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[The odontogenic maxillary sinusitis: 31 cases].

Afifa Charfi1, Ghazi Besbes, Dhafer Menif

  • 1Service d'ORL et de CMF, hôpital La Rabta.

La Tunisie Medicale
|February 8, 2008
PubMed
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Odontogenic maxillary sinusitis, often stemming from dental issues, affects sinus membranes. This study analyzes its diagnosis and treatment strategies, highlighting common dental causes like cysts.

Area of Science:

  • Otorhinolaryngology
  • Odontology
  • Radiology

Context:

  • Odontogenic maxillary sinusitis arises from dental inflammatory or infectious processes extending to the maxillary sinus mucosa.
  • This condition represents a significant portion of maxillary sinusitis cases, necessitating focused clinical and diagnostic evaluation.

Purpose:

  • To investigate the epidemiological characteristics of odontogenic maxillary sinusitis.
  • To delineate the clinical and radiological features aiding in the diagnosis of this condition.
  • To review and analyze the therapeutic strategies employed for managing odontogenic maxillary sinusitis.

Summary:

  • A retrospective study of 31 cases over 12 years revealed odontogenic maxillary sinusitis in 42.5% of all maxillary sinusitis cases.
  • The average patient age was 38, with a near 1:1 sex ratio. Dental antecedents were present in 80% of cases, with iatrogenic causes in 64%.

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  • Common dental origins included periapical cysts (29%) and root canal filling material migration (23%), particularly in fungal sinusitis presentations.

    • Impact:

    • Provides crucial insights into the prevalence and demographic profile of odontogenic maxillary sinusitis.
    • Enhances understanding of diagnostic markers, facilitating earlier and more accurate identification.
    • Informs clinical decision-making regarding optimal treatment approaches for this specific sinusitis subtype.