Odontogenic sinusitis: a case series studying diagnosis and management

Area of Science:

• Otolaryngology
• Dental Medicine
• Radiology

Background:

• Odontogenic sinusitis is a distinct condition requiring specific diagnostic criteria and treatment.
• It is frequently understudied and may be misdiagnosed compared to non-odontogenic sinusitis.

Purpose of the Study:

• To present a case series of patients with odontogenic sinusitis.
• To clarify key disease characteristics and management techniques for this condition.

Main Methods:

• Retrospective case series of 55 patients diagnosed with odontogenic sinusitis.
• Analysis of demographic factors, diagnostic criteria, clinical course, and management through chart and imaging review.

Main Results:

• Computed tomography (CT) scans identified dental pathology in 64% of initial diagnoses.
• Disease resolution occurred in 38% of patients, with varied combinations of medical management, dental surgery, and endoscopic sinus surgery (ESS).
• A significant portion (84%) of cases presented as unilateral odontogenic sinusitis.

Conclusions:

• Odontogenic sinusitis is frequently misdiagnosed, with radiology reports often omitting dental pathology.
• Effective management requires individualized treatment plans combining medical therapy, dental procedures, and ESS.
• Tailored, multidisciplinary approaches are crucial for successful treatment of odontogenic sinusitis.