Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-02T19:00:01.120Z Has data issue: false hasContentIssue false

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
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

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

Georgy, MS, Peters, AT. Chapter 8: rhinosinusitis. Allergy Asthma Proc 2012;33(suppl 1):24–7CrossRefGoogle ScholarPubMed
Banglawala, SM, Schlosser, RJ, Wenztel, J, Walsh, T, Overton, L, Soler, ZM. Trends in chronic rhinosinusitis research in the past three decades. Int Forum Allergy Rhinol 2016;6:4651CrossRefGoogle ScholarPubMed
Lopatin, AS, Sysolyatin, SP, Sysolyatin, PG, Melnikov, MN. Chronic maxillary sinusitis of dental origin: is external surgical approach mandatory? Laryngoscope 2002;112:1056–9CrossRefGoogle ScholarPubMed
Mehra, P, Murad, H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin North Am 2004;37:347–64CrossRefGoogle ScholarPubMed
Brook, I. Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg 2006;135:349–55CrossRefGoogle ScholarPubMed
Melén, I, Lindahl, L, Andréasson, L, Rundcrantz, H. Chronic maxillary sinusitis. Definition, diagnosis and relation to dental infections and nasal polyposis. Acta Otolaryngol 1986;101:320–7CrossRefGoogle ScholarPubMed
Hoskison, E, Daniel, M, Rowson, JE, Jones, NS. Evidence of an increase in the incidence of odontogenic sinusitis over the last decade in the UK. J Laryngol Otol 2012;126:43–6CrossRefGoogle ScholarPubMed
Longhini, AB, Ferguson, BJ. Clinical aspects of odontogenic maxillary sinusitis: a case series. Int Forum Allergy Rhinol 2011;1:409–15CrossRefGoogle ScholarPubMed
Lee, KC, Lee, SJ. Clinical features and treatments of odontogenic sinusitis. Yonsei Med J 2010;51:932–7CrossRefGoogle ScholarPubMed
Bomeli, SR, Branstetter, BF, Ferguson, BJ. Frequency of a dental source for acute maxillary sinusitis. Laryngoscope 2009;119:580–4CrossRefGoogle ScholarPubMed
Nair, UP, Nair, MK. Maxillary sinusitis of odontogenic origin: cone-beam volumetric computerized tomography-aided diagnosis. Oral Surg Oral Med Oral Pathol Radiol Endod 2010;110:e53–7CrossRefGoogle ScholarPubMed
Patel, NA, Ferguson, BJ. Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis. Curr Opin Otolaryngol Head Neck Surg 2012;20:24–8CrossRefGoogle ScholarPubMed
Aukštakalnis, R, Simonavičiūtė, R, Simuntis, R. Treatment options for odontogenic maxillary sinusitis: a review. Stomatologija 2018;20:22–6Google ScholarPubMed
Sjögren, U, Hägglund, B, Sundqvist, G, Wing, K. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16:498504CrossRefGoogle ScholarPubMed
Crovetto-Martínez, R, Martin-Arregui, FJ, Zabala-López-de-Maturana, A, Tudela-Cabello, K, Crovetto-de la Torre, MA. Frequency of the odontogenic maxillary sinusitis extended to the anterior ethmoid sinus and response to surgical treatment. Med Oral Patol Oral Cir Bucal 2014;19:e409–13CrossRefGoogle ScholarPubMed
Fokkens, WJ, Lund, VJ, Mullol, J, Bachert, C, Alobid, I, Baroody, F et al. European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl 2012;23:1298Google ScholarPubMed
Rosenfeld, RM, Andes, D, Bhattacharyya, N, Cheung, D, Eisenberg, S, Ganiats, TG et al. . Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg Suppl 2007;137(suppl 3):131CrossRefGoogle ScholarPubMed
Simuntis, R, Kubilius, R, Vaitkus, S. Odontogenic maxillary sinusitis: a review. Stomatologija 2014;16:3943Google ScholarPubMed
Little, RE, Long, CM, Loehrl, TA, Poetker, DM. Odontogenic sinusitis: a review of the current literature. Laryngoscope Investig Otolaryngol 2018;3:110–14CrossRefGoogle ScholarPubMed
Tsuzuki, K, Hinohira, Y, Takebayashi, H, Kojima, Y, Yukitatsu, Y, Daimon, T et al. Novel endoscopic scoring system after sinus surgery. Auris Nasus Larynx 2014;41:450–4CrossRefGoogle ScholarPubMed
Tsuzuki, K, Hashimoto, K, Okazaki, K, Sakagami, M. Post-operative course prediction during endoscopic sinus surgery in patients with chronic rhinosinusitis. J Laryngol Otol 2018;132:408–17CrossRefGoogle ScholarPubMed
Lund, VJ, Mackay, IS. Staging in rhinosinusitis. Rhinol 1993;31:183–4Google Scholar
Ungar, OJ, Yafit, D, Kleinman, S, Raiser, V, Safadi, A. Odontogenic sinusitis involving the frontal sinus: is middle meatal antrostomy enough? Eur Arch Otorhinolaryngol 2018;275:2291–5CrossRefGoogle Scholar
Arias-Irimia, O, Barona-Dorado, C, Santos-Marino, JA, Martínez-Rodriguez, N, Martínez-González, JM. Meta-analysis of the etiology of odontogenic maxillary sinusitis. Med Oral Patol Oral Cir Bucal 2010;15:e70–3Google ScholarPubMed
Maillet, M, Bowles, WR, McClanahan, SL, John, MT, Ahmad, M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod 2011;37:753–7CrossRefGoogle ScholarPubMed
Tokunaga, T, Sakashita, M, Haruna, T, Asaka, D, Takeno, S, Ikeda, H et al. Novel scoring system and algorithm for classifying chronic rhinosinusitis: the JESREC Study. Allergy 2015;70:9951003CrossRefGoogle ScholarPubMed
Fujieda, S, Imoto, Y, Kato, Y, Ninomiya, T, Tokunaga, T, Tsutsumiuchi, T et al. Eosinophilic chronic rhinosinusitis. Allergol Int 2019;68:403–12CrossRefGoogle ScholarPubMed
Zinreich, SJ, Kennedy, DW, Rosenbaum, AE, Gayler, BW, Kumar, AJ, Stammberger, H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1987;163:769–75CrossRefGoogle ScholarPubMed
Bolger, WE, Butzin, CA, Parsons, DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:5664CrossRefGoogle ScholarPubMed
Albu, S, Baciut, M. Failures in endoscopic surgery of the maxillary sinus. Otolaryngol Head Neck Surg 2010;142:196201CrossRefGoogle ScholarPubMed
Andric, M, Saranovic, V, Drazic, R, Brkovic, B, Todorovic, L. Functional endoscopic sinus surgery as an adjunctive treatment for closure of oroantral fistulae: a retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:510–6CrossRefGoogle ScholarPubMed
Costa, F, Emanuelli, E, Robiony, M, Zerman, N, Polini, F, Politi, M. Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin. J Oral Maxillofac Surg 2007;65:223–8CrossRefGoogle ScholarPubMed
Wang, KL, Nichols, BG, Poetker, DM, Loehrl, TA. Odontogenic sinusitis: a case series studying diagnosis and management. Int Forum Allergy Rhinol 2015;5:597601CrossRefGoogle ScholarPubMed
Jiam, NT, Goldberg, AN, Murr, AH, Pletcher, SD. Surgical treatment of chronic rhinosinusitis after sinus lift. Am J Rhinol Allergy 2017;31:271–5CrossRefGoogle ScholarPubMed
Suzuki, M, Nakamura, Y, Nakayama, M, Inagaki, A, Murakami, S, Takemura, K et al. Modified transnasal endoscopic medial maxillectomy with medial shift of preserved inferior turbinate and nasolacrimal duct. Laryngoscope 2011;121:2399–401CrossRefGoogle ScholarPubMed
Nakayama, T, Otori, N, Asaka, D, Okushi, T, Haruna, S. Endoscopic modified medial maxillectomy for odontogenic cysts and tumours. Rhinology 2014;52:376–80CrossRefGoogle ScholarPubMed