Sinus maxillaris mycetoma of odontogenic origin: case report

Rode, Matjaž; Jernej, Podboj; Mirela, Kogoj Rode

doi:10.1590/s0103-64402004000300016

Cited by 21 publications

(7 citation statements)

References 5 publications

(6 reference statements)

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“…MS is an inflammation of maxillary sinuses caused by mucociliary transport failure, related to numerous factors, such as anatomic malformations (NSD, CB), OLs, immune deficits, allergic reactions, smoking, atmospheric pollution, sinonasal polyposis, etc. (2)(3)(4)(5)(6)(7)12,18,19). Maxillary sinus MT is the radiographical appearance of MS (20).…”

Section: Discussionmentioning

confidence: 99%

“…MS can occur when mucosal membrane of sinuses is irritated by extention of pulp infecton or chronic infection and destruction of tooth socket (1). Maxilary sinusitis is caused by temporary and/or reversible mucociliary dyskinesia (2), which could be caused by some osteomeatal obstructions, allergy, and among other conditions, as well as abnormal growths, such as nasal septal deviations (NSD), concha bullosa (CB) (3)(4)(5)(6)(7). Maxillary sinus mucosal thickening (MT) is the radiographical appearance of MS, defined as inflammation of maxillary sinuses (2).…”

Section: Introductionmentioning

confidence: 99%

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Cone Beam Computed Tomographic Analysis of Paranasal Variations, Osteomeatal Complex Disease, Odontogenic Lesion and Their Effect on Maxillary Sinus

Köse¹,

Canger²,

Bulut³

2018

meandros

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ÖzAmaç: Bu çalışmanın amacı nazal septum deviasyonu, konka bulloza, osteomeatal kompleks tıkanıklığı ve odontojenik lezyon varlığının, maksiller sinüs mukozal kalınlaşmasıyla olan potansiyel ilişkisinin ortaya konmasıdır. Gereç ve Yöntemler: İki yüz hastaya (101 erkek, 99 kadın) ait 396 maksiller sinüsün konik ışınlı bilgisayarlı tomografi görüntülerinde; maksiller sinüs mukozal kalınlaşmasıyla ilişkili nazal septum deviasyonu, konka bulloza, osteomeatal kompleks tıkanıklığı ve odontojenik lezyon varlığına bakılmıştır. Bulgular: Yüz on dokuz hastada (%59) nazal septal deviasyon, 100 hastada (%50) en az bir konka bulloza, 26 hastada (%13) en az bir tarafta osteomeatal kompleks Objective: The objective of this study was to establish the prevalence of nasal septal deviation, concha bullosa, and osteomeatal complex disease (obstruction), and odontogenic lesions, along with their potential relationships with maxillary sinus mucosal thickening. Materials and Methods: (CBCT) images of 200 patients (101 males, 99 females) with 396 exposed maxillary sinuses, were inspected for presence of nasal septal deviation, concha bullosa, osteomeatal complex disease (obstruction), and odontogenic lesions related to maxillary sinus and maxillary sinus mucosal thickening. Result: One hundred nineteen patients (59%) had nasal septal deviation, 100 (50%) had at least one concha bullosa, 26 (13%) had osteomeatal complex disease on at least one side, 39 (19.5%) had odontogenic lesions related to maxillary sinuses, and 112 (56%) had evidence of mucosal thickening. There was a statistically significant relationship among osteomeatal complex disease, odontogenic lesion and maxillary sinus mucosal thickening (p=0.00). No statistically significant relationship could be established among the presence of concha bullosa, nasal septal deviation and maxillary sinus mucosal thickening (p>0.05). Conclusion: Odontogenic lesions and osteomeatal complex diseases have association with maxillary sinus mucosal thickening. CBCT imaging could be a diagnostic tool for assessment potential reasons of maxillary sinus mucosal thickening.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cone Beam Computed Tomographic Analysis of Paranasal Variations, Osteomeatal Complex Disease, Odontogenic Lesion and Their Effect on Maxillary Sinus

Köse¹,

Canger²,

Bulut³

2018

meandros

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“…Fungal growth, particularly the growth of Aspergillus species, is stimulated by some dental materials used for pulpal treatment to enable mycetoma formation. The materials include pastes for root filling, such as zinc oxides, or some metals in endodontic materials (18). These materials can be inserted into the maxillary sinus through the apex during root canal therapies or as a result of traumatic dental procedures, such as extraction or dental implantation (20), which was in accordance with our case of odontogenic sinusitis.…”

Section: Discussionmentioning

confidence: 71%

“…Mackenzie first represented a fungal rhinosinusitis case (21). Odontogenic sinusitis commonly appears in females and patients passing the fourth to the sixth decade of their life (18). These patients are usually immunocompetent with no significant changes in their immunoglobulin level.…”

Section: Discussionmentioning

confidence: 99%

“…They may respond well to antibiotic treatments, with the resolution in symptoms, which may recur sometime in the future. The patients may also complain about non-typical facial pain and tooth pain during their routine dental visits (18). In this paper, we described the diagnosis and treatment of a fungal rhinosinusitis case with odontogenic origin in a patient with no history of medical illness.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Treatment of an Odontogenic Maxillary Sinusitis: A Case Report Study

Soghli

Johari

Panjnoush

2021

Thrita

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Introduction: Given the improvements of diagnostic equipment, including new imaging modalities, the diagnosis of odontogenic sinusitis cases has been growing rapidly in recent years. The disorder is mainly caused by Aspergillus species since this species, as the most common pathogen, usually appears asymptomatic, leading to a delay in diagnosis. In this regard, the common manifestations involve headache, cough, nasal discharge, and facial pain. Clinicians usually disregard the odontogenic origin while seeking the etiology of symptomatic rhinosinusitis. Case Presentation: In this paper, we report a case of odontogenic maxillary sinusitis in the left maxillary sinus of a patient complaining about intermittent pain, post-nasal discharge, anosmia, and oral malodor. According to the clinical examinations and radiographs, the maxillary sinusisitis was diagnosed, and the patient was treated with the surgical debridement of the affected tissue. Conclusions: Odontogenic sinusitis is most commonly the result of periodontitis or iatrogenesis. Although no antifungal treatment is necessary for fungal sinusitis, a variety of surgical approaches are adopted. The accurate diagnosis of odontogenic sources improves both treatment strategies and postoperative outcomes.

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Potential correlations of dentogenic factors to the development of clinically verified fungus balls: A retrospective computed tomography–based analysis

Tomazic¹,

Dostal

Magyar

et al. 2015

The Laryngoscope

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Objectives/Hypothesis Fungus balls are a common disease of the paranasal sinuses, usually involving the maxillary sinus. To clarify the pathology, we analyzed patients treated for maxillary sinus fungus balls to see whether the latter correlated with dentogenic factors. Study Design Retrospective case analysis. Methods Cases of maxillary sinus fungus balls diagnosed between January 2000 and December 2013 were analyzed retrospectively. Patients' charts were reviewed for diagnosis, gender, and age. Paranasal sinus computed tomography (CT) scans were reviewed according to the side of the fungus ball, calcifications/opacifications, and dentogenic factors. Results In 98/102 patients (96.1%), 157 dentogenic factors could be identified on the side affected by a fungus ball. On the contralateral healthy side, there were 125 dentogenic factors. In four (3.9%) of the patients, no dentogenic pathology was identified on the CT scan. The presence of dentogenic factors (regardless of number) was significantly associated with a fungus ball compared to the healthy side (P = .024, χ2 test, odds ratio: 2.72 [95% confidence interval: 1.02–7.23]). Conclusions Dentogenic factors regardless of type potentially correlate with the presence of maxillary sinus fungus ball. Unlike the overall presence of dentogenic factors, the particular dentogenic factors in an individual patient do not significantly influence the development of fungus balls. After diagnosis of dentogenic pathology in penetrated maxillary sinus floors, patients should be closely monitored and informed about their higher risk of developing a fungus ball. Level of Evidence 4. Laryngoscope, 126:39–43, 2016

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Sinus maxillaris mycetoma of odontogenic origin: case report

Cited by 21 publications

References 5 publications

Cone Beam Computed Tomographic Analysis of Paranasal Variations, Osteomeatal Complex Disease, Odontogenic Lesion and Their Effect on Maxillary Sinus

Cone Beam Computed Tomographic Analysis of Paranasal Variations, Osteomeatal Complex Disease, Odontogenic Lesion and Their Effect on Maxillary Sinus

Diagnosis and Treatment of an Odontogenic Maxillary Sinusitis: A Case Report Study

Potential correlations of dentogenic factors to the development of clinically verified fungus balls: A retrospective computed tomography–based analysis

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