Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement.

Area of Science:

• Otolaryngology
• Dental Medicine
• Infectious Diseases

Background:

• Odontogenic sinusitis (ODS) is a distinct condition from non-odontogenic rhinosinusitis.
• Accurate diagnosis of ODS often necessitates collaboration between otolaryngologists and dental specialists.
• There is a need for established international guidelines for diagnosing ODS.

Purpose of the Study:

• To develop international multidisciplinary consensus on the diagnosis of odontogenic sinusitis (ODS).

Main Methods:

• A modified Delphi method was employed to achieve expert consensus.
• A panel of 17 international experts (8 otolaryngologists, 9 dental specialists) participated.
• 37 clinical statements covering key diagnostic components were evaluated through surveys.

Main Results:

• 36 out of 37 clinical statements achieved consensus or strong consensus.
• Consensus was reached that specific clinical and microbiologic features suggest ODS.
• Multidisciplinary collaboration is crucial for ODS diagnosis, with otolaryngologists confirming sinusitis and dentists confirming dental pathology.

Conclusions:

• International consensus confirms that diagnosing ODS requires confirmation of sinusitis by otolaryngologists and odontogenic pathology by dental providers.
• Both specialties should suspect ODS based on clinical indicators and facilitate appropriate referrals.
• This consensus provides a framework for improved ODS diagnosis and patient management.