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Ten-year experience with multidisciplinary diagnosis and treatment of odontogenic sinusitis

Published online by Cambridge University Press:  02 September 2021

S Elwany ,
A A Ibrahim ,
W K A Hussein ,
A M Medra  and
N Elwany
S Elwany*
Affiliation:
Department of Otolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt
A A Ibrahim
Affiliation:
Department of Otolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt
W K A Hussein
Affiliation:
Department of Otolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt
A M Medra
Affiliation:
Department of Cranio-Maxillofacial, and Oral and Plastic Surgery, Alexandria Faculty of Dentistry, Alexandria, Egypt
N Elwany
Affiliation:
General Practice, University of Kentucky College of Dentistry, Lexington, USA
*
Author for correspondence: Dr Samy Elwany, 4 Kafr Abdu Street #605, Alexandria21529, Egypt E-mail: samy.elwany@alexmed.edu.eg
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Abstract

Background

Odontogenic sinusitis is an underdiagnosed entity and is one cause of failure of conventional treatments of sinusitis. Unfortunately, there is no consensus so far on the best management protocol. This retrospective study aimed to suggest a practical management protocol that can reduce misdiagnosis and improve treatment outcomes.

Methods

The study included 74 patients with confirmed odontogenic sinusitis who were diagnosed and treated over 10 years (2010–2019). The patient data were recorded and analysed.

Results

Dental pain was reported in only 31.1 per cent of patients. Fifty-six patients (75.7 per cent) had received dental treatment during the last year, but only 13 (23.1 per cent) reported it. Dental pathology was missed on initial computed tomography evaluation in 24 patients (32.4 per cent). Forty-one patients (55.4 per cent) were successfully treated by dental procedures and antibiotics. Fourteen patients needed functional endoscopic sinus surgery in addition to dental procedures.

Conclusion

Successful management of odontogenic sinusitis requires good communication between rhinologists, radiologists and dentists. Dental treatment should be the logical first step in the treatment protocol, unless otherwise indicated.

Keywords

Maxillary SinusitisMaxillary SinusFacial PainFistula
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 11 , November 2021 , pp. 987 - 992
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr S Elwany takes responsibility for the integrity of the content of the paper

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