Yonsei Med J.  2010 Nov;51(6):932-937. 10.3349/ymj.2010.51.6.932.

Clinical Features and Treatments of Odontogenic Sinusitis

• Lee KC
• Lee SJ

• KMID: 1779642
• DOI: http://doi.org/10.3349/ymj.2010.51.6.932

Abstract

PURPOSE
The aim of this study was to investigate how clinical features such as sex, age, etiologic factors, and presenting symptoms of odontogenic sinusitis are differentiated from other types of sinusitis. Also, this study was designed to find methods for reducing the incidence of odontogenic sinusitis.
MATERIALS AND METHODS
A retrospective chart analysis was completed on twenty-seven patients with odontogenic sinusitis. They were all treated at Kangbuk Samsung Hospital between February 2006 and August 2008. The study protocol and informed consent forms were approved by the institutional review boards for human beings at Kangbuk Samsung Hospital.
RESULTS
Ten patients (37.0%) had dental implant related complications and 8 (29.6%) had dental extraction related complications. Unilateral purulent nasal discharge was the most common symptom (66.7%). The therapeutic modality included transnasal endoscopic sinus surgery in 19 (70.4%) patients, and a Caldwell-Luc operation in two (7.4%) patients.
CONCLUSION
In our study, there was no significant difference in the incidence between genders. The average age of the patients was 42.9 years. The incidence was highest in the fourth decade. There were no significant differences between the symptoms of odontogenic sinusitis and that of other types of sinusitis. However, almost all of the patients with odontogenic sinusitis had unilateral symptoms. Iatrogenic causes, which include dental implants and dental extractions, were the most common etiologic factors related to the development of odontogenic sinusitis. Therefore, a preoperative consultation between a rhinologist and a dentist prior to the dental procedure should be able to reduce the incidence of odontogenic sinusitis.

Keyword

Maxillary sinusitis; iatrogenic disease; paranasal sinus diseases

MeSH Terms

Adult
Dental Implants/adverse effects
Endoscopy/methods
Female
Humans
Male
Maxillary Sinusitis/complications/*diagnosis/*therapy
Middle Aged
Paranasal Sinuses/pathology
Postoperative Complications
Republic of Korea
Retrospective Studies
Sex Factors
Sinusitis/complications/*diagnosis/*therapy
Treatment Outcome

Figure

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  Fig. 1 Paranasal sinus computed tomography of odontogenic sinusitis. (A) A displaced dental implant into the left maxillary sinus causing sinusitis (White arrow). (B) Oro-antral fistula occurred after right 2nd molar tooth extraction (asterix).

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  Fig. 2 The etiologic factors of odontogenic sinusitis. The most common etiologic factor of odontogenic sinusitis was iatrogenic cause such as dental implants and dental extraction.

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