Clinical and radiologic findings in a case series of maxillary sinusitis of dental origin

Unilateral chronic maxillary sinusitis is a possible complication of odontogenic disease or dental treatment and is mainly due to the development of an oroantral fistula (OAF). The management of chronic maxillary sinusitis of dental origin requires a combined treatment via endoscopic sinus surgery (ESS) and intraoral surgical treatment of the odontogenic source. The aim of this study is to present the results of our university hospital unit in the treatment and follow-up of a case series of 34 patients treated with combined surgical approach for chronic maxillary sinusitis of dental origin due to OAF. All patients were treated with ESS combined with an intraoral approach. No intraoperative or immediate postoperative complications were observed; nasal synechia was found in 3 patients (8.82%). The overall success rate after primary intervention was 94.12%; recurrence was observed in 2 cases (5.88%), both were suffering from diabetes mellitus and were tobacco smokers. Our results confirm that simultaneous surgery with a combination of an intraoral and endoscopic approach can be considered the best strategy for the long-term restoration of a normal sinonasal homeostasis in selected patients with chronic odontogenic sinusitis and OAF, guaranteeing an effective treatment with minimal complications in the short and long term.

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Maxillary sinusitis of dental origin due to oroantral fistula, treated by endoscopic sinus surgery and primary fistula closure

The Journal of Laryngology & Otology ◽

10.1017/s0022215110001027 ◽

2010 ◽

Vol 124 (9) ◽

pp. 986-989 ◽

Cited By ~ 21

Author(s):

J Hajiioannou ◽

E Koudounarakis ◽

K Alexopoulos ◽

A Kotsani ◽

D E Kyrmizakis

Keyword(s):

Alveolar Bone ◽

Treatment Approach ◽

Maxillary Sinusitis ◽

Case Series ◽

Current Treatment ◽

Sinus Surgery ◽

Oroantral Fistula ◽

Dental Origin ◽

Odontogenic Sinusitis ◽

Chronic Maxillary Sinusitis

AbstractAim:To present the current treatment approach for oroantral fistula causing maxillary sinusitis.Design:Case series. Four cases of oroantral fistula (diameters: 6, 9, 11 and 13 mm) due to chronic maxillary sinusitis were treated by excision of all diseased oroantral fistula tissue, followed by endoscopic creation of a large middle antrostomy and closure of the fistula using buccal flaps. A synthetic surgical glue and local alveolar bone were used.Results:Patients were followed up for six months to three years; all were considered cured.Conclusion:Most surgeons use buccal or palatal flaps, combined with the Caldwell–Luc procedure, to treat chronic odontogenic sinusitis and to repair fistulae more than 5 mm in diameter. This study supports the hypothesis that an endoscopic technique could be successfully used in patients with oroantral fistula causing chronic maxillary sinusitis of dental origin, instead of the Caldwell–Luc procedure, at least in patients with a small to medium-sized oroantral fistula.

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Challenges in diagnosing odontogenic lesions in maxillary sinuses

Otolaryngologia Polska ◽

10.5604/01.3001.0013.5566 ◽

2019 ◽

Vol 74 (2) ◽

pp. 1-5

Author(s):

Katarzyna Dobroś ◽

Joanna Zarzecka

Keyword(s):

Maxillary Sinusitis ◽

Pathological Changes ◽

Disease Symptoms ◽

Pathological Lesions ◽

Dental Examination ◽

Dental Origin ◽

Odontogenic Origin ◽

Development Methods ◽

Maxillary Sinuses

Objectives: The study aimed to identify the patients with pathological lesions in the maxillary sinuses in which the reported symptoms might be indicative of odontogenic origin, as well as to establish specific causative risk factors promoting their development. Methods and Materials: The study covered 44 patients with suspected odontogenic maxillary sinusitis. Dental examination and Cone Bean Computed Tomography was completed. Their age ranged 19 - 69 years, mean age was 43 (SD = 13.9) years. Results: Out of 44 patients, 22 (50%) had non-odontogenic lesions in maxillary sinuses, while in 15 (34.1%) dental origin was established. In the remaining 7 (15.9%) patients, no pathological changes were found in the sinuses. A median of reported symptoms was 10 months (Q1 = 4, Q3 = 24). Reported complaints were not associated with the actual cause of pathological lesions. Conclusions: Odontogenic cause of the lesions in the sinuses should primarily be hypothesized, especially in the patients with long-term disease symptoms, also with regard to any unilateral inflammations.

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Etiology and Antimicrobial Treatment of Acute Sinusitis

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894810903s216 ◽

1981 ◽

Vol 90 (3_suppl2) ◽

pp. 68-71 ◽

Cited By ~ 98

Author(s):

Jack M. Gwaltney ◽

Austin Sydnor ◽

Merle A. Sande

Keyword(s):

Maxillary Sinusitis ◽

Anaerobic Bacteria ◽

Antimicrobial Treatment ◽

Acute Sinusitis ◽

X Ray ◽

Parainfluenza Viruses ◽

Inappropriate Treatment ◽

Dental Origin ◽

The Face

Acute maxillary sinusitis is a disease of varied etiology. Over half of the cases are caused by Streptococcus pneumoniae and Hemophilus influenzae. Anaerobic bacteria account for another 10% of cases and these are usually of dental origin. The rest of the cases are caused by several other bacteria, each of which cause a small proportion. Rhinoviruses, influenza, and parainfluenza viruses also in-vade the sinuses and probably lead to secondary bacterial infection. Diagnosis of acute sinusitis on clinical grounds is difficult. Sinus transillumination and x-ray are the most valuable routine tests available. Ampicillin, amoxicillin, trimethoprim-sulfamethoxazole, and cefaclor have been shown to be effective treatment for most cases of acute sinusitis. Infection persists when there is inadequate or inappropriate treatment. The patient may become relatively asymptomatic in the face of persistent active infection. Follow-up clinical and x-ray examinations are indicated, when possible, to detect treatment failures. Although not a routine diagnostic procedure, sinus puncture and aspiration may be of value in the seriously ill patient or one who has not responded to treatment.

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OBSERVATIONS ON THE RELATION OF CHRONIC PARANASAL SINUSITIS AND MAXILLARY SINUSITIS OF DENTAL ORIGIN. AS STADIED IN DENTAL X-RAY PHOTOGRAPHS

Nippon Jibiinkoka Gakkai Kaiho ◽

10.3950/jibiinkoka.58.331 ◽

1955 ◽

Vol 58 (4) ◽

pp. 331-334

Author(s):

S. MIURA

Keyword(s):

Maxillary Sinusitis ◽

X Ray ◽

Paranasal Sinusitis ◽

Dental Origin

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Dentistry and otorhinolaryngology cooperative therapy of chronic maxillary sinusitis: Case series study

Oral Biology Research ◽

10.21851/obr.43.04.201912.278 ◽

2019 ◽

Vol 43 (4) ◽

pp. 278-282

Author(s):

Han-Chang Yu ◽

Pil-Young Yun ◽

Na-Hee Chang ◽

Young-Kyun Kim

Keyword(s):

Maxillary Sinusitis ◽

Case Series ◽

Case Series Study ◽

Chronic Maxillary Sinusitis ◽

Series Study

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Is dental evaluation considered in unilateral maxillary sinusitis? A retrospective case series

Acta Odontologica Scandinavica ◽

10.1080/00016357.2018.1490966 ◽

2018 ◽

Vol 76 (8) ◽

pp. 600-604 ◽

Cited By ~ 8

Author(s):

Don Ly ◽

Johan Hellgren

Keyword(s):

Maxillary Sinusitis ◽

Case Series ◽

Retrospective Case ◽

Retrospective Case Series

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COVID-19 in Neonates, A Case Series Study From Tertiary Neonatal Centers in Iran

Archives of Pediatric Infectious Diseases ◽

10.5812/pedinfect.110603 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Sedigheh Rafiei Tabatabaei ◽

Minoo Fallahi ◽

Abbas Boskabadi ◽

Naeeme Taslimi Taleghani ◽

Fatemeh Pajouhandeh ◽

...

Keyword(s):

Respiratory Symptoms ◽

Neonatal Intensive Care ◽

Heart Surgery ◽

Open Heart Surgery ◽

Clinical Manifestations ◽

Case Series ◽

Reactive Protein ◽

Radiologic Findings ◽

Case Series Study ◽

Novel Coronavirus

Introduction: The Novel coronavirus, sars-cov-2, is responsible for the recent pandemic. Although it mostly affects adults, children of all ages, including neonates, can become ill with Covid-19, as well. The real prevalence rate of coronavirus disease 2019 (COVID-19) in children is unknown. However, the severity of symptoms in children and neonates is less than in adults. Regarding the new presentation of this disease, the current study has reported a case series of COVID-19 in neonates. Case Presentation: In this article, 10 neonates with COVID- 19 admitted to our neonatal intensive care units are reported. All reported neonates had general suspicious symptoms of COVID- 19 with positive results for SARS-CoV-2 assessed by polymerase chain reaction (PCR) from the nasopharynx area or nose of the patients. All neonates, except for two of them, were term neonates. One case had open-heart surgery for congenital heart disease (transposition of the great arteries (TGA)). The patients aged 22 days on admission. The most frequent symptom was fever. Severe respiratory symptoms were reported in two cases. Also, abnormal radiologic findings in the chest x-ray were detected in two cases. Regarding the lack of significant respiratory symptoms in most of the patients, the lung computed tomography (CT) scan was taken just from one neonate. Leukopenia (WBC < 5000/mm3) was detected in one case, with no lymphopenia in all neonates. The positive C-reactive protein test was not found in all cases. No patient was treated by special anti-viral agents for COVID-19, and usual antibiotic treatment for neonatal sepsis was administered for all cases. All patients, except for one, survived with no significant sequela of the disease. Conclusions: This study demonstrated that clinical manifestations, as well as laboratory and radiologic findings of COVID-19, are milder in neonates than in the older ages. Hence, it can be argued that the prognosis of COVID-19 in the neonatal period is generally good.

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