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The Cochrane Database of Systematic... Oct 2015Currently, two separate Cochrane reviews, ‘’ and ‘’ describe the effect of antibiotics for acute rhinosinusitis. Although both Cochrane reviews study the same... (Meta-Analysis)
Meta-Analysis Review
Currently, two separate Cochrane reviews, ‘’ and ‘’ describe the effect of antibiotics for acute rhinosinusitis. Although both Cochrane reviews study the same condition, they look at different populations (patients in which the diagnosis was based on clinical signs and symptoms and patients in which the diagnosis was confirmed by imaging). Because of this, the conclusions are different in these Cochrane reviews. This was confusing for clinicians who needed to read both Cochrane reviews to know which conclusions are most applicable to their patients. This review is being withdrawn and will be incorporated into the updated publication of ‘’. This ‘merged’ review will still maintain the relevant distinction between the two populations. However, information on the effectiveness of antibiotics for rhinosinusitis will be published in the ‘merged’ Cochrane review. We will omit the comparison between antibiotics (as published in this Cochrane review) because the choice for certain antibiotics and/or doses differs according to the local antibiotic resistance patterns and therefore this comparison is less relevant. The editorial group responsible for this previously published document have withdrawn it from publication.
Topics: Acute Disease; Adult; Anti-Bacterial Agents; Clinical Trials as Topic; Humans; Maxillary Sinusitis; Randomized Controlled Trials as Topic
PubMed: 26471061
DOI: 10.1002/14651858.CD000243.pub4 -
The Annals of Otology, Rhinology, and... Oct 2022To 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...
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 ( < .001) between normal, mild, and severe disease, as well as when comparing normal versus mild ( < .001, 95% CI 42.22-105.39), normal versus severe ( < .001, 95% CI 119.43-174.14), and mild versus severe ( < .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.
Topics: Humans; Hyperplasia; Maxillary Sinus; Maxillary Sinusitis; Prospective Studies; Sensitivity and Specificity; Sinusitis; Tomography, X-Ray Computed
PubMed: 34823368
DOI: 10.1177/00034894211060623 -
Acta Otorhinolaryngologica Italica :... Apr 2021
Topics: Dentists; Humans; Maxillary Sinus; Sinusitis
PubMed: 34060527
DOI: 10.14639/0392-100X-suppl.1-41-2021-12 -
Diagnostics (Basel, Switzerland) Jun 2022The maxillary sinus is a structure at the border of specialties: otorhinolaryngology and maxillofacial surgery. Due to this fact, regarding etiology, it can be affected... (Review)
Review
The maxillary sinus is a structure at the border of specialties: otorhinolaryngology and maxillofacial surgery. Due to this fact, regarding etiology, it can be affected by both the rhinogenic and odontogenic path and can impose diagnostic difficulties. The etiopathogenic mechanisms that can affect the Schneiderian membrane are mainly inflammatory, iatrogenic, traumatic, and tumorous in nature. From a microbiological point of view, the bacteriology is polymorphic, including both aerobic and anaerobic species in acute OS, the predominating species in acute OS being aerobic, and in chronic anaerobic germs. The role of fungi in the determination of this pathology and in the production of the biofilm that leads to resistance to antibiotic treatment is also discussed. The present paper aims to present the etiopathogenesis, bacteriology, clinical manifestations, as well as treatment of odontogenic sinusitis (OS) from an updated perspective through reviewing the literature. If unilateral maxillary sinusitis is usually due to odontogenic causes, this does not clinically exclude the possibility of strictly rhinogenic causes in the occurrence of sinusitis. This underlines the important role of complex oral and rhinological clinical examination as well as the role of preclinical examinations in specifying the certainty diagnosis. Simple radiography, orthopantomography, CT, and CBCT are compared in terms of diagnostic accuracy. The treatment of OS is complex, involving medication, dental, and surgical measures. The value of endoscopic surgery is emphasized, comparing its advantages over the classic Caldwell-Luc technique.
PubMed: 35885504
DOI: 10.3390/diagnostics12071600 -
Laryngoscope Investigative... Apr 2018To present current literature on the topic of odontogenic sinusitis. (Review)
Review
OBJECTIVES
To present current literature on the topic of odontogenic sinusitis.
DATA SOURCE
PubMed literature search for odontogenic sinusitis.
RESULTS
Odontogenic sinusitis is an inflammatory condition of the paranasal sinuses that is the result of dental pathology, most often resulting from prior dentoalveolar procedures, infections of maxillary dentition, or maxillary dental trauma. Infections are often polymicrobial with an anaerobe-predominant microbiome requiring special considerations for antimicrobial therapy. Medical management and treatment of the underlying dental pathology remains a critical initial step in the treatment of odontogenic sinusitis, however recent literature suggests that a significant portion of patients may require endoscopic sinus surgery for successful disease resolution.
CONCLUSIONS
This review describes the essential epidemiological and etiological factors, relevant clinical findings and diagnostic modalities, microbiologic and antimicrobial considerations, as well as the medical and surgical treatment approaches commonly utilized for the management of odontogenic sinusitis.
LEVEL OF EVIDENCE
NA.
PubMed: 29721543
DOI: 10.1002/lio2.147 -
International Journal of General... 2020The role of the accessory maxillary ostium, a common anatomical variant, in the development of chronic sinusitis remains unclear. This study aimed to examine the...
INTRODUCTION
The role of the accessory maxillary ostium, a common anatomical variant, in the development of chronic sinusitis remains unclear. This study aimed to examine the association between chronic sinusitis and presence of an accessory maxillary ostium using computed tomography (CT) of the paranasal sinuses.
METHODS
We conducted a retrospective study of 1188 paranasal sinus CT scans performed in a major tertiary medical center between January 1, 2016 and December 31, 2016. Axial and coronal and views were reviewed to evaluate the presence of accessory maxillary ostia and maxillary and ethmoid sinusitis.
RESULTS
Nine hundred twenty-eight patients were included for analysis. A 52.8% were male. Mean patient age was 33.8 years. A right accessory maxillary ostium was detected in 274 patients (29.5%), which was the same number of patients with a left accessory maxillary ostium. Bilateral accessory maxillary ostia were found in 172. The presence of right maxillary sinusitis was significantly associated with male gender and the presence of a right accessory maxillary ostium. Male gender was the only factor significantly associated with the presence of left sinusitis. Left or right ethmoidal sinusitis was significantly associated with male gender and the presence of left or right maxillary sinusitis, respectively.
CONCLUSION
The presence of an accessory maxillary ostium may contribute to the development of maxillary and ethmoidal sinusitis. Further studies are needed to elucidate this association and determine indications for incorporating the natural and accessory ostia when performing middle meatus antrostomy during endoscopic sinus surgery.
PubMed: 32440195
DOI: 10.2147/IJGM.S253569 -
American Family Physician Jul 2016Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory care. Most cases of acute rhinosinusitis are caused by viral upper... (Review)
Review
Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory care. Most cases of acute rhinosinusitis are caused by viral upper respiratory infections. A meta-analysis based on individual patient data found that common clinical signs and symptoms were not effective for identifying patients with rhinosinusitis who would benefit from antibiotics. C-reactive protein and erythrocyte sedimentation rate are somewhat useful tests for confirming acute bacterial maxillary sinusitis. Four signs and symptoms that significantly increase the likelihood of a bacterial cause when present are double sickening, purulent rhinorrhea, erythrocyte sedimentation rate greater than 10 mm per hour, and purulent secretion in the nasal cavity. Although cutoffs vary depending on the guideline, antibiotic therapy should be considered when rhinosinusitis symptoms fail to improve within seven to 10 days or if they worsen at any time. First-line antibiotics include amoxicillin with or without clavulanate. Current guidelines support watchful waiting within the first seven to 10 days after upper respiratory symptoms first appear. Evidence on the use of analgesics, intranasal corticosteroids, and saline nasal irrigation for the treatment of acute rhinosinusitis is poor. Nonetheless, these therapies may be used to treat symptoms within the first 10 days of upper respiratory infection. Radiography is not recommended in the evaluation of uncomplicated acute rhinosinusitis. For patients who do not respond to treatment, computed tomography of the sinuses without contrast media is helpful to evaluate for possible complications or anatomic abnormalities. Referral to an otolaryngologist is indicated when symptoms persist after maximal medical therapy and if any rare complications are suspected.
Topics: Acute Disease; Administration, Intranasal; Adrenal Cortex Hormones; Amoxicillin; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Bacterial Infections; Blood Sedimentation; C-Reactive Protein; Humans; Maxillary Sinusitis; Nasal Lavage; Rhinitis; Sinusitis; Tomography, X-Ray Computed; Virus Diseases; Watchful Waiting
PubMed: 27419326
DOI: No ID Found -
Nigerian Journal of Clinical Practice Apr 2022Surgical procedures in posterior area of maxillary might cause an oroantral communication and iatrogenic sinusitis. An undetected oroantral communication can cause the... (Review)
Review
Surgical procedures in posterior area of maxillary might cause an oroantral communication and iatrogenic sinusitis. An undetected oroantral communication can cause the penetration of foreign bodies, such as dental impression materials, in the maxillary sinus, thereby contributing to persistent sinusitis. Given the occurrence of a very rare clinical and medicolegal case of persistent and drug-resistant sinusitis due to radiologically undetected fragments of silicone paste for dental impression in the maxillary antrum, a literature review was pursued through sensitive keywords in relevant databases for health sciences. All retrieved articles were considered and data about the kind of impression materials thrusted into the maxillary sinus, the diagnostic issues, the reported range of symptoms, and the occurrence of medicolegal issues were analyzed. The diagnosis resulted to be quite challenging and belatedly especially in case of healed oroantral communication and when the material retained in the maxillary sinus has similar radiodensity compared to the surrounding normal or inflammatory tissues. The case was then discussed in comparison with the reviewed literature for both clinical and medicolegal issues. Hints were provided to professionals to face the challenging diagnosis in similar rare cases and to avoid the possible related litigation.
Topics: Foreign Bodies; Humans; Maxillary Sinus; Maxillary Sinusitis; Oroantral Fistula; Sinusitis
PubMed: 35439893
DOI: 10.4103/njcp.njcp_1662_21 -
Cureus Nov 2023Background/purpose Periodontal pathologies which are considered odontogenic in origin can be a major cause of maxillary sinusitis, along with other dental and non-dental...
Background/purpose Periodontal pathologies which are considered odontogenic in origin can be a major cause of maxillary sinusitis, along with other dental and non-dental causes. The aim of this study is to define and assess the relationship between periodontitis and maxillary sinusitis. Material and methods A total of 415 CBCT datasets of periodontitis patients were cross-sectionally evaluated. Alveolar bone loss and maxillary sinus mucosal thickening were measured in coronal and sagittal sections, these two variables represent the severity of periodontitis and maxillary sinusitis, respectively. Results This study found that mucosal thickening was significantly higher in patients with increased alveolar bone loss severity (P=0.03). Mucosal thickening was significantly higher among males (83.5%) than among females (69.8%) (P=0.001). moderate or severe alveolar bone loss had a significantly higher risk of mucosal thickening with an odds ratio of 1.8 when compared to those with mild alveolar bone loss (95% CI: 1.04-3.2). Males had an increased risk of mucosal thickening compared to females with an odds ratio of 2.2 (95% C.I.: 1.4-3.6). Conclusion In conclusion, periodontal structure can affect maxillary sinus and its health. Therefore, after confirming a diagnosis of maxillary sinusitis, a detailed examination of periodontal health is needed. These results can be used to increase the awareness of dental students and practitioners in clinical and diagnostical judgement.
PubMed: 38084169
DOI: 10.7759/cureus.48587 -
Journal of Periodontal & Implant Science Dec 2019Maxillary implants are inserted in the upward direction, meaning that they oppose gravity, and achieving stable support is difficult if the alveolar bone facing the... (Review)
Review
Maxillary implants are inserted in the upward direction, meaning that they oppose gravity, and achieving stable support is difficult if the alveolar bone facing the maxillary sinus is thin. Correspondingly, several sinus-lifting procedures conducted with or without bone graft materials have been used to place implants in the posterior area of the maxilla. Even with these procedures available, it has been reported that in about 5% of cases, complications occurred after implantation, including acute and chronic sinusitis, penetration of the sinus by the implant, implant dislocation, oroantral fistula formation, infection, bone graft dislocation, foreign-body reaction, Schneiderian membrane perforation, and ostium plugging by a dislodged bone graft. This review summarizes common maxillary sinus pathologies related to implants and suggests an appropriate management plan for patients requiring dental implantation.
PubMed: 31886027
DOI: 10.5051/jpis.2019.49.6.346