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Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement.

John R Craig1, David M Poetker2,3, Umut Aksoy3,4

  • 1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health System, Detroit, MI.

International Forum of Allergy & Rhinology
|February 14, 2021
PubMed
Summary
This summary is machine-generated.

Diagnosing odontogenic sinusitis (ODS) requires collaboration between ear, nose, and throat doctors and dentists. International experts reached consensus on key diagnostic features and multidisciplinary approaches for ODS.

Keywords:
apical periodontitischronic rhinosinusitisconsensusmaxillary sinusitisodontogenic sinusitisoroantral fistula

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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.