Calcifications afloat: bad omens in maxillary sinus augmentation

Pasquale, Daniele Di; Saibene, Alberto Maria; Bebi, Valentina; Felisati, Giovanni

doi:10.1136/bcr-2013-201581

Cited by 2 publications

(3 citation statements)

References 4 publications

(3 reference statements)

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“…However, Saibene AM et al found in a retrospective study of 315 patients surgically treated for SCDDT that 18.7% of cases were affected by bilateral sinonasal involvement 26 . Di Pasquale D et al reported a case of bilateral odontogenic sinusitis after a bilateral maxillary sinus augmentation 36 similar to other authors 37 .…”

Section: Discussionsupporting

confidence: 81%

Complicanze sinusali monolaterali da patologia o trattamenti dentali: quando la chirurgia endoscopica endonasale necessita un approccio intraorale?

Fadda

Berrone

Crosetti

et al. 2016

Acta Otorhinolaryngol Ital

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L'utilizzo diffuso degli impianti dentali e delle procedure ricostruttive per il loro posizionamento ha portato un aumento delle complicanze sinusali da patologia o trattamenti dentali (SCDDT). La diagnosi richiede una valutazione dentale e rinologica accurata, compresa la tomografia computerizzata (TC). Lo scopo di questo studio è stato quello di considerare un approccio multidisciplinare per il trattamento delle SCDDT, combinando la chirurgia endoscopica endonasale (EES) e l'approccio intraorale sulla base di un sistema di classificazione preliminare già proposto da altri autori. Inoltre, gli autori hanno analizzato la percentuale di sinusite mascellare a eziologica odontogena che si estende a interessare i seni etmoidali anteriori come anche i batteri coinvolti nella patogenesi delle SCDDT. Tra il gennaio 2012 e agosto 2015, nella nostra casistica di 31 pazienti, 16/31 pazienti (51,6%) sono stati trattati con approccio EES, 3/31 pazienti (9,7%) con approccio intraorale, e 12/31 pazienti (38,7%) con approccio combinato. Tutti i pazienti hanno riferito un miglioramento dei sintomi della rinosinusite, confermato attraverso i risultati degli esami clinici e della TC di controllo. Non è stata osservata nessuna complicanza significativa, né si è ricorsi a una revisione chirurgica. Infine, i risultati di questo studio preliminare suggeriscono che un approccio multidisciplinare delle SCDDT dalla diagnosi alla terapia permette una diagnosi più precisa e una terapia più esauriente, così da ottenere un rapido recupero, riducendo al minimo il rischio di recidiva.

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Section: Discussionsupporting

confidence: 81%

Complicanze sinusali monolaterali da patologia o trattamenti dentali: quando la chirurgia endoscopica endonasale necessita un approccio intraorale?

Fadda

Berrone

Crosetti

et al. 2016

Acta Otorhinolaryngol Ital

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“…With this study, we present our experience and propose a protocol of treatment centred on FESS. Although other studies have been published concerning the endoscopic approach to sinusitis 13 , the case series have often been limited and the data restricted 21 . Instead, this review includes the largest number of surgical cases ever reported (480 patients), obtained over more than 16 years of research, and examines a variegated population of patients affected by SCDDT.…”

Section: Discussionmentioning

confidence: 99%

“…Microbiology, pathophysiology and management of odontogenic and rhinogenic sinusitis are substantially different, and OS frequently requires a multidisciplinary approach involving ear, nose and throat (ENT) specialists, maxillofacial specialists and radiologists 12 . When medical therapy fails, functional endoscopic sinus surgery (FESS) is required to correct sinus drainage and ventilation, while oral accesses help prevent possible relapse of infection 13 . Although SCDDTs have become far more common and the incidence of OS has increased 8 , only a few systematic studies have addressed the real rate of SCDDT and the importance of extra-maxillary extension 8 , 9 .…”

Section: Introductionmentioning

confidence: 99%

Odontogenic sinusitis and sinonasal complications of dental treatments: a retrospective case series of 480 patients with critical assessment of the current classification

Molteni

Bulfamante

Pipolo

et al. 2020

Acta Otorhinolaryngol Ital

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SUMMARY The term odontogenic sinusitis (OS) has proved less and less suitable to describe a series of pathological conditions related to dental procedures. We have introduced the term and classification ‘sinonasal complications of dental disease or treatment’ (SCDDT). This study aimed to review our cases and evaluate whether the classification used is applicable to everyday clinical practice. The sample was composed of patients treated for SCDDT from 2002 to 2018 in our Department of Otorhinolaryngology. All presented signs and symptoms of sinusitis and had a recent history of dental disease or treatment. All patients underwent multidisciplinary evaluation, flexible endoscopy and computed tomography (CT) scan. Patients were allocated into three groups depending on the aetiology of the complication, following the classification proposed by Felisati et al. The sample comprised 480 patients (44% men, 56% women) with a mean age of 52.36 years. Of these, 43 patients (9%) belonged to group 1 (class A), 105 (21%) to group 2 (50, 2A; 5, 2B; 27, 2C; 23, 2D) and 332 (70%) to group 3 (119, 3A; 213, 3B). A total of 454 patients (94.5%) had unilateral maxillary opacification, while only 26 cases (5.4%) started as bilateral inflammation. Nine of the latter cases (34.6%) presented a bilateral odontogenic focus, while the other 17 (65.4%) had a history of unilateral dental pathology. The results of this study suggest that SCDDT is a complex entity that needs a careful diagnostic approach based on CT scans and presurgical endoscopy.

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Calcifications afloat: bad omens in maxillary sinus augmentation

Cited by 2 publications

References 4 publications

Complicanze sinusali monolaterali da patologia o trattamenti dentali: quando la chirurgia endoscopica endonasale necessita un approccio intraorale?

Complicanze sinusali monolaterali da patologia o trattamenti dentali: quando la chirurgia endoscopica endonasale necessita un approccio intraorale?

Odontogenic sinusitis and sinonasal complications of dental treatments: a retrospective case series of 480 patients with critical assessment of the current classification

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