Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (5): 566-572.doi: 10.7518/gjkq.2023078

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Diagnosis and treatment of odontogenic and non-odontogenic maxillary sinusitis

Ji Xiao(),Zhang Lan,Huang Dingming.()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-02-20 Revised:2023-06-01 Online:2023-09-01 Published:2023-09-01
  • Contact: Dingming. Huang E-mail:jixiao08@126.com;dingminghuang@163.com
  • Supported by:
    Key Research and Development Project of Sichuan Science and Technology Department(2021YFS0031)

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Abstract:

Odontogenic factor is an important part of the pathogenesis of chronic sinusitis. Odontogenic sinusitis mainly involves the maxillary sinus, which is anatomically closely related to the maxillary posterior teeth roots. However, the diagnosis of odontogenic maxillary sinusitis is difficult due to its nonspecific clinical presentation and imperfect studies. Most current research suggests that the primary treatment of odontogenic maxillary sinusitis is surgery, with antimicrobial drugs as adjunctive therapy. However, the choice and order of oral surgery versus sinus surgery remains controversial. This article reviewed the diagnosis and treatment of odontogenic and non-odontogenic maxillary sinusitis from histopathology, microbiology, clinical manifestations, imaging manifestations and treatment options, aiming to provide clinicians with better diagnosis and treatment options and to provide a basis for research of odontogenic maxillary sinusitis.

Key words: odontogenic maxillary sinusitis, chronic rhinosinusitis, diagnosis, treatment

CLC Number: 

  • R 78

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