Odontogenic sinusitis publication trends from 1990 to 2019: a systematic review

Goyal, Vinay; Spillinger, Aviv; Peterson, Edward; Craig, John R.

doi:10.1007/s00405-021-06688-7

Cited by 13 publications

(19 citation statements)

References 23 publications

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“…ODS has only represented about 1% of the sinusitis literature over the last 20 years 23 . In addition to low ODS publication volume, 90%–100% of published studies per decade over the last 30 years have been level 4–5 evidence 23,24 . Low publication volume and quality have likely contributed to ODS being underrepresented in even recent national and international sinusitis guidelines 25,26 .…”

Section: Introductionmentioning

confidence: 99%

“…Despite ODS being relatively common, it has flown under the literary radar. ODS has only represented about 1% of the sinusitis literature over the last 20 years 23 . In addition to low ODS publication volume, 90%–100% of published studies per decade over the last 30 years have been level 4–5 evidence 23,24 .…”

Section: Introductionmentioning

confidence: 99%

“… 23 In addition to low ODS publication volume, 90%–100% of published studies per decade over the last 30 years have been level 4–5 evidence. 23 , 24 Low publication volume and quality have likely contributed to ODS being underrepresented in even recent national and international sinusitis guidelines. 25 , 26 Additionally, these recent guidelines have not discussed how to diagnose or manage ODS.…”

Section: Introductionmentioning

confidence: 99%

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Odontogenic sinusitis: A state‐of‐the‐art review

Craig

2022

World j. otorhinolaryngol.-head neck surg.

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Odontogenic sinusitis (ODS) is more common than historically reported, and is underrepresented in the sinusitis literature. ODS is distinct from rhinosinusitis in that it is infectious sinusitis from an infectious dental source or a complication from dental procedures, and most commonly presents unilaterally. ODS clinical features, microbiology, and diagnostic and treatment paradigms are also distinct from rhinosinusitis. ODS evaluation and management should generally be conducted by both otolaryngologists and dental providers, and clinicians must be able to suspect and confirm the condition. ODS suspicion is driven by certain clinical features like unilateral maxillary sinus opacification on computed tomography, overt maxillary dental pathology on computed tomography, unilateral middle meatal purulence on nasal endoscopy, foul smell, and odontogenic bacteria in sinus cultures. Otolaryngologists should confirm the sinusitis through nasal endoscopy by assessing for middle meatal purulence, edema, or polyps. Dental providers should confirm dental pathology through appropriate examinations and imaging. Once ODS is confirmed, a multidisciplinary shared decision‐making process should ensue to discuss risks and benefits of the timing and different types of dental and sinus surgical interventions. Oral antibiotics are generally ineffective at resolving ODS, especially when there is treatable dental pathology. When both the dental pathology and sinusitis are addressed, resolution can be expected in 90%–100% of cases. For treatable dental pathology, while primary dental treatment may resolve the sinusitis, a significant percentage of patients still require endoscopic sinus surgery. For patients with significant sinusitis symptom burdens, primary endoscopic sinus surgery is an option to resolve symptoms faster, followed by appropriate dental management. More well‐designed studies are necessary across all areas of ODS.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Odontogenic sinusitis: A state‐of‐the‐art review

Craig

2022

World j. otorhinolaryngol.-head neck surg.

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“…Nevertheless, SFDI has been historically approached somehow erratically by different authors, some of whom advocate for more conservative management of osseointegrated implants 11 , while others have pushed for more aggressive combined approaches to minimize recurrences 12 . These differences, furthered by a lack of high-quality studies 13 , are most often indissolubly linked to the inherent health care costs of dental implantology 14 , which makes aggressive treatment even less accepted by patients. Given the implantation cost, patients acceptance of implant removal can be extremely poor, especially if they aren't allowed to understand the link between sinus infection and dental focus.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Sinusitis Following Dental Implantation: A Systematic Review and Meta-Analysis

Allevi

Fadda

Rosso

et al. 2022

Am J Rhinol�Allergy

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Background Implantological procedures aimed at rehabilitating upper jaw edentulous patients (dental implant placement and/or maxillary sinus grafting) can sporadically result in sinusitis. In these patients, endoscopic sinus surgery is the most commonly employed treatment, but clinical scenarios and comprehensive management strategies are extremely heterogeneous across studies. Objective We sought to systematically define treatment strategies and related success rates for sinusitis following dental implantation, detailing different current treatment choices and concepts. Methods Adopting a PRISMA–compliant review framework, systematic searches were performed in multiple databases using criteria designed to include all studies published until November 2020 focusing on the treatment of human sinusitis following dental implantation. We selected all original studies, excluding case reports, specifying treatment modalities with objective treatment success definitions. Following duplicate removal, abstract and full-text selection, and quality assessment, we reviewed eligible articles for treatment modalities and success rates, which were pooled in a random-effects meta-analysis. Results Among 581 unique citations, eight studies (181 patients) were selected. Seven studies were retrospective case series. All studies relied on endoscopic sinus surgery, often coupled with intraoral accesses, and assessed therapeutic success endoscopically. The pooled treatment success rate was 94.7% (95% confidence interval, 91.5%–98%). Failures were treated in seven of 15 cases with further antibiotic therapies and in another seven cases with surgical revision. A single patient was lost to follow-up. Conclusions Endoscopic sinus surgery appears to be the most frequent treatment of choice for sinusitis following dental implantation, with excellent success rates. The protean clinical picture drawn from the selected studies calls for the standardization of diagnostics and definitions in this field to enable direct comparisons between the results of different studies. The role of postoperative antibiotic therapies, which have been employed unevenly across studies, should also be prospectively investigated.

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“…While most studies to date have reported addressing all diseased sinuses during ESS, 13,[16][17][18][19] recent series have demonstrated maxillary antrostomy alone to be successful regardless of sinusitis extent. 20,21 Choosing the optimal ODS treatment is difficult due to low publication volume and quality 22 and logistical challenges of coordinating multidisciplinary care between otolaryngologists and dental specialists. In the absence of high-quality evidence to guide management, it would be helpful to understand the potential costs of different treatment options.…”

Section: Introductionmentioning

confidence: 99%

Expected Costs of Primary Dental Treatments and Endoscopic Sinus Surgery for Odontogenic Sinusitis

et al. 2021

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Objectives Treatment of odontogenic sinusitis (ODS) due to apical periodontitis (AP) is highly successful when both dental treatment and endoscopic sinus surgery (ESS) are performed. Variation exists in the literature with regard to types and timing of dental treatments and ESS when managing ODS. This study modeled expected costs of different primary dental and sinus surgical treatment pathways for ODS due to AP. Study Design Decision‐tree economic model. Methods Decision‐tree models were created based on cost and treatment success probabilities. Using Medicare and consumer online databases, cost data were obtained for the following dental and sinus surgical treatments across the United States: root canal therapy (RCTx), revision RCTx, apicoectomy, extraction, dental implant, bone graft, and ESS (maxillary, ± anterior ethmoid, ± frontal). A literature review was performed to determine probabilities of dental and sinus disease resolution after different dental treatments. Expected costs were determined for primary dental extraction, RCTx, and ESS pathways, and sensitivity analyses were performed. Results Expected costs for the three different primary treatment pathways when dental care was in‐network and all diseased sinuses opened during ESS were as follows: dental extraction ($4,753.83), RCTx ($4,677.34), and ESS ($7,319.85). Conclusions ODS due to AP can be successfully treated with primary dental treatments, but ESS is still frequently required. Expected costs of primary dental extraction and RCTx were roughly equal. Primary ESS had a higher expected cost, but may still be preferred in patients with prominent sinonasal symptoms. Patients' insurance coverage may also impact decision‐making. Level of Evidence NA Laryngoscope, 132:1346–1355, 2022

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Odontogenic sinusitis publication trends from 1990 to 2019: a systematic review

Cited by 13 publications

References 23 publications

Odontogenic sinusitis: A state‐of‐the‐art review

Odontogenic sinusitis: A state‐of‐the‐art review

Treatment of Sinusitis Following Dental Implantation: A Systematic Review and Meta-Analysis

Expected Costs of Primary Dental Treatments and Endoscopic Sinus Surgery for Odontogenic Sinusitis

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