Definition and management of odontogenic maxillary sinusitis

Kim, Soung Min

doi:10.1186/s40902-019-0196-2

Cited by 64 publications

(74 citation statements)

References 68 publications

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“…In such patients, dental extraction of affected tooth root alone may suffice in managing the sinusitis without the requirement of ESS. 18,19 The panel stressed that although a patient may fit the appropriateness criteria for ESS prior dental implant surgery, this is not a necessity and cases must undergo the standard patient-centred informed decision-making processes to ascertain absolute appropriateness.…”

Section: Discussionmentioning

confidence: 99%

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Defining appropriateness criteria for endoscopic sinus surgery in the management of adult dental implant patients with incidental maxillary sinus findings on conebeam computed tomography

Amin

Walker

Alobid

et al. 2020

Clinical Otolaryngology

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Objectives: Conebeam computed tomography (CBCT) imaging is commonly requested by dental implant surgeons, preoperatively, for patients being considered for dental implants. Incidental maxillary sinus findings often result in otolaryngology (ENT) referral for further assessment. CBCT findings include transient and benign mucosal changes that may not require any intervention and therefore unnecessarily delay implant surgery. We aim to define appropriateness criteria for ESS in the management of adult dental implant patients with incidental maxillary sinus findings on CBCT and provide guidance to both dental implant and ENT surgeons. Design: The RAND/UCLA appropriateness methodology was used to develop and define the appropriateness criteria. Setting: A virtual panel of 13 international experts in ESS. Participants: The expert panel completed two rounds of a modified Delphi ranking process for nine clinical scenarios, considering various factors affecting decisionmaking processes. Main outcome measures: To define appropriateness criteria for ESS in adult dental implant patients who have incidental maxillary sinus findings on CBCT. Results: Patients with clinical symptoms and endoscopic findings of chronic rhinosinusitis together with an obstructed ostiomeatal complex (OMC) and concentric mucosal thickening of the ipsilateral maxillary sinus or pansinusitis were deemed appropriate candidates for ESS prior to their dental implant. ESS was not appropriate in asymptomatic patients with a patent OMC and mucosal thickening isolated to floor of the ipsilateral maxillary sinus. For uncertain scenarios, further discussion between dental implant and ENT surgeon should be considered. How to cite this article: Amin N, Walker A, Alobid I, et al. Defining appropriateness criteria for endoscopic sinus surgery in the management of adult dental implant patients with incidental maxillary sinus findings on conebeam computed tomography.

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Section: Discussionmentioning

confidence: 99%

“…Odontogenic sinus disease refractory to treatment with antimicrobial therapy involves definitive treatment of the underlying dental pathology. In such patients, dental extraction of affected tooth root alone may suffice in managing the sinusitis without the requirement of ESS 18,19 …”

Section: Discussionmentioning

confidence: 99%

Defining appropriateness criteria for endoscopic sinus surgery in the management of adult dental implant patients with incidental maxillary sinus findings on conebeam computed tomography

Amin

Walker

Alobid

et al. 2020

Clinical Otolaryngology

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“…Most of them are inflammatory and/or unspecified allergic and in our paper they represent almost half of all the lesions studied (44.4%). In our study we excluded sinusitis of dental origin, but it must be mentioned that these can account for 10-20% of all chronic sinusitis More than 95% of the sinusitis (including unspecific and fungal) were properly diagnosed using CRS [7].…”

Section: Discussionmentioning

confidence: 99%

Clinicopathological features of 214 maxillary sinus pathologies. A ten-year single-centre retrospective clinical study

et al. 2020

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Background Diagnosis of maxillary sinus pathology must include the clinical radiological study (CRS) and histopathological analysis. The aim of this study is 1) to describe the clinicopathological features of maxillary sinus lesions, obtained successively in a single medical centre over the last 10 years and 2) to determine the sensitivity and specificity for the diagnosis of malignant lesions based exclusively on the CRS. Methods It is a single-centre observational retrospective clinical study on patients who attended the University Hospital Complex of Santiago de Compostela (CHUS) with sinus pathologies during the period of 2009–2019. Results The sample consisted of 133 men (62.1%) and 81 women (37.9%), with an average age of 46.9 years (SD = 18.8). In terms of frequency, the most frequent pathology was the unspecified sinusitis (44.4%), followed by polyps (18.2%), malignant tumours (9.8%), inverting papilloma (7.5%), fungal sinusitis (4.7%), cysts (3.7%), benign tumours (2.3%), mucocele (2.3%) and other lesions (1.9%). Cysts and benign tumours were diagnosed earliest Vs malignant tumours (65.2 years (SD = 16.1)) were diagnosed the latest (p < 0.001). Based only on the CRS for malignancies, diagnostic indexes were 71.4% sensitivity and 97.9% specificity, with a Kappa value of 0.68 with (p < 0.001). Conclusion Maxillary sinus pathology is very varied with therapeutic and prognostic repercussions. CRS is sometimes insufficient and histopathological confirmation is essential.

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“…Iatrogenic sources include postdental extraction, inadequate positioning of dental implant fixtures, infected retained roots, and foreign bodies (eg, extruded root canal fillings). 6,32 CT is the best imaging method for diagnosis of odontogenic sinusitis. CT demonstrates maxillary sinus disease with a bone defect in the maxillary sinus floor, which is typically associated with dental disease or complications of dental procedures (Figs 6 and 7).…”

Section: Odontogenic Sinusitismentioning

confidence: 99%

Cross-Sectional Imaging of Third Molar–Related Abnormalities

Loureiro

Sumi

Tames

et al. 2020

AJNR Am J Neuroradiol

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Third molars may be associated with a wide range of pathologic conditions, including mechanical, inflammatory, infectious, cystic, neoplastic, and iatrogenic. Diagnosis of third molar-related conditions can be challenging for radiologists who lack experience in dental imaging. Appropriate imaging evaluation can help practicing radiologists arrive at correct diagnoses, thus improving patient care. This review discusses the imaging findings of various conditions related to third molars, highlighting relevant anatomy and cross-sectional imaging techniques. In addition, key imaging findings of complications of third molar extraction are presented.

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Definition and management of odontogenic maxillary sinusitis

Cited by 64 publications

References 68 publications

Defining appropriateness criteria for endoscopic sinus surgery in the management of adult dental implant patients with incidental maxillary sinus findings on conebeam computed tomography

Defining appropriateness criteria for endoscopic sinus surgery in the management of adult dental implant patients with incidental maxillary sinus findings on conebeam computed tomography

Clinicopathological features of 214 maxillary sinus pathologies. A ten-year single-centre retrospective clinical study

Cross-Sectional Imaging of Third Molar–Related Abnormalities

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