Odontogenic causes complicating the chronic rhinosinusitis diagnosis
| Autor: | Hannamari Välimaa, Anni Suomalainen, Annina Wuokko-Landén, Karin Blomgren |
|---|---|
| Přispěvatelé: | Faculty of Medicine, University of Helsinki, HUS Head and Neck Center, Korva-, nenä- ja kurkkutautien klinikka, Helsinki University Hospital Area, HUS Medical Imaging Center, Department of Diagnostics and Therapeutics, Department of Virology, HUSLAB, Suu- ja leukakirurgian yksikkö |
| Rok vydání: | 2020 |
| Předmět: |
Maxillary sinus
Dentistry 03 medical and health sciences TEETH 0302 clinical medicine QUALITY-OF-LIFE Diagnosis medicine otorhinolaryngologic diseases Pathology Humans Maxillary central incisor Medical diagnosis Sinusitis 030223 otorhinolaryngology General Dentistry Nose Periodontitis Dentition business.industry APICAL PERIODONTITIS Retrospective cohort study 030206 dentistry Cone-Beam Computed Tomography medicine.disease Maxillary Sinusitis 313 Dentistry stomatognathic diseases Retrospective study medicine.anatomical_structure Odontogenesis Paranasal sinus diseases Original Article business Tomography X-Ray Computed ENDOSCOPIC SINUS SURGERY Dental pulp diseases |
| Zdroj: | Clinical Oral Investigations |
| ISSN: | 1436-3771 |
| Popis: | Objectives Chronic rhinosinusitis (CRS) frequently stems from a dental origin, although odontogenic sinusitis (OS) remains underdiagnosed amongst different professionals. This study aimed to explore how often odontogenic causes are considered when diagnosing CRS. Materials and methods Patient records from 374 new CRS patients treated at a tertiary-level ear, nose, and throat (ENT) clinic were selected. Entries and radiological reports were assessed exploring how often dentition was mentioned and OS was suspected, how often radiologists reported maxillary teeth, and how commonly typical OS microbial findings and unilateral symptoms occurred. Results Although 10.1% of the CRS diagnoses were connected to possible dental issues, teeth were not mentioned for 73.8% of patients. Radiological reports were available from 267 computed or cone beam computed tomographies, of which 25.1% did not mention the maxillary teeth. The reported maxillary teeth pathology was not considered in 31/64 (48.4%) cases. Unilateral symptoms associated with apical periodontitis (OR = 2.49, 95% CI 1.27–4.89, p = 0.008). Microbial samples were available from 88 patients, for whom Staphylococcus aureus was the most common finding (17% of samples). Conclusions Odontogenic causes are often overlooked when diagnosing CRS. To provide adequate treatment, routine assessment of patient’s dental history and status, careful radiograph evaluation, and utilization of microbial findings should be performed. Close cooperation with dentists is mandatory. Clinical relevance Dental professionals should be aware of difficulties medical professionals encounter when diagnosing possible OS. Thus, sufficient knowledge of OS pathology is essential to both medical and dental professionals. |
| Databáze: | OpenAIRE |
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