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Odontogenic maxillary sinusitis: a review.
Regimantas Simuntis1, Ričardas Kubilius, Saulius Vaitkus
1Eiveniu str. 2, LT-50009 Kaunas, Lithuania. rsimuntis@yahoo.com.
Stomatologija
|September 12, 2014
Summary
Odontogenic maxillary sinusitis, caused by dental issues, often presents as persistent, unilateral symptoms. Accurate dental diagnosis is crucial for effective treatment, preventing therapy failure.
Area of Science:
- Dental Medicine
- Otolaryngology
- Radiology
Background:
- Maxillary sinusitis can originate from dental issues, affecting the Schneiderian membrane.
- Odontogenic sinusitis presents unique pathophysiology, microbiology, diagnostics, and management challenges compared to other sinusitis types.
- Failure to identify dental origins leads to persistent symptoms and treatment failures.
Purpose of the Study:
- To review common causes, symptoms, diagnostic methods, and treatments for odontogenic maxillary sinusitis.
- To highlight the importance of differentiating odontogenic sinusitis from other forms.
- To emphasize the role of dental evaluation in recalcitrant sinusitis cases.
Main Methods:
- Systematic literature search on Cochrane Library, PubMed, and Science Direct.
- Inclusion criteria resulted in 35 relevant articles for review.
- Analysis of diagnostic tools including high-resolution CT and cone-beam volumetric CT.
Main Results:
- Unilateral, persistent sinusitis with foul-smelling drainage is characteristic of odontogenic origin.
- Advanced imaging (CT, CBCT) aids in identifying associated dental pathology.
- Treatment may involve dental procedures alone or combined with sinus surgery (FESS, Caldwell-Luc).
Conclusions:
- Odontogenic maxillary sinusitis is an underreported condition.
- Accurate diagnosis of dental etiology is essential for successful sinusitis management.
- A multidisciplinary approach involving dentistry and ENT is often necessary.
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