Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification

2019 ◽  
Vol 9 (12) ◽  
pp. 1515-1520 ◽  
Author(s):  
Zaahir Turfe ◽  
Abid Ahmad ◽  
Edward I. Peterson ◽  
John R. Craig
Keyword(s):  
Maxillary Sinus ◽  
Sinus Disease ◽  
Common Cause ◽  
Odontogenic Sinusitis

scholarly journals Odontogenic sinusitis among patients surgically treated for maxillary sinus disease

2018 ◽  
Vol 1 (1) ◽  
pp. 60-66
Author(s):  
B.B. Philipsen ◽  
S. Ghawsi ◽  
A.D. Kjeldsen
Keyword(s):  
Maxillary Sinus ◽  
Sinus Disease ◽  
Odontogenic Sinusitis

Predicting Odontogenic Sinusitis in Unilateral Sinus Disease: A Prospective, Multivariate Analysis

2020 ◽  
pp. 194589242094170
Author(s):  
Vinay K. Goyal ◽  
Abid Ahmad ◽  
Zaahir Turfe ◽  
Edward I. Peterson ◽  
John R. Craig
Keyword(s):  
Multivariate Analysis ◽  
Maxillary Sinus ◽  
Sinus Disease ◽  
Clinical Variables ◽  
Dental Pathology ◽  
Clinical Presentations ◽  
Foul Smell ◽  
Sinonasal Outcome Test ◽  
Odontogenic Sinusitis ◽  
Sinonasal Symptoms

Background Odontogenic sinusitis (ODS) is a common cause of unilateral sinus disease (USD), but can be challenging to diagnose due to nonspecific clinical presentations, potentially subtle to absent dental pathology on sinus computed tomography (CT), and underrepresentation in the sinusitis literature. Objective Identify sinonasal clinical variables predictive of ODS in patients presenting with unilateral maxillary sinus opacification on sinus CT. Methods A prospective cohort study was conducted on 131 consecutive patients with USD and at least partial or complete maxillary sinus opacification on sinus CT. Patients’ demographics, sinonasal symptoms (anterior and posterior drainage, nasal obstruction, facial pressure, smell loss, and foul smell), 22-item sinonasal outcome test, nasal endoscopy findings, CT findings, and histopathology were collected. Patients’ diagnoses included ODS, chronic rhinosinusitis with or without nasal polyps, and inverted papilloma. Demographic and clinical data were compared between patients with unilateral ODS and non-odontogenic disease using univariate and multivariate analyses. Results Of the 131 USD patients, 65 had ODS and 66 had non-odontogenic disease. The following variables were significantly associated with unilateral ODS on multivariate analysis: middle meatal pus on endoscopy (OR= 17.67, 95% CI-5.69, 54.87; p = 0.001), foul smell (OR= 6.11, 95% CI-1.64, 22.82; p=.007), facial pressure (OR= 3.55, 95% CI-1.25, 10.12; p = 0.018), and any frontal opacification on CT (OR= 5.19, 95% CI-1.68, 16.06; p = 0.004). Any sphenoid opacification on CT was inversely related to ODS (OR = 0.14, 95% CI-0.03, 0.69; p = 0.016). The study was adequately powered. Conclusion With unilateral maxillary sinus disease, the following features were significantly associated with ODS: foul smell, ipsilateral facial pressure, middle meatal pus on endoscopy, and any frontal sinus opacification on sinus CT. Additionally, any sphenoid sinus opacification on CT was inversely related to ODS. Presence or absence of these clinical variables can be used to increase or decrease one’s suspicion of an odontogenic source of sinusitis.

Paranasal Sinus Development in Chronic Sinusitis, Cystic Fibrosis, and Normal Comparison Population: A Computerized Tomography Correlation Study

1997 ◽  
Vol 11 (4) ◽  
pp. 275-282 ◽  
Author(s):  
Hung Jeff Kim ◽  
Ellen M. Friedman ◽  
Marcelle Sulek ◽  
Newton O. Duncan ◽  
Charles McCluggage
Keyword(s):  
Cystic Fibrosis ◽  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Chronic Sinusitis ◽  
Correlation Study ◽  
Uncinate Process ◽  
Ct Scans ◽  
Lateral Nasal Wall ◽  
Transverse Diameter ◽  
Sinus Disease

Chronic sinus disease in patients with and without cystic fibrosis may have an impact on the pattern of paranasal sinus pneumatization. Arrest of pneumatization has been reported in both of these conditions. To assess the development of the paranasal sinuses in relationship to chronic sinusitis and cystic fibrosis (CF), a retrospective review of coronal CT scans of the age-matched patients with no previous sinus disease, patients with chronic sinusitis, and cystic fibrosis patients was conducted. The patients’ ages ranged from 4 to 17 years. The maxillary sinus volume, anteroposterior diameter, and greatest transverse diameter and height were determined using image analysis software after the coronal CT scans were scanned into Macintosh computer. The size of the maxillary sinus increased with advancing age in the control and chronic sinusitis group, but not in the patients with cystic fibrosis. The patients with cystic fibrosis had a statistically significant smaller maxillary sinus size. Approximately 50% of the patients with chronic sinusitis had anatomic anomalies, the most common being paradoxical middle turbinates. The CT scans of CF patients were characterized by uncinate process demineralization and medial displacement of the lateral nasal wall in the middle meatus, and decreased maxillary sinus pneumatization.

A Comparison of Near-Infrared Imaging and Computerized Tomography Scan for Detecting Maxillary Sinusitis

2021 ◽  
pp. 000348942110606
Author(s):  
Mehdi Abouzari ◽  
Brooke Sarna ◽  
Joon You ◽  
Adwight Risbud ◽  
Kotaro Tsutsumi ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Computerized Tomography ◽  
Sensitivity And Specificity ◽  
Near Infrared ◽  
Maxillary Sinusitis ◽  
Tertiary Care ◽  
Pixel Intensity ◽  
Sinus Disease ◽  
Nir Imaging ◽  
Average Pixel Intensity

Objective: To investigate the use of near-infrared (NIR) imaging as a tool for outpatient clinicians to quickly and accurately assess for maxillary sinusitis and to characterize its accuracy compared to computerized tomography (CT) scan. Methods: In a prospective investigational study, NIR and CT images from 65 patients who presented to a tertiary care rhinology clinic were compared to determine the sensitivity and specificity of NIR as an imaging modality. Results: The sensitivity and specificity of NIR imaging in distinguishing normal versus maxillary sinus disease was found to be 90% and 84%, normal versus mild maxillary sinus disease to be 76% and 91%, and mild versus severe maxillary sinus disease to be 96% and 81%, respectively. The average pixel intensity was also calculated and compared to the modified Lund-Mackay scores from CT scans to assess the ability of NIR imaging to stratify the severity of maxillary sinus disease. Average pixel intensity over a region of interest was significantly different ( P < .001) between normal, mild, and severe disease, as well as when comparing normal versus mild ( P < .001, 95% CI 42.22-105.39), normal versus severe ( P < .001, 95% CI 119.43-174.14), and mild versus severe ( P < .001, 95% CI 41.39-104.56) maxillary sinus disease. Conclusion: Based on this data, NIR shows promise as a tool for identifying patients with potential maxillary sinus disease as well as providing information on severity of disease that may guide administration of appropriate treatments.

The use of sputum-trap in the collection of antral washout specimen during antroscopy

1988 ◽  
Vol 102 (6) ◽  
pp. 540-540
Author(s):  
N. S. Violaris ◽  
M. Bridger
Keyword(s):  
Maxillary Sinus ◽  
Diagnosis And Treatment ◽  
Sinus Disease ◽  
Microbiological Culture

AbstractAntroscopy of the maxillary sinus has become an established and proven procedure in the diagnosis and treatment of sinus disease. Below we outline the use of the sputum-trap in the collection of antral washout specimens for microbiological culture during antroscopy.

scholarly journals Panoramic radiography is of limited value in the evaluation of maxillary sinus disease

2019 ◽  
Vol 127 (3) ◽  
pp. 237-246 ◽  
Author(s):  
Sarah Constantine ◽  
Bruce Clark ◽  
Andreas Kiermeier ◽  
Professor Peter Anderson
Keyword(s):  
Maxillary Sinus ◽  
Panoramic Radiography ◽  
Sinus Disease

Enophthalmos secondary to maxillary sinus disease: single-stage operative management

1995 ◽  
Vol 109 (9) ◽  
pp. 868-870 ◽  
Author(s):  
N. J. P. Beasley ◽  
N. S. Jones ◽  
R. N. Downes
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Operative Management ◽  
Single Stage ◽  
Sinus Surgery ◽  
Orbital Floor ◽  
Sinus Disease

AbstractMaxillary sinus disease can lead to dehiscence of the orbital floor. Using endoscopic sinus surgery it is possible to simultaneously reconstruct the orbital floor and to assess and treat underlying sinus disease.

The Maxillary Sinus: what the general dental team need to know part 3: maxillary sinus disease of endodontic origin

Dental Update ◽  
2020 ◽  
Vol 47 (6) ◽  
pp. 500-509
Author(s):  
James C Darcey ◽  
Garmon W Bell ◽  
Iain MacLeod ◽  
Colin Campbell
Keyword(s):  
Maxillary Sinus ◽  
Clinical Relevance ◽  
Close Relation ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Radiographic Images ◽  
Sinus Disease ◽  
Mucosal Thickening ◽  
Apical Displacement

This paper, part 3 of the series, discusses the variation in maxillary sinus mucosal thickening when seen on radiographic images and the relation to disease. The role of apical periodontitis in disease of the maxillary sinus and its lining, the stages of endodontic treatment at which problems can arise and how these can be prevented, are considered. Complications involving extruded endodontic materials will also be discussed. CPD/Clinical Relevance: Apical periodontitis may very occasionally contribute to maxillary sinus infection, when the roots of teeth lie in close relation to the sinus. Apical displacement of infection, irrigants or materials during endodontic treatment may contribute to inflammation and infection and should be avoided.

Chronic Maxillary Sinus Disease: A Report of Thirty-Three Caldwell-Luc Operations Performed in 1955-1956

1958 ◽  
Vol 68 (3) ◽  
pp. 351-362 ◽  
Author(s):  
C. K. MILLER ◽  
L. E. HILDEBRAND ◽  
M. G. RADEWAN ◽  
G. W. MILLER ◽  
M. L. WESTERBERG
Keyword(s):  
Maxillary Sinus ◽  
Sinus Disease

Diagnostic ultrasonography in maxillary sinus disease

1984 ◽  
Vol 98 (9) ◽  
pp. 887-894
Author(s):  
H. Fouad ◽  
M. C. Khalifa ◽  
T. Labib ◽  
Z. El-Hoshy ◽  
Abd El Hay El Assy
Keyword(s):  
Maxillary Sinus ◽  
Sinus Disease ◽  
Diagnostic Ultrasonography
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