safe and effective procedure in patients suffering from chronic maxillary sinusitis with significant improvement in subjective symptomatology as well as objective parameters.
Comparative analysis of features of chronic maxillary sinusitis of various genesis
Romanian Journal of Rhinology
BACKGROUND. There are not many works devoted to the structures of a nasal cavity in odontogenic maxillary sinusitis and to a condition of an alveolar ridge of the maxilla with a rhinogenous genesis of the disease. MATERIAL AND METHODS. 100 patients (N) with chronic sinusitis hospitalized at the ENT (N=50) and Oral and Maxillofacial Surgery (N=50) Departments were examined. The character of anatomic options of a nasal septum in chronic maxillary sinusitis is estimated according to a cone-beam computed tomography (CBCT) with use of our own developed scheme of coordinates in the form of “triangles” which allows establishing versions of the block of the ostiomeatal complex and nasal septum deviation. RESULTS. In cases of rhinogenous and odontogenic causes of maxillary sinusitis, the triangle deviation is detected more often, including a perpendicular plate of the ethmoid bone, the vomer and the quadrangular cartilage, contributing to the block of the ostiomeatal complex. This scheme has...