Chronic rhinosinusitis of dental origin

Česká verzia

Authors: J. Blecha ¹ ; T. Filipovský ¹ ; J. Betka ² ; T. Kráľová ³ ; L. Dostálová ² ; Š. Zavázalová ¹ ; J. Astl ¹
Authors place of work: Klinika otorinolaryngologie a maxilofaciální chirurgie 3. LF UK a ÚVN Praha ¹; Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN v Motole, Praha ²; Stomatologické oddělení, ÚVN Praha ³
Published in the journal: Otorinolaryngol Foniatr, 71, 2022, No. 4, pp. 218-224.
Category: Review Article
doi: https://doi.org/10.48095/ccorl2022218

Summary

Chronic rhinosinusitis is a common disease of the nose and paranasal sinuses. We note diseases of dental origin occurring with an increasing regularity. This cause tends to be overlooked. Treatment is longer and more complicated compared to rhinogenic sinusitis due to the higher prevalence of anaerobic bacteria. The treatment can be divided into two main steps. The first is to remove the cause of the odontogenic infection itself, followed by the remediation of secondary nasal cavities using functional endoscopic surgery (FESS). In order to treat this disease properly, inter-disciplinary cooperation between an otorhinolaryngologist and a dentist or oral surgeon is necessary. Conclusions of this paper is to highlight the idea of treating these two seemingly separate issues and procedures into one functional unit that will be most effective and least burdensome for the patient. From my point of view, it seems ideal to address this issue comprehensively. This shortens the treatment time and eliminates the need for the patient to move between different departments.

Keywords:

apical periodontitis – odontogenic sinusitis – oroantral fi stula – maxillary sinusitis of dental origin – endoscopic sinus surgery – root canal infection

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