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Challenges in diagnosing odontogenic lesions in maxillary sinuses
Katarzyna Dobroś1, Joanna Zarzecka1
1Katedra Stomatologii Zachowawczej z Endodoncją, Instytut Stomatologii, Wydział Lekarski, Uniwersytet Jagielloński, Collegium Medicum.
Odontogenic maxillary sinusitis is often indicated by long-term symptoms and unilateral inflammation. Dental origin was established in 34.1% of patients with suspected odontogenic maxillary sinusitis.
Area of Science:
- Dentistry
- Otolaryngology
- Radiology
Background:
- Odontogenic infections are a common cause of maxillary sinusitis.
- Differentiating between odontogenic and non-odontogenic causes is crucial for effective treatment.
Purpose of the Study:
- To identify patients with maxillary sinus lesions of odontogenic origin.
- To determine risk factors associated with the development of odontogenic maxillary sinusitis.
Main Methods:
- A study of 44 patients with suspected odontogenic maxillary sinusitis.
- Utilized dental examinations and Cone Beam Computed Tomography (CBCT).
Main Results:
- Odontogenic origin was established in 34.1% of cases.
- Non-odontogenic lesions were found in 50% of patients.
- Symptom duration did not correlate with the lesion's cause.
Conclusions:
- Odontogenic causes should be suspected in maxillary sinusitis, particularly with chronic or unilateral symptoms.
- Early diagnosis and differentiation are key for managing maxillary sinus pathologies.
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