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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 2/2019

Open Access 01-02-2019 | Rhinology

Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol

Authors: Alberto Maria Saibene, Fabio Collurà, Carlotta Pipolo, Antonio Mario Bulfamante, Paolo Lozza, Alberto Maccari, Flavio Arnone, Filippo Ghelma, Fabiana Allevi, Federico Biglioli, Matteo Chiapasco, Sara Maria Portaleone, Alberto Scotti, Roberto Borloni, Giovanni Felisati

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2019

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Abstract

Purpose

Odontogenic sinusitis and sinonasal complications of dental disease or treatment (SCDDT) represent a heterogeneous group of conditions that often require multidisciplinary care. The present study aims to prospectively validate a classification and treatment protocol for SCDDT patients.

Methods

One hundred twenty-eight consecutive patients (73 females and 45 males, mean age 52.4 years) affected by SCDDT not responding to dental and medical therapy were classified and surgically treated according to the proposed protocol. The protocol classified patients into three aetiology-based groups (preimplantologic, implantologic, and related to traditional dental diseases and procedures, respectively). The groups were further divided into classes according to the presence of oro-antral communications and/or dislocated dental hardware. Each condition was treated according to the class-related, protocol-defined treatment, by either a transnasal or combined transnasal/transoral approach. All patients were successfully classified according to our protocol. None of the proposed classes were redundant, and no condition fell outside the definitions.

Results

The surgical treatment protocol proved to be adequate and effective, in that 125 of the 128 patients completely recovered after surgical treatment.

Conclusions

The term SCDDT and the consequent classification proposed by the authors appear, therefore, to be nosologically correct. Furthermore, the protocol-related proposed treatment appears to be clinically sound, with a success rate nearing 98%.
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Metadata
Title
Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol
Authors
Alberto Maria Saibene
Fabio Collurà
Carlotta Pipolo
Antonio Mario Bulfamante
Paolo Lozza
Alberto Maccari
Flavio Arnone
Filippo Ghelma
Fabiana Allevi
Federico Biglioli
Matteo Chiapasco
Sara Maria Portaleone
Alberto Scotti
Roberto Borloni
Giovanni Felisati
Publication date
01-02-2019
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 2/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5220-0

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