Odontogenic Maxillary Sinusitis: Therapeutic Management of Cases with Oroantral Fistulae

Autor: Yasutaka Yun, Masao Yagi, Tomofumi Sakagami, Shunsuke Sawada, Yuka Kojima, Tomoe Nakatani, Risaki Kawachi, Kensuke Suzuki, Hideyuki Murata, Akira Kanda, Mikiya Asako, Hiroshi Iwai
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Sinusitis, Vol 5, Iss 1, Pp 53-58 (2021)
Druh dokumentu: article
ISSN: 2673-351X
DOI: 10.3390/sinusitis5010006
Popis: Odontogenic maxillary sinusitis (OMS) is a disease in which inflammation from the teeth extend into the maxillary sinus, causing symptoms of unilateral sinusitis. OMS can recur, with some being resistant to antibiotics. In intractable cases, exodontia and endoscopic sinus surgery (ESS) are necessary treatments. Here we report our analysis on the indications for surgical intervention in cases diagnosed with and treated as OMS. We retrospectively examined 186 patients who were diagnosed with sinusitis on a computed tomography (CT) scan. For cases diagnosed with OMS, the site of the causative tooth and the presence or absence of oroantral fistula to the maxillary sinus was examined. In addition, we analyzed the therapeutic efficacy of the initial treatment of antibiotics, and what the indications were for ESS. Among the patients examined, OMS was diagnosed in 44 cases (23.6%). In 14 out of 20 cases that underwent a post-medical treatment CT scan, OMS found to be treatment-resistant. Of these 14 cases, 12 (88%) had oroantral fistulae to the maxillary sinus. In all cases where exodontia, fistula closure surgery, and endoscopic sinus surgery (ESS) were performed, the fistula disappeared and the shadow of inflammation in the paranasal sinus improved. In OMS with oroantral fistula, ESS, exodontia, and fistula closure should be recommended over medication such as macrolide therapy.
Databáze: Directory of Open Access Journals