ODONTOGENIC MAXILLARY SINUSITIS: CLINICAL AND PARACLINICAL STUDY ON ETIOPATHOGENY, DIAGNOSTIC AND THERAPEUTIC MANAGEMENT
Abstract
Chronic sinusitis has an estimated prevalence rate of about 10.4% in Europe. Odontogenic sinusitis is defined by inflammation of the paranasal sinuses caused by dental conditions. Chronic maxillary sinusitis of dental cause is the common clinical form and can occur from the beginning in this form or may be the result of chronic acute maxillary sinusitis, the condition becomes chronic if it lasts for more than 3 months. Materials and methods: This study investigated 47 patients admitted to the ENT Clinic of the Iasi Clinical Recovery Hospital between January 2022 - June 2023 diagnosed with maxillary sinusitis. Results: The study revealed a maximum incidence of maxillary sinusitis in the decade between the ages of 41 and 50 years more frequently in the male sex, and with relatively low frequency of odontogenic cause (14.8 %), versus rhino genic sinusitis. Discussion: Odontogenic S is a pathology at the border of two specialties, ENT and OMF with an interdisciplinary treatment approach. The maxillary status is dependent on the correct and efficient treatment of the underlying cause which sprouts from the dental root and maxillary floor. Endoscopic approach of the rhino logical pathology is a good option after the resolution of the oromaxillary interface osteitis and has successfully replaced other more invasive procedures (like Caldwell-Luc operation). Conclusions: odontogenic sinus pathology is a growing but frequently undervalued and underdiagnosed condition whose dimensions and impact on patients’ health require a multidisciplinary approach. Odontogenic maxillary sinusitis can be prevented by maintaining a rigorous oral hygiene, regular dental checkups, correct treatment of odontal and periodontal diseases, avoiding smoking. Maxillary sinus FESS is an efficient and comfortable treatment option for resolving rhinological accuses.
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