Odontogenic sinusitis involving the frontal sinus: is middle meatal antrostomy enough?

Ungar, Omer J.; Yafit, Daniel; Kleinman, Shlomi; Raiser, V.; Safadi, Ahmad

doi:10.1007/s00405-018-5076-3

Cited by 21 publications

(21 citation statements)

References 18 publications

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“…15,31,32 This study showed that the anterior sinus was the most involved area in maxillary sinusitis, followed by the frontal sinus. 23 For the severity of chronic rhinosinusitis on CT, patients with oroantral fistula showed significantly improved CT findings after tooth extraction. One possible reason could be additional irrigation through the Schneiderian membrane during extraction.…”

Section: Discussionmentioning

confidence: 91%

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Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management

et al. 2020

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ObjectiveThis study aimed to propose appropriate management for odontogenic chronic rhinosinusitis.MethodThirty-one adult patients with odontogenic chronic rhinosinusitis undergoing maxillary extraction were retrospectively analysed. Patients with (n = 21) and without (n = 10) oroantral fistula on computed tomography were classified. Functional endoscopic sinus surgery was performed when sinusitis did not improve after extraction. The critical indicators for surgical requirement in the management of odontogenic chronic rhinosinusitis were analysed.ResultsSinusitis significantly improved after extraction in both groups. Patients without oroantral fistula had significantly more severe remnant sinusitis than those with oroantral fistula after extraction on computed tomography (p = 0.0037). The requirement for functional endoscopic sinus surgery was statistically significant for patients without orofacial fistula over those with orofacial fistula (p < 0.0001). The surgical improvement ratio was 93 per cent.ConclusionThe absence of oroantral fistula and severe sinusitis can be critical indicators for the requirement of functional endoscopic sinus surgery after extraction in the management of odontogenic chronic rhinosinusitis.

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Section: Discussionmentioning

confidence: 91%

“…In addition, most of the previous studies on treatment for odontogenic maxillary sinusitis were limited reports from small populations. 13,23 Thus, in this study, we sought to propose a management policy from our clinical experience.…”

Section: Discussionmentioning

confidence: 99%

Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management

et al. 2020

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“…Forty-nine studies reported specific diagnostic criteria 7,10,16–62 and 14 studies did not report any diagnostic criteria (either original or referenced) for OS. 8,11,63–74 It should be noted that four articles 10,21,31,39 were retrospective radiological analyses and provided radiologic diagnostic criteria only.…”

Section: Resultsmentioning

confidence: 99%

Diagnostic Criteria for Odontogenic Sinusitis: A Systematic Review

Allevi

Fadda

Rosso

et al. 2020

Am J Rhinol�Allergy

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Background Odontogenic sinusitis affects a significant proportion of patients with paranasal sinus infections. Nevertheless, no shared diagnostic criteria for this condition have yet been implemented and published studies differ in their definition of the disease. Objective The present systematic review of the literature was undertaken to characterize and analyze the different diagnostic criteria currently employed for odontogenic sinusitis. Methods Systematic searches for studies published between 2009 and 2019 were performed in Medline, Embase, Web of Science, Cochrane Library, and ClinicalTrials.gov databases. Search criteria were designed to identify all studies focusing, even partially, on odontogenic sinusitis. Human original studies except single case reports published in the English, French, German, Spanish, or Italian language were included. We removed duplicate abstracts and conducted full-text reads, data extraction, and quality assessment procedures (using the Oxford Centre for Evidence-based Medicine levels of evidence and National Heart Lung and Blood Institute Study Quality Assessment Tools). We reviewed articles for diagnostic criteria, both in terms of definition and etiology identification. Results Among 1,000 unique citations, 63 studies were deemed eligible. Most articles (n = 45) were retrospective case series; a single randomized clinical trial was available. Only 49 studies reported diagnostic criteria, yet relied marginally on published guidelines (n = 10 articles) for identifying sinusitis, often choosing instead to develop their own clinical (n = 15 articles), endoscopic (n = 12 articles), and/or radiologic (n = 30 articles) criteria. For odontogenic focus identification, 14 papers required a multidisciplinary evaluation, 11 papers required a time relationship between dental procedures and sinusitis, 24 papers required oroscopy and/or dental evaluation, and 53 papers required computed tomography. Conclusions Current diagnostic criteria for odontogenic sinusitis are extremely heterogeneous. Establishing shared diagnostic criteria aimed at defining both sinusitis and related odontogenic foci would spur collaboration between investigators and support more comprehensive outcomes evaluations together with a better understanding of treatment options.

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“…On the other hand, patients with severe symptoms or orbital/intracranial complications should be treated with a combined approach right from the diagnosis, thus allowing for sinus drainage and resolution of the etiological dental focus. While endoscopic sinus surgery has an undebated role in ODS treatment, the extent of said surgery is still a matter of debate, since some authors 19,20 proposed that middle antrostomy is enough to warrant patient healing. While prospective validation of these approaches is required, at present opening all sinuses involved in ODS [21][22][23] , while being the most frequent approach, is recommended only in case of ODS with orbital or intracranial complications 9 .…”

Section: General Principles Of Ods Treatmentmentioning

confidence: 99%

ENT and dentist cooperation in the management of odontogenic sinusitis. A review

Saibene

Pipolo

Borloni

et al. 2021

Acta Otorhinolaryngol Ital

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Odontogenic sinusitis involving the frontal sinus: is middle meatal antrostomy enough?

Abstract: 2B.

Cited by 21 publications

References 18 publications

Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management

Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management

Diagnostic Criteria for Odontogenic Sinusitis: A Systematic Review

ENT and dentist cooperation in the management of odontogenic sinusitis. A review

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