Rhinology
Published: 2024-02-29
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Retrospective comparison of first-line treatments for odontogenic sinusitis based on duration of symptoms

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea; Department of Otolaryngology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
https://orcid.org/0000-0001-5200-0609
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
https://orcid.org/0000-0002-8866-5415
odontogenic sinusitis rhinosinusitis maxillary sinusitis endoscopic sinus surgery

Abstract

Objectives. To investigate the clinical efficacy of dental treatment and endoscopic sinus surgery (ESS), each primary/combined treatment modality, in patients with odontogenic sinusitis (ODS), according to its phase, acute or chronic.
Materials and methods. We retrospectively reviewed clinical data on 172 patients diagnosed with ODS. They were divided into two groups: acute (≤ 3 months; 90 patients) and chronic (> 3 months; 82 patients) ODS. The success rate and time to resolution of each primary/combined treatment modality were compared between the two groups.
Results. In both ODS groups, the success rate was highest with combined ESS and dental therapy, followed by ESS alone and dental therapy alone. ESS outperformed dental therapy (96.6% vs 65.5% for acute ODS, p = 0.011; 80.6% vs 56.5% for chronic ODS, p = 0.046) and led to quicker resolution of symptoms for acute ODS than dental therapy (0.9 vs 1.7 months, p = 0.012). In the comparison between ESS alone and combined therapy, no significant difference was observed for acute ODS, whereas combined therapy demonstrated a superior success rate for chronic ODS (100% vs 80.6%, p = 0.046).
Conclusions. In our study, the clinical utility of dental treatment and/or ESS depended on the morbidity period of ODS. For chronic ODS, combined ESS and dental treatment seems to be an effective first-line treatment.

Affiliations

Kyung Won Kwon

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea; Department of Otolaryngology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea

Jang Wook Gwak

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Yoo-Sam Chung

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Copyright

© Società Italiana di Otorinolaringoiatria e chirurgia cervico facciale , 2024

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