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Radiologists' Awareness in Diagnosing Maxillary Sinus Abnormalities Secondary to Dental Disease
Shay Schneider1,2, Gal Mager2, Firas Kassem3,4
1A.R.M. Center of Otolaryngology, Head and Neck Surgery, Assuta Medical Center, Tel Aviv, Israel, Affiliated With Ben-Gurion University of the Negev, Beer Sheva, Israel.
The Laryngoscope
|June 25, 2025
Summary
Odontogenic sinusitis is often missed by radiologists, despite its prevalence. Improved training and collaboration are needed to accurately diagnose dental causes of sinusitis and improve patient care.
Area of Science:
- Otolaryngology
- Radiology
- Dentistry
Background:
- Odontogenic sinusitis is frequently underdiagnosed.
- Accurate diagnosis is crucial for effective management and patient outcomes.
Purpose of the Study:
- To investigate the diagnostic challenges of odontogenic sinusitis.
- To assess the role of radiological interpretation in identifying dental causes of sinusitis.
- To highlight clinical implications and areas for improvement.
Main Methods:
- Multicenter retrospective study of 3400 sinus CT scans (2018-2024).
- Independent assessment of 252 suspected cases by maxillofacial surgeons and rhinologists.
- Analysis of radiology reports for references to dental pathology.
Main Results:
- 105 cases of odontogenic sinusitis were confirmed.
- Radiologists identified dental contributions in only 23.8% of confirmed cases.
- Common dental issues like periapical lesions and sinus augmentation complications were often missed.
Conclusions:
- Radiological practice shows significant deficiencies in diagnosing odontogenic sinusitis.
- There is an urgent need for enhanced radiologist training in identifying dental origins of sinusitis.
- Interdisciplinary collaboration between radiologists, surgeons, and dentists is essential.
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