Odontogenic sinusitis maxillaris: A retrospective study of 121 cases with surgical intervention

Zirk, Matthias; Dreiseidler, Timo; Pohl, Matthias; Rothamel, Daniel; Buller, Johannes; Peters, Franziska; Zöller, Joachim E.; Kreppel, Matthias

doi:10.1016/j.jcms.2017.01.023

Cited by 94 publications

(108 citation statements)

References 44 publications

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“…ODS is diagnosed in a fashion similar to other forms of sinusitis: history to detect sinusitis symptoms, nasal endoscopy to assess for inflammation or infection, and computed tomography (CT) imaging to assess sinusitis extent but also maxillary odontogenic pathology. Sinonasal symptoms of ODS are consistent with cardinal symptoms of acute and chronic sinusitis, although ODS symptoms are more commonly unilateral . Anterior and posterior nasal drainage are most frequently reported in ODS in 60% or more of patients .…”

Section: Introductionmentioning

confidence: 75%

“…Various odontogenic pathologies can cause ODS, including pulpitis, periapical lesions (cysts, abscesses, granulomas), periodontitis, oroantral fistula (OAF), or dental treatment‐related sinus foreign bodies . Large series and meta‐analyses have shown that the main dental etiologies of ODS are extraction‐related OAFs, periapical, and periodontal disease …”

Section: Introductionmentioning

confidence: 99%

“…9,10 Large series and meta-analyses have shown that the main dental etiologies of ODS are extraction-related OAFs, periapical, and periodontal disease. [11][12][13][14] ODS is diagnosed in a fashion similar to other forms of sinusitis: history to detect sinusitis symptoms, nasal endoscopy to assess for inflammation or infection, and computed tomography (CT) imaging to assess sinusitis extent but also maxillary odontogenic pathology. Sinonasal symptoms of ODS are consistent with cardinal symptoms of acute and chronic sinusitis, 7 although ODS symptoms are more commonly unilateral.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

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“…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. The highest susceptibility rates were observed with piperacillin (93.9%) and ampicillin (80%) combined with a β‐lactamase inhibitor, followed by cefotaxime (78%), cefuroxime (69%), and clindamycin (50%).…”

Section: Introductionmentioning

confidence: 89%

“…The etiology of acute sinonasal inflammation or sinusitis may be the result of environmental allergens, irritants, bacterial infections, fungus, or dental issues including inflammation, infection, or foreign bodies. Odontogenic sinusitis is most common among 40–60 year olds with a slight female predominance . Approximately 50% of patients will report previous dental surgery or infection, however only one‐third will report associated dental pain .…”

Section: Introductionmentioning

confidence: 99%

Odontogenic sinusitis: A review of the current literature

Little

Long

Loehrl

et al. 2018

Laryngoscope Investig Oto

143

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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Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification

Turfe

Ahmad

Peterson

et al. 2019

Int Forum Allergy Rhinol

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Background: Unilateral sinus disease (USD) carries a broader differential diagnosis than bilateral sinus disease, including various inflammatory and neoplastic conditions. Odontogenic sinusitis (ODS) is a common cause of unilateral maxillary sinusitis, but few studies have examined its incidence among all USD etiologies. The main purposes of this prospective study were to determine the incidences of ODS and other etiologies causing USD with complete maxillary sinus opacification on computed tomography (CT), and to compare CT features of ODS and non-odontogenic USD patients. In addition, clinical features of the ODS cohort are described.Methods: A prospective case series of 134 patients with USD with complete maxillary sinus opacification on CT was conducted from August 2015 to November 2018. Based on nasal endoscopy, sinus CT, and dental examination and imaging, patients were categorized as having unilateral ODS or non-odontogenic USD. Patients with nonodontogenic USD were categorized as inflammatory or neoplastic. Demographic and clinical data were reported for ODS patients. Results:Of the 134 patients, 45% had ODS, 36% had nonodontogenic inflammatory conditions, 17% had inverted papilloma, and 2% had malignancies. Of the 60 ODS cases, 86.7% were associated with middle meatal purulence on nasal endoscopy. On CT, 88.3% had extramaxillary sinus disease extension, and 65.5% of CT reports made no mention of dental pathology. Conclusion:ODS caused nearly 50% of all USD cases with maxillary sinus opacification on CT, and was the most common individual etiology. ODS was frequently associated with anterior ethmoid and frontal sinus disease on CT, and middle meatal purulence on nasal endoscopy. C 2019 ARS-AAOA, LLC.

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Odontogenic sinusitis maxillaris: A retrospective study of 121 cases with surgical intervention

Cited by 94 publications

References 44 publications

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

Optimal timing of endoscopic sinus surgery for odontogenic sinusitis

Odontogenic sinusitis: A review of the current literature

Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification

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