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Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management

  • K Tsuzuki (a1), K Kuroda (a1), K Hashimoto (a1), K Okazaki (a1), K Noguchi (a2), H Kishimoto (a2), H Nishikawa (a3) and M Sakagami (a1)...

Abstract

Objective

This study aimed to propose appropriate management for odontogenic chronic rhinosinusitis.

Method

Thirty-one adult patients with odontogenic chronic rhinosinusitis undergoing maxillary extraction were retrospectively analysed. Patients with (n = 21) and without (n = 10) oroantral fistula on computed tomography were classified. Functional endoscopic sinus surgery was performed when sinusitis did not improve after extraction. The critical indicators for surgical requirement in the management of odontogenic chronic rhinosinusitis were analysed.

Results

Sinusitis significantly improved after extraction in both groups. Patients without oroantral fistula had significantly more severe remnant sinusitis than those with oroantral fistula after extraction on computed tomography (p = 0.0037). The requirement for functional endoscopic sinus surgery was statistically significant for patients without orofacial fistula over those with orofacial fistula (p < 0.0001). The surgical improvement ratio was 93 per cent.

Conclusion

The absence of oroantral fistula and severe sinusitis can be critical indicators for the requirement of functional endoscopic sinus surgery after extraction in the management of odontogenic chronic rhinosinusitis.

Copyright

Corresponding author

Author for correspondence: Dr Kenzo Tsuzuki, Department of Otolaryngology Head and Neck Surgery, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo6638501, Japan E-mail: kenzo@hyo-med.ac.jp Fax: +81 798 41 8976

Footnotes

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Dr K Tsuzuki takes responsibility for the integrity of the content of the paper

Footnotes

References

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Keywords

Odontogenic chronic rhinosinusitis patients undergoing tooth extraction: oral surgeon and otolaryngologist viewpoints and appropriate management

  • K Tsuzuki (a1), K Kuroda (a1), K Hashimoto (a1), K Okazaki (a1), K Noguchi (a2), H Kishimoto (a2), H Nishikawa (a3) and M Sakagami (a1)...

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