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Stomatologija 2014; 16 (2): 39-43 129 KB

Odontogenic maxillary sinusitis: A review

Regimantas Simuntis, Ričardas Kubilius, Saulius Vaitkus

Summary

Maxillary sinusitis of odontogenic origin is a well-known condition in both the dental and otolaryngology communities. It occurs when the Schneiderian membrane is violated by conditions arising from dentoalveolar unit. This type of sinusitis differs in its pathophysiology, microbiology, diagnostics and management from sinusitis of other causes, therefore, failure to accurately identify a dental cause in these patients usually lead to persistent symptomatology and failure of medical and surgical therapies directed toward sinusitis. Unilateral recalcitrant disease associated with foul smelling drainage is a most common feature of odontogenic sinusitis. Also, high-resolution CT scans and cone-beam volumetric computed tomography can assist in identifying dental disease. Sometimes dental treatment alone is adequate to resolve the odontogenic sinusitis and sometimes concomitant or subsequent functional endoscopic sinus surgery or Caldwell-Luc operation is required.

The aim of this article is to give a review of the most common causes, symptoms, diagnostic and treatment methods of odontogenic maxillary sinusitis. Search on Cochrane Library, PubMed and Science Direct data bases by key words resulted in 35 articles which met our criteria. It can be concluded that the incidence of odontogenic sinusitis is likely underreported in the available literature.

Key words: odontogenic maxillary sinusitis; functional endoscopic sinus surgery, cone-beam volumetric computed tomography.

Received: 13 04 2013

Accepted for publishing: 20 06 2014

¹Department of oral and maxillofacial surgery, Kaunas Clinics, Lithuanian University of Health Sciences, Kaunas, Lithuania

²Department of ear, nose and throat diseases, Kaunas Clinics, Lithuanian University of Health Sciences, Kaunas, Lithuania

Regimantas Simuntis¹ – D.D.S.

Ričardas Kubilius¹ – D.D.S., Dr. hab. med., professor

Saulius Vaitkus² – M.D., PhD

Address correspondence to Regimantas Simuntis, Eiveniu str. 2, LT-50009 Kaunas, Lithuania. E-mail address: rsimuntis@yahoo.com



	Baltic Dental and Maxillofacial Journal

June, 2014, Vol. 16, No. 2 CONTENTS REVIEWS Odontogenic maxillary sinusitis: A review Regimantas Simuntis, Ričardas Kubilius, Saulius Vaitkus 39-43 Reducing dental plaque formation and caries development. A review of current methods and implications for novel pharmaceuticals Povilas Kalesinskas, Tomas Kačergius, Arvydas Ambrozaitis, Vytautė Pečiulienė, Dan Ericson 44-52 How various surgical protocols of the unilateral cleft lip and palate influence the facial growth and possible orthodontic problems? Which is the best timing of lip, palate and alveolus repair? Literature review Giampietro Farronato, Laima Kairyte, Lucia Giannini, Guido Galbiati, Cinzia Maspero 53-60 SCIENTIFIC ARTICLES Assessment of the lateral pterygoıd plate fractures durıng Le Fort I osteotomıes regardıng the angulatıon of the osteotome Aydin Gulses, Hasan Ayberk Altug, Cenk Kılıc, Metin Sencımen 61-64 Self-reported oral health behavior and attitudes of dental and technology students in Lithuania Ingrida M. Pacauskiene, Dalia Smailiene, Jolanta Siudikienė, Julija Savanevskyte, Irena Nedzelskiene 65-71 CASE REPORT Non surgical treatment of Crouzon Syndrome Cinzia Maspero, Lucia Giannini, Guido Galbiati, Laima Kairyte, Giampietro Farronato 72-80 © 2014 Stomatologija		Stomatologija 2014; 16 (2): 39-43 129 KB Odontogenic maxillary sinusitis: A review Regimantas Simuntis, Ričardas Kubilius, Saulius Vaitkus Summary Maxillary sinusitis of odontogenic origin is a well-known condition in both the dental and otolaryngology communities. It occurs when the Schneiderian membrane is violated by conditions arising from dentoalveolar unit. This type of sinusitis differs in its pathophysiology, microbiology, diagnostics and management from sinusitis of other causes, therefore, failure to accurately identify a dental cause in these patients usually lead to persistent symptomatology and failure of medical and surgical therapies directed toward sinusitis. Unilateral recalcitrant disease associated with foul smelling drainage is a most common feature of odontogenic sinusitis. Also, high-resolution CT scans and cone-beam volumetric computed tomography can assist in identifying dental disease. Sometimes dental treatment alone is adequate to resolve the odontogenic sinusitis and sometimes concomitant or subsequent functional endoscopic sinus surgery or Caldwell-Luc operation is required. The aim of this article is to give a review of the most common causes, symptoms, diagnostic and treatment methods of odontogenic maxillary sinusitis. Search on Cochrane Library, PubMed and Science Direct data bases by key words resulted in 35 articles which met our criteria. It can be concluded that the incidence of odontogenic sinusitis is likely underreported in the available literature. Key words: odontogenic maxillary sinusitis; functional endoscopic sinus surgery, cone-beam volumetric computed tomography. Received: 13 04 2013 Accepted for publishing: 20 06 2014 ¹Department of oral and maxillofacial surgery, Kaunas Clinics, Lithuanian University of Health Sciences, Kaunas, Lithuania ²Department of ear, nose and throat diseases, Kaunas Clinics, Lithuanian University of Health Sciences, Kaunas, Lithuania Regimantas Simuntis¹ – D.D.S. Ričardas Kubilius¹ – D.D.S., Dr. hab. med., professor Saulius Vaitkus² – M.D., PhD Address correspondence to Regimantas Simuntis, Eiveniu str. 2, LT-50009 Kaunas, Lithuania. E-mail address: rsimuntis@yahoo.com