Journal
LARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGY
Volume 3, Issue 2, Pages 110-114Publisher
WILEY
DOI: 10.1002/lio2.147
Keywords
Odontogenic sinusitis; rhinosinusitis of dental etiology; dental infection; periapical abscess; maxillary sinusitis
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Objectives: To present current literature on the topic of odontogenic sinusitis. Data Source: PubMed literature search for odontogenic sinusitis. Results: Odontogenic 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. Conclusions: This 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.
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