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Complicated Odontogenic Sinusitis: Extrasinus Infectious Spread.

Alison J Yu1, Maria Espinosa2, Nithin D Adappa3

  • 1Caruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.

Otolaryngologic Clinics of North America
|July 24, 2024
PubMed
Summary
This summary is machine-generated.

Odontogenic sinusitis (ODS), originating from dental infections, can lead to serious orbital and intracranial complications. Prompt diagnosis and a multidisciplinary approach are crucial for managing these severe extrasinus infections.

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Infectious Diseases

Background:

  • Odontogenic sinusitis (ODS) is a frequent cause of severe infectious complications affecting the orbit, brain, and bone.
  • Dental infections can propagate to intracranial or orbital spaces through sinus pathways or direct extension from the oral cavity.
  • ODS commonly manifests with unilateral clinical and radiographic signs.

Purpose of the Study:

  • To highlight the potential for dental infections to cause serious extrasinus complications.
  • To emphasize the importance of recognizing ODS and its potential spread.
  • To advocate for a multidisciplinary management strategy for ODS with extrasinus involvement.

Main Methods:

  • Review of clinical presentations and diagnostic pathways for ODS.
  • Emphasis on imaging and specialist consultations (dental, ophthalmology, neurosurgery) for suspected extrasinus spread.
  • Discussion of the mechanisms of infection spread from dental origins to sinuses and beyond.

Main Results:

  • ODS is a significant risk factor for orbital and intracranial infections.
  • Unilateral presentation is typical for ODS.
  • Early suspicion and appropriate consultations are key to successful management.

Conclusions:

  • Prompt identification of ODS is critical to prevent severe complications.
  • A collaborative approach involving dentistry, ENT, ophthalmology, and neurosurgery is essential for managing ODS with extrasinus spread.
  • Effective management relies on timely diagnosis, imaging, and specialist input.