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Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management

Published online by Cambridge University Press:  09 March 2020

K Tsuzuki ,
K Kuroda ,
K Hashimoto ,
K Okazaki ,
K Noguchi ,
H Kishimoto ,
H Nishikawa  and
M Sakagami
K Tsuzuki
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Hyogo College of Medicine, Japan
K Kuroda
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Hyogo College of Medicine, Japan
K Hashimoto
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Hyogo College of Medicine, Japan
K Okazaki*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Hyogo College of Medicine, Japan
K Noguchi
Affiliation:
Department of Dentistry and Oral Surgery, Hyogo College of Medicine, Japan
H Kishimoto
Affiliation:
Department of Dentistry and Oral Surgery, Hyogo College of Medicine, Japan
H Nishikawa
Affiliation:
Center for Clinical Research and Education, Hyogo College of Medicine, Japan
M Sakagami
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Hyogo College of Medicine, Japan
*
Author for correspondence: Dr Kenzo Tsuzuki, Department of Otolaryngology Head and Neck Surgery, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo6638501, Japan E-mail: [email protected] Fax: +81 798 41 8976
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Abstract

Objective

This study aimed to propose appropriate management for odontogenic chronic rhinosinusitis.

Method

Thirty-one adult patients with odontogenic chronic rhinosinusitis undergoing maxillary extraction were retrospectively analysed. Patients with (n = 21) and without (n = 10) oroantral fistula on computed tomography were classified. Functional endoscopic sinus surgery was performed when sinusitis did not improve after extraction. The critical indicators for surgical requirement in the management of odontogenic chronic rhinosinusitis were analysed.

Results

Sinusitis significantly improved after extraction in both groups. Patients without oroantral fistula had significantly more severe remnant sinusitis than those with oroantral fistula after extraction on computed tomography (p = 0.0037). The requirement for functional endoscopic sinus surgery was statistically significant for patients without orofacial fistula over those with orofacial fistula (p < 0.0001). The surgical improvement ratio was 93 per cent.

Conclusion

The absence of oroantral fistula and severe sinusitis can be critical indicators for the requirement of functional endoscopic sinus surgery after extraction in the management of odontogenic chronic rhinosinusitis.

Keywords

Radicular CystMaxillary SinusitisParanasal SinusesTooth ExtractionNasal Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 3 , March 2020 , pp. 241 - 246
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr K Tsuzuki takes responsibility for the integrity of the content of the paper

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