Odontogenic Sinusitis Presenting With Infraorbital Numbness and Progressive Maxillary Sinus Atelectasis

Area of Science:

• Otorhinolaryngology
• Neurology
• Oral and Maxillofacial Surgery

Background:

• Odontogenic sinusitis is a frequent cause of isolated maxillary sinusitis.
• Accurate diagnosis is crucial for effective management of maxillary sinusitis.
• Dental infections are a common origin for sinusitis affecting the maxillary sinus.

Observation:

• A 55-year-old male presented with symptoms suggestive of odontogenic sinusitis.
• The patient exhibited associated infraorbital nerve neuropathy.
• Chronic maxillary atelectasis developed subsequently in the affected sinus.

Findings:

• The case demonstrates a unique presentation of odontogenic sinusitis with neurological complications.
• Infraorbital nerve neuropathy was a significant clinical feature.
• A potential pathophysiological link between odontogenic sinusitis, infraorbital neuropathy, and maxillary atelectasis was explored.

Implications:

• This case underscores the importance of considering dental origins in maxillary sinusitis, especially with neurological signs.
• Understanding the pathophysiology may improve diagnostic accuracy and treatment strategies for complex sinusitis cases.
• Further research into the link between odontogenic infections, nerve involvement, and sinus remodeling is warranted.