Clinical and Radiological Analysis of Odontogenic Sinusitis: A Retrospective Study.

Area of Science:

• Otolaryngology
• Dental Pathology
• Surgical Outcomes

Background:

• Odontogenic sinusitis (ODS) is a specific type of chronic rhinosinusitis originating from dental issues.
• ODS presents unique diagnostic and treatment challenges.
• Understanding ODS clinical features and radiological findings is crucial.

Purpose of the Study:

• To analyze the clinical features and radiological findings in ODS patients.
• To evaluate the surgical outcomes of endoscopic sinus surgery (ESS) for ODS.
• To determine the impact of concurrent dental treatment on ODS outcomes.

Main Methods:

• Retrospective analysis of 139 ODS patients undergoing ESS.
• Assessment of clinical symptoms, radiological data, and pre/postoperative Lund-Kennedy (L-K) scores.
• Evaluation of outcomes with and without concurrent dental treatment.

Main Results:

• Periodontal disease was the most common cause (60.4%), followed by dental implants (20.1%) and extractions (19.4%).
• Radiological findings showed maxillary sinus involvement in 78.4% of cases, with periapical abscesses being frequent.
• Concurrent dental treatment with ESS resulted in a higher success rate (96.4%) compared to ESS alone (73.9%).

Conclusions:

• ODS is often underdiagnosed due to symptom overlap with other rhinosinusitis types.
• Radiological imaging is essential for identifying the dental origins of ODS.
• Integrated ESS and dental treatment offers superior outcomes for ODS management.