Treatment options for odontogenic maxillary sinusitis: a review

Area of Science:

• Otolaryngology
• Dental Medicine

Background:

• Odontogenic sinusitis, often originating from dental infections, presents unique diagnostic and treatment challenges.
• Distinguishing odontogenic sinusitis from other sinusitis types is crucial for effective management.

Purpose of the Study:

• To review current treatment modalities for odontogenic sinusitis.
• To outline the distinct therapeutic strategies required for this condition.

Main Methods:

• A comprehensive literature search was conducted across PubMed, Cochrane Library, PMC, and Science Direct.
• Keywords included "odontogenic sinusitis," "odontogenic maxillary sinusitis treatment," and "maxillary sinusitis of dental origin."
• 25 articles were selected for review after applying inclusion/exclusion criteria to 2886 initial results.

Main Results:

• Odontogenic sinusitis treatment requires addressing both the dental source of infection and the sinus inflammation.
• The Caldwell-Luc approach is now reserved for specific cases requiring enhanced sinus access, such as foreign body removal.
• Endoscopic sinus surgery is a prevalent technique for removing inflamed mucosa and foreign material while preserving sinus function.

Conclusions:

• Effective management of odontogenic sinusitis hinges on eradicating the primary dental infection.
• While sometimes sufficient alone, dental infection treatment may necessitate complementary surgical interventions like endoscopic sinus surgery or the Caldwell-Luc procedure for full resolution.
• Endoscopic sinus surgery offers a minimally invasive option for managing sinus pathology associated with odontogenic infections.