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Odontogenic sinusitis – case series and review of literature

Published online by Cambridge University Press:  26 November 2021

S Garry ,
I O'Riordan ,
D James ,
M Corbett ,
T Barry  and
M Thornton
S Garry*
Affiliation:
Academic Department of Otorhinolaryngology, National University of Ireland, Galway, Ireland
I O'Riordan
Affiliation:
Academic Department of Otorhinolaryngology, National University of Ireland, Galway, Ireland
D James
Affiliation:
Academic Department of Otorhinolaryngology, National University of Ireland, Galway, Ireland
M Corbett
Affiliation:
Academic Department of Otorhinolaryngology, National University of Ireland, Galway, Ireland
T Barry
Affiliation:
Department of Oral and Maxillofacial Surgery, University Hospital Galway, Ireland
M Thornton
Affiliation:
Academic Department of Otorhinolaryngology, National University of Ireland, Galway, Ireland
*
Author for correspondence: Mr Stephen Garry, Department of Otorhinolaryngology, University Hospital Galway, GalwayH91 YXH6, Ireland E-mail: stephengarry@rcsi.com
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Abstract

Background

Odontogenic sinusitis is a common cause of rhinosinusitis that is often undiagnosed and overlooked. No single sign or symptom is specific for odontogenic sinusitis, and failure to focus on the specific radiological features can delay diagnosis.

Objective

This paper presents four cases of chronic sinusitis that had an odontogenic origin. Each case was referred for a second opinion. Three patients had previously undergone unsuccessful surgical management.

Methods

The literature, and the associated contributory clinical, radiological and microbiological features required for correct diagnosis and management, are reviewed.

Results

Each case resulted in a positive patient outcome following the involvement of both otolaryngology and maxillofacial surgery departments.

Conclusion

A high index of suspicion is advocated for odontogenic sinusitis in cases not responding to standard management plans. Collaboration with a maxillofacial specialist is important for diagnosis and management. This should be considered where standard management fails, or clinical features and radiological signs of odontogenic sinusitis are present. This paper also highlights the need for otolaryngologists to incorporate, at the very least, a basic dental history and examination as part of their assessment in recalcitrant cases.

Keywords

OtolaryngologistsMaxillary SinusMaxillary SinusitisComputed TomographyX-RayNasal ObstructionSinusitisRadiology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 49 - 54
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr S Garry takes responsibility for the integrity of the content of the paper

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