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2018 ; 3
(2
): 110-114
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Odontogenic sinusitis: A review of the current literature
#MMPMID29721543
Little RE
; Long CM
; Loehrl TA
; Poetker DM
Laryngoscope Investig Otolaryngol
2018[Apr]; 3
(2
): 110-114
PMID29721543
show ga
OBJECTIVES: To present current literature on the topic of odontogenic sinusitis.
DATA SOURCE: PubMed literature search for odontogenic sinusitis. RESULTS:
Odontogenic sinusitis is an inflammatory condition of the paranasal sinuses that
is the result of dental pathology, most often resulting from prior dentoalveolar
procedures, infections of maxillary dentition, or maxillary dental trauma.
Infections are often polymicrobial with an anaerobe-predominant microbiome
requiring special considerations for antimicrobial therapy. Medical management
and treatment of the underlying dental pathology remains a critical initial step
in the treatment of odontogenic sinusitis, however recent literature suggests
that a significant portion of patients may require endoscopic sinus surgery for
successful disease resolution. CONCLUSIONS: This review describes the essential
epidemiological and etiological factors, relevant clinical findings and
diagnostic modalities, microbiologic and antimicrobial considerations, as well as
the medical and surgical treatment approaches commonly utilized for the
management of odontogenic sinusitis. LEVEL OF EVIDENCE: NA.