Frequency of the odontogenic maxillary sinusitis extended to the anterior ethmoid sinus and response to surgical treatment

• Published in: Medicina oral, patología oral y cirugía bucal Vol. 19; no. 4; pp. e409 - e413
• Main Authors: Crovetto-Martínez, Rafael, Martin-Arregui, Francisco-Javier, Zabala-López-de-Maturana, Aitor, Tudela-Cabello, Kiara, Crovetto-de la Torre, Miguel-Angel
• Format: Journal Article
• Language: English
• Published: Spain Medicina Oral S.L 01.07.2014
• Subjects: Cohort Studies; Dentistry; Ethmoid Sinusitis - epidemiology; Ethmoid Sinusitis - etiology; Ethmoid Sinusitis - surgery; Female; Humans; Male; Maxillary Sinusitis - complications; Maxillary Sinusitis - etiology; Maxillary Sinusitis - surgery; Middle Aged; Retrospective Studies; Stomatognathic Diseases - complications
• ISSN: 1698-6946; 1698-4447; 1698-6946
• DOI: 10.4317/medoral.19629

Odontogenic sinusitis usually affects the maxillary sinus but may extend to the anterior ethmoid sinuses. The purpose of this study is to determine the percentage of odontogenic maxillary sinusitis extended to the anterior ethmoid sinuses and determine also the surgical resolution differences between odontogenic maxillary sinusitis and odontogenic maxillary associated to anterior ethmoidal sinusitis. This is a retrospective cohort study performed on 55 patients diagnosed of odontogenic sinusitis and treated surgically by functional endoscopic sinus surgery. This study showed that 52.7% of odontogenic maxillary sinusitis spreads to anterior ethmoid, causing added anterior ethmoid sinusitis. We found that 92.3% of the odontogenic maxillary sinusitis (who underwent middle meatal antrostomy) and 96.5% of the odontogenic maxillary sinusitis extended to the anterior ethmoid (treated with middle meatal antrostomy and anterior ethmoidectomy) were cured. Ethmoid involvement is frequent in maxillary odontogenic sinusitis. The ethmoid involvement does not worsen the results of "functional endoscopic sinus surgery" applied to the odontogenic sinusitis.