Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral Fistula
Background: Odontogenic sinusitis (ODS) is frequently encountered in ENT practice; however, there are no guidelines regarding its management. This study aims to analyse the results of endoscopic sinus surgery versus dental treatment in ODS. Additionally, we aim to demonstrate the benefit of associat...
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| Format: | Article |
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MDPI AG
2021-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/12/2712 |
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| author | Anda Gâta Corneliu Toader Dan Valean Veronica Elena Trombitaș Silviu Albu |
| author_facet | Anda Gâta Corneliu Toader Dan Valean Veronica Elena Trombitaș Silviu Albu |
| author_sort | Anda Gâta |
| collection | DOAJ |
| description | Background: Odontogenic sinusitis (ODS) is frequently encountered in ENT practice; however, there are no guidelines regarding its management. This study aims to analyse the results of endoscopic sinus surgery versus dental treatment in ODS. Additionally, we aim to demonstrate the benefit of associating endoscopic sinus surgery (ESS) to surgical closure of chronic oroantral fistulas (OAF) by comparing mean time to healing in patients who opted or not for concurrent ESS. Methods: Records of patients with ODS were reviewed. Group one consisted of patients with ODS caused by periapical pathology undergoing either endoscopic sinus surgery (ESS) or dental treatment. Resolution of ODS was considered treatment success and was compared between the two treatment strategies. Group two included patients with ODS and associated chronic oroantral communication. Time to healing was compared between patients undergoing OAF closure alone versus patients receiving associated ESS, using the Log-Rank test to correlate Kaplan–Meier curves. Results: 25 patients from a total of 45 in group one underwent dental treatment alone, and 20 opted for exclusive ESS treatment. The failure rate was 40% for patients treated with ESS compared to 4% (one patient) for dental treatment. ODS resolved in all patients in the second group, but the mean time to healing was half (10 days) when ESS was complementary to OAF closure. Conclusion: The present study represents the first estimator of the role ESS plays in OAF treatment. Nonetheless, it provides proof of the importance of first addressing dental problems in odontogenic sinusitis. |
| first_indexed | 2024-03-10T10:16:09Z |
| format | Article |
| id | doaj.art-fdf408970c8547b189e9c04fcb62898e |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T10:16:09Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-fdf408970c8547b189e9c04fcb62898e2023-11-22T00:51:12ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011012271210.3390/jcm10122712Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral FistulaAnda Gâta0Corneliu Toader1Dan Valean2Veronica Elena Trombitaș3Silviu Albu4Department of Otorhinolaryngology, University of Medicine and Pharmacy ‘Iuliu Hațieganu’, 400349 Cluj Napoca, RomaniaClinic of Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 41914 Bucharest, RomaniaCounty Clinical Emergency Hospital, 400000 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, University of Medicine and Pharmacy ‘Iuliu Hațieganu’, 400349 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, University of Medicine and Pharmacy ‘Iuliu Hațieganu’, 400349 Cluj Napoca, RomaniaBackground: Odontogenic sinusitis (ODS) is frequently encountered in ENT practice; however, there are no guidelines regarding its management. This study aims to analyse the results of endoscopic sinus surgery versus dental treatment in ODS. Additionally, we aim to demonstrate the benefit of associating endoscopic sinus surgery (ESS) to surgical closure of chronic oroantral fistulas (OAF) by comparing mean time to healing in patients who opted or not for concurrent ESS. Methods: Records of patients with ODS were reviewed. Group one consisted of patients with ODS caused by periapical pathology undergoing either endoscopic sinus surgery (ESS) or dental treatment. Resolution of ODS was considered treatment success and was compared between the two treatment strategies. Group two included patients with ODS and associated chronic oroantral communication. Time to healing was compared between patients undergoing OAF closure alone versus patients receiving associated ESS, using the Log-Rank test to correlate Kaplan–Meier curves. Results: 25 patients from a total of 45 in group one underwent dental treatment alone, and 20 opted for exclusive ESS treatment. The failure rate was 40% for patients treated with ESS compared to 4% (one patient) for dental treatment. ODS resolved in all patients in the second group, but the mean time to healing was half (10 days) when ESS was complementary to OAF closure. Conclusion: The present study represents the first estimator of the role ESS plays in OAF treatment. Nonetheless, it provides proof of the importance of first addressing dental problems in odontogenic sinusitis.https://www.mdpi.com/2077-0383/10/12/2712odontogenic sinusitisoroantral fistulaendoscopic sinus surgerydental treatment |
| spellingShingle | Anda Gâta Corneliu Toader Dan Valean Veronica Elena Trombitaș Silviu Albu Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral Fistula Journal of Clinical Medicine odontogenic sinusitis oroantral fistula endoscopic sinus surgery dental treatment |
| title | Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral Fistula |
| title_full | Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral Fistula |
| title_fullStr | Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral Fistula |
| title_full_unstemmed | Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral Fistula |
| title_short | Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral Fistula |
| title_sort | role of endoscopic sinus surgery and dental treatment in the management of odontogenic sinusitis due to endodontic disease and oroantral fistula |
| topic | odontogenic sinusitis oroantral fistula endoscopic sinus surgery dental treatment |
| url | https://www.mdpi.com/2077-0383/10/12/2712 |
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