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Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data

The maxillary sinus is a structure at the border of specialties: otorhinolaryngology and maxillofacial surgery. Due to this fact, regarding etiology, it can be affected by both the rhinogenic and odontogenic path and can impose diagnostic difficulties. The etiopathogenic mechanisms that can affect t...

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Autores principales: Martu, Cristian, Martu, Maria-Alexandra, Maftei, George-Alexandru, Diaconu-Popa, Diana Antonela, Radulescu, Luminita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319441/
https://www.ncbi.nlm.nih.gov/pubmed/35885504
http://dx.doi.org/10.3390/diagnostics12071600
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author Martu, Cristian
Martu, Maria-Alexandra
Maftei, George-Alexandru
Diaconu-Popa, Diana Antonela
Radulescu, Luminita
author_facet Martu, Cristian
Martu, Maria-Alexandra
Maftei, George-Alexandru
Diaconu-Popa, Diana Antonela
Radulescu, Luminita
author_sort Martu, Cristian
collection PubMed
description The maxillary sinus is a structure at the border of specialties: otorhinolaryngology and maxillofacial surgery. Due to this fact, regarding etiology, it can be affected by both the rhinogenic and odontogenic path and can impose diagnostic difficulties. The etiopathogenic mechanisms that can affect the Schneiderian membrane are mainly inflammatory, iatrogenic, traumatic, and tumorous in nature. From a microbiological point of view, the bacteriology is polymorphic, including both aerobic and anaerobic species in acute OS, the predominating species in acute OS being aerobic, and in chronic anaerobic germs. The role of fungi in the determination of this pathology and in the production of the biofilm that leads to resistance to antibiotic treatment is also discussed. The present paper aims to present the etiopathogenesis, bacteriology, clinical manifestations, as well as treatment of odontogenic sinusitis (OS) from an updated perspective through reviewing the literature. If unilateral maxillary sinusitis is usually due to odontogenic causes, this does not clinically exclude the possibility of strictly rhinogenic causes in the occurrence of sinusitis. This underlines the important role of complex oral and rhinological clinical examination as well as the role of preclinical examinations in specifying the certainty diagnosis. Simple radiography, orthopantomography, CT, and CBCT are compared in terms of diagnostic accuracy. The treatment of OS is complex, involving medication, dental, and surgical measures. The value of endoscopic surgery is emphasized, comparing its advantages over the classic Caldwell-Luc technique.
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spelling pubmed-93194412022-07-27 Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data Martu, Cristian Martu, Maria-Alexandra Maftei, George-Alexandru Diaconu-Popa, Diana Antonela Radulescu, Luminita Diagnostics (Basel) Review The maxillary sinus is a structure at the border of specialties: otorhinolaryngology and maxillofacial surgery. Due to this fact, regarding etiology, it can be affected by both the rhinogenic and odontogenic path and can impose diagnostic difficulties. The etiopathogenic mechanisms that can affect the Schneiderian membrane are mainly inflammatory, iatrogenic, traumatic, and tumorous in nature. From a microbiological point of view, the bacteriology is polymorphic, including both aerobic and anaerobic species in acute OS, the predominating species in acute OS being aerobic, and in chronic anaerobic germs. The role of fungi in the determination of this pathology and in the production of the biofilm that leads to resistance to antibiotic treatment is also discussed. The present paper aims to present the etiopathogenesis, bacteriology, clinical manifestations, as well as treatment of odontogenic sinusitis (OS) from an updated perspective through reviewing the literature. If unilateral maxillary sinusitis is usually due to odontogenic causes, this does not clinically exclude the possibility of strictly rhinogenic causes in the occurrence of sinusitis. This underlines the important role of complex oral and rhinological clinical examination as well as the role of preclinical examinations in specifying the certainty diagnosis. Simple radiography, orthopantomography, CT, and CBCT are compared in terms of diagnostic accuracy. The treatment of OS is complex, involving medication, dental, and surgical measures. The value of endoscopic surgery is emphasized, comparing its advantages over the classic Caldwell-Luc technique. MDPI 2022-06-30 /pmc/articles/PMC9319441/ /pubmed/35885504 http://dx.doi.org/10.3390/diagnostics12071600 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Martu, Cristian
Martu, Maria-Alexandra
Maftei, George-Alexandru
Diaconu-Popa, Diana Antonela
Radulescu, Luminita
Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data
title Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data
title_full Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data
title_fullStr Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data
title_full_unstemmed Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data
title_short Odontogenic Sinusitis: From Diagnosis to Treatment Possibilities—A Narrative Review of Recent Data
title_sort odontogenic sinusitis: from diagnosis to treatment possibilities—a narrative review of recent data
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319441/
https://www.ncbi.nlm.nih.gov/pubmed/35885504
http://dx.doi.org/10.3390/diagnostics12071600
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