Odontogenic and rhinogenic chronic sinusitis: a modern microbiological comparison

Saibene, Alberto Maria; Vassena, Christian; Pipolo, Carlotta; Trimboli, Mariele; Vecchi, Elena De; Felisati, Giovanni; Drago, Lorenzo

doi:10.1002/alr.21629

Cited by 75 publications

(95 citation statements)

References 33 publications

(38 reference statements)

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“…28 In addition, as many as 20% of patients with odontogenic sinusitis may have bilateral involvement. 29 Therefore, clinicians should maintain a high degree of suspicion for an odontogenic etiology.…”

Section: Clinical Evaluation and Diagnosismentioning

confidence: 99%

“…The bacteriology of odontogenic sinusitis is distinctly different from cases of non-odontogenic sinusitis. 29 Odontogenic sinus infections are generally polymicrobial with predominantly anaerobic organisms present in cultures, commonly including Peptostreptococcus, Prevotella, and Fusobacterium. 3,30 These higher rates of mixed aerobic and anaerobic infections among patients with odontogenic sinusitis have been well documented in the literature.…”

Section: Microbiologymentioning

confidence: 99%

“…Furthermore, involvement of the ostiomeatal unit may result in extension to adjacent paranasal sinuses with reported rates of extramaxillary extension ranging from 27% to 60% among patients with odontogenic sinusitis . In addition, as many as 20% of patients with odontogenic sinusitis may have bilateral involvement . Therefore, clinicians should maintain a high degree of suspicion for an odontogenic etiology.…”

Section: Introductionmentioning

confidence: 99%

“…Odontogenic sinus infections are generally polymicrobial with predominantly anaerobic organisms present in cultures, commonly including Peptostreptococcus , Prevotella , and Fusobacterium . These higher rates of mixed aerobic and anaerobic infections among patients with odontogenic sinusitis have been well documented in the literature . Zirk et al reviewed 121 cases of odontogenic sinusitis and noted that 70% demonstrated anaerobes and 30% demonstrates aerobes.…”

Section: Introductionmentioning

confidence: 99%

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Odontogenic sinusitis: A review of the current literature

Little

Long

Loehrl

et al. 2018

Laryngoscope Investig Oto

134

106

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ObjectivesTo present current literature on the topic of odontogenic sinusitis.Data SourcePubMed literature search for odontogenic sinusitis.ResultsOdontogenic sinusitis is an inflammatory condition of the paranasal sinuses that is the result of dental pathology, most often resulting from prior dentoalveolar procedures, infections of maxillary dentition, or maxillary dental trauma. Infections are often polymicrobial with an anaerobe‐predominant microbiome requiring special considerations for antimicrobial therapy. Medical management and treatment of the underlying dental pathology remains a critical initial step in the treatment of odontogenic sinusitis, however recent literature suggests that a significant portion of patients may require endoscopic sinus surgery for successful disease resolution.ConclusionsThis review describes the essential epidemiological and etiological factors, relevant clinical findings and diagnostic modalities, microbiologic and antimicrobial considerations, as well as the medical and surgical treatment approaches commonly utilized for the management of odontogenic sinusitis.Level of EvidenceNA.

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Section: Clinical Evaluation and Diagnosismentioning

confidence: 99%

Section: Microbiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Odontogenic sinusitis: A review of the current literature

Little

Long

Loehrl

et al. 2018

Laryngoscope Investig Oto

134

106

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“…Anatomical modification of this region could therefore be considered the key in spreading the maxillary odontogenic infection to other sinuses: in fact, the ethmoid sinuses are involved in 59.7% of odontogenic disease 4 6 18…”

Section: Discussionmentioning

confidence: 99%

Unusual case of bilateral maxillary fungus ball

et al. 2016

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An otherwise healthy 34-year-old man was referred to our ear, nose and throat (ENT) clinic for a bilateral maxillary radiologic opacity. This condition was accidentally discovered with a panoramic radiography performed during a follow-up visit after a bilateral endodontic treatment. The patient did not report any specific sinonasal symptom such as purulent nasal discharge, loss of smell and cough, apart from an unspecific sinus pressure. The CT scans showed a bilateral inflammatory process into the maxillary-ethmoidal sinuses and an iron-like density within the maxillary sinuses, while nasal endoscopy showed purulent discharge in the ostiomeatal complex. The patient underwent functional endoscopic sinus surgery under general anaesthesia and the inflammatory material collected was histologically diagnosed as a rare case of bilateral fungus ball. The patient was dismissed the following day with no complications; there were not any sign of recurrence or symptoms during a 4 month follow-up.

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Editorial

Kern

2016

Int Forum Allergy Rhinol

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Odontogenic and rhinogenic chronic sinusitis: a modern microbiological comparison

Abstract: Given the extent of microbiological contamination within the maxillary sinus of SCDDT patients, these infections should be regarded as a different class of conditions from rhinogenic sinusitis. Our findings support the need for different approaches in the treatment of SCDDT patients.

Cited by 75 publications

References 33 publications

Odontogenic sinusitis: A review of the current literature

Odontogenic sinusitis: A review of the current literature

Unusual case of bilateral maxillary fungus ball

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