Association between odontogenic infections and unilateral sinus opacification

Matsumoto, Yuma; Ikeda, Tetsuya; Yokoi, Hidenori; Kohno, Naoyuki

doi:10.1016/j.anl.2014.12.006

Cited by 100 publications

(89 citation statements)

References 14 publications

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“…In literature, we did not find any similar results. On the other hand, Matsumoto et al suggested that the most frequent cause of unilateral maxillary sinusitis is odontogenic infection, as 72.6% of unilateral maxillary sinusitis cases in his study were caused by this reason [47]. Contrary to these results, Shin suggested that NSD might have an influence on the development of unilateral sinusitis [36].…”

Section: Discussionmentioning

confidence: 88%

Nasal Septal Deviation and Concha Bullosa – Do They Have an Impact on Maxillary Sinus Volumes and Prevalence of Maxillary Sinusitis?

et al. 2018

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SummaryBackgroundThe aim of the study was to assess if the presence of nasal septal deviation and concha bullosa is connected with the development of sinuses and the incidence of inflammation within them.Material/MethodsWe retrospectively analysed 214 patients who underwent paranasal sinus computed tomography. There were 125 females and 89 males, the mean age being 47.67±16.74 years (range 18–97). Exclusion criteria included: age under 18 years, prior sinonasal surgery and S-shaped septum.ResultsMean volume of the right maxillary sinus was 17.794 cm3, while for the left one it was 17.713 cm3. Nasal septal deviation was found in 79.9% of computed tomography examinations and concha bullosa was observed in 42.1% of the patients’ examinations. There was an association between the presence of unilateral or dominant concha bullosa and contralateral direction of septal deviation [right-sided (p=0.039), left-sided (p=0.003)]. There was higher incidence of bilateral maxillary sinusitis in patients with septal deviation (p=0.007). Bilateral concha bullosa did not influence the incidence of bilateral maxillary sinusitis (p=0.495). Neither septal deviation (right sided: p=0.962; left-sided: p=0.731), nor unilateral/dominant concha bullosa (right: p=0.512; left: p=0,430) affected the asymmetry in volumes of maxillary sinuses. Bilateral concha bullosa was connected with larger volume of maxillary sinuses (right sinus: p=0.005; left sinus: p=0.048).ConclusionsNasal septal deviation, contrary to concha bullosa, has influence on the development of maxillary sinusitis. There is a connection between the presence of concha bullosa and direction of septal deviation. Only bilateral concha bullosa affects maxillary sinus volumes.

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Section: Discussionmentioning

confidence: 88%

Nasal Septal Deviation and Concha Bullosa – Do They Have an Impact on Maxillary Sinus Volumes and Prevalence of Maxillary Sinusitis?

et al. 2018

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“…Odontogenic sinusitis (ODS) is underrepresented in the literature. Early studies suggested that ODS made up 10% to 12% of sinusitis, but more recent articles suggest that it makes up 25% to 40% of all chronic rhinosinusitis and 72.6% of unilateral sinus opacification . In 2013, Longhini and Ferguson reviewed 85 sinusitis guidelines and found that only 11 (13%) mentioned ODS.…”

Section: Introductionmentioning

confidence: 99%

“…Early studies suggested that ODS made up 10% to 12% of sinusitis, 1,2 but more recent articles suggest that it makes up 25% to 40% of all chronic rhinosinusitis 3,4 and 72.6% of unilateral sinus opacification. 5 In 2013, Longhini and Ferguson reviewed 85 sinusitis guidelines and found that only 11 (13%) mentioned ODS. Only three guidelines that they reviewed discussed methods to diagnose ODS, and none discussed ODS management.…”

Section: Introductionmentioning

confidence: 99%

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

et al. 2019

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Objectives Odontogenic sinusitis (ODS) is more common than historically reported, and management recommendations are limited in the literature. Although ODS case series have shown successful outcomes with dental treatment and endoscopic sinus surgery (ESS), no studies have considered the optimal timing of these treatments. The purpose of this study was to analyze times to ODS resolution after primary dental treatment and ESS based on symptom, 22‐item sinonasal outcome test (SNOT‐22), and endoscopic outcomes. Study Design Prospective cohort study. Methods Thirty‐seven symptomatic ODS patients who failed medical management were offered primary dental treatment or ESS. Eleven patients selected primary dental treatment, and 26 patients selected ESS. The following variables were collected prospectively at every office visit before and after dental treatment or ESS: SNOT‐22, presence or absence of cardinal sinusitis symptoms, and presence or absence of middle meatal endoscopy findings (edema, polyps, purulence). Times to resolution of these clinical variables were analyzed with t test, chi‐square test, Fisher exact test, McNemar test, and Kaplan‐Meier survival analysis. Results Patients in the dental treatment and ESS groups showed no significant differences in preoperative sinusitis disease burdens based on symptoms, SNOT‐22, endoscopy, and computed tomography. The ESS group experienced faster and more significant improvement in nearly all symptom, SNOT‐22, and endoscopic outcomes. Conclusions For symptomatic ODS, primary ESS resulted in faster resolution of SNOT‐22, sinusitis symptoms, and endoscopic findings in ODS patients compared with primary dental treatment. ESS can be considered first‐line therapy for symptomatic ODS, followed by dental treatment when necessary. Level of Evidence 2b Laryngoscope, 129:1976–1983, 2019

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“…Radiographic examination of patients with odontogenic sinusitis most commonly demonstrates unilateral maxillary sinusitis. More than 70% of maxillofacial CT scans showing unilateral maxillary sinusitis may be attributable to an odontogenic infection . However, several studies have documented that dental disease may be frequently overlooked on CT by radiologists leading to misdiagnosis .…”

Section: Introductionmentioning

confidence: 99%

Odontogenic sinusitis: A review of the current literature

Little

Long

Loehrl

et al. 2018

Laryngoscope Investig Oto

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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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Association between odontogenic infections and unilateral sinus opacification

Cited by 100 publications

References 14 publications

Nasal Septal Deviation and Concha Bullosa – Do They Have an Impact on Maxillary Sinus Volumes and Prevalence of Maxillary Sinusitis?

Nasal Septal Deviation and Concha Bullosa – Do They Have an Impact on Maxillary Sinus Volumes and Prevalence of Maxillary Sinusitis?

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

Odontogenic sinusitis: A review of the current literature

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