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

Crovetto-Martínez R, Martin-Arregui FJ, Zabala-López-de-Maturana A, Tudela-Cabello K, Crovetto-de la Torre MA - Med Oral Patol Oral Cir Bucal (2014)

Bottom Line: 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.The ethmoid involvement does not worsen the results of "functional endoscopic sinus surgery" applied to the odontogenic sinusitis.

View Article: PubMed Central - PubMed

Affiliation: C/ Mayor 8-3 A, Getxo 48930, Vizcaya, Spain, macdlt@telefonica.net.

ABSTRACT

Objectives: 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.

Study design: This is a retrospective cohort study performed on 55 patients diagnosed of odontogenic sinusitis and treated surgically by functional endoscopic sinus surgery.

Results: 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.

Conclusion: 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.

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Related in: MedlinePlus

Postoperative CT scan (coronal plane) to the same patient of figure 2. The maxillary sinus (A) and the anterior ethmoid (arrowheads) are perfectly ventilated trough the middle meatal antrostomy (mma) associated to anterior ethmoidectomy, made by functional endoscopy sinus surgery.
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Figure 3: Postoperative CT scan (coronal plane) to the same patient of figure 2. The maxillary sinus (A) and the anterior ethmoid (arrowheads) are perfectly ventilated trough the middle meatal antrostomy (mma) associated to anterior ethmoidectomy, made by functional endoscopy sinus surgery.

Mentions: Definition of cure: Three months after surgery the patient was asymptomatic, without signs of inflammation in middle meatus under nasal endoscopy and CT shows good ventilation in the maxillary and ethmoid sinuses, without effusion or thickening (>1/4 of the antral lumen) of the mucosa (Fig. 3). This is a precise method to evaluate the operated patients, as confirm other authors (17).


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

Crovetto-Martínez R, Martin-Arregui FJ, Zabala-López-de-Maturana A, Tudela-Cabello K, Crovetto-de la Torre MA - Med Oral Patol Oral Cir Bucal (2014)

Postoperative CT scan (coronal plane) to the same patient of figure 2. The maxillary sinus (A) and the anterior ethmoid (arrowheads) are perfectly ventilated trough the middle meatal antrostomy (mma) associated to anterior ethmoidectomy, made by functional endoscopy sinus surgery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4119319&req=5

Figure 3: Postoperative CT scan (coronal plane) to the same patient of figure 2. The maxillary sinus (A) and the anterior ethmoid (arrowheads) are perfectly ventilated trough the middle meatal antrostomy (mma) associated to anterior ethmoidectomy, made by functional endoscopy sinus surgery.
Mentions: Definition of cure: Three months after surgery the patient was asymptomatic, without signs of inflammation in middle meatus under nasal endoscopy and CT shows good ventilation in the maxillary and ethmoid sinuses, without effusion or thickening (>1/4 of the antral lumen) of the mucosa (Fig. 3). This is a precise method to evaluate the operated patients, as confirm other authors (17).

Bottom Line: 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.The ethmoid involvement does not worsen the results of "functional endoscopic sinus surgery" applied to the odontogenic sinusitis.

View Article: PubMed Central - PubMed

Affiliation: C/ Mayor 8-3 A, Getxo 48930, Vizcaya, Spain, macdlt@telefonica.net.

ABSTRACT

Objectives: 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.

Study design: This is a retrospective cohort study performed on 55 patients diagnosed of odontogenic sinusitis and treated surgically by functional endoscopic sinus surgery.

Results: 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.

Conclusion: 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.

Show MeSH
Related in: MedlinePlus