Berrylin J. Ferguson, MD is a consultant for TEVA, Sunovion, and MEDA, and performs research for Genentech. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
Otolaryngologists' perceptions of odontogenic maxillary sinusitis†
Article first published online: 29 MAY 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 9, pages 1910–1914, September 2012
How to Cite
Longhini, A. B., Branstetter, B. F. and Ferguson, B. J. (2012), Otolaryngologists' perceptions of odontogenic maxillary sinusitis. The Laryngoscope, 122: 1910–1914. doi: 10.1002/lary.23427
- Issue published online: 23 AUG 2012
- Article first published online: 29 MAY 2012
- Manuscript Accepted: 18 APR 2012
- Manuscript Revised: 23 MAR 2012
- Manuscript Received: 9 FEB 2012
- Chronic rhinosinusitis;
- odontogenic maxillary sinusitis;
- odontogenic infections;
- periapical abscess;
- physician survey;
- Level of Evidence: 5
Odontogenic maxillary sinusitis (OMS) is a common cause of chronic rhinosinusitis (CRS); however, the condition is infrequently mentioned in recent rhinosinusitis guidelines and often overlooked as a cause of sinusitis by otolaryngologists, dentists, and radiologists. The goal of this survey is to assess otolaryngologists' perceptions of the incidence, diagnosis, and treatment of OMS.
Ninety-three board certified otolaryngologists in the United States completed a 17-question survey on etiologies of CRS, which also included questions on alternative diagnoses and radiologic findings to reduce respondent bias toward the survey's focus on odontogenic sinusitis. Results were compared between self-reported general otolaryngologists and rhinologists.
Both groups recognized an odontogenic source as a common cause of maxillary sinusitis and reported treating an average of 2.9 patients per year with OMS who were initially misdiagnosed. Most otolaryngologists surveyed perceived radiologists to never or rarely report on dental pathology in their sinus computed tomography (CT) interpretation.
Both general otolaryngologists and rhinologists recognize odontogenic sinusitis is common, although often initially misdiagnosed. With increasing awareness of OMS, we believe that otolaryngologists and radiologists will review sinus CT scans for the presence of periapical abscesses and dental pathology. The otolaryngologist should suspect an odontogenic etiology of purulent maxillary CRS in patients failing to improve with antibiotics, regardless of a negative dental workup.