Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment

Jiang Lin; Chengshuo Wang; Xiangdong Wang; Faming Chen; Wei Zhang; Hongchen Sun; Fuhua Yan; Yaping Pan; Dongdong Zhu; Qintai Yang; Shaohua Ge; Yao Sun; Kuiji Wang; Yuan Zhang; Mu Xian; Ming Zheng; Anchun Mo; Xin Xu; Hanguo Wang; Xuedong Zhou; Luo Zhang

doi:10.1038/s41368-024-00278-z

Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment

Int J Oral Sci. 2024 Feb 1;16(1):11. doi: 10.1038/s41368-024-00278-z.

Authors

Jiang Lin^#¹, Chengshuo Wang^#^{2

3

4}, Xiangdong Wang^{2

3}, Faming Chen⁵, Wei Zhang⁶, Hongchen Sun⁷, Fuhua Yan⁸, Yaping Pan⁹, Dongdong Zhu¹⁰, Qintai Yang¹¹, Shaohua Ge¹², Yao Sun¹³, Kuiji Wang², Yuan Zhang^{2

3

4}, Mu Xian^{2

3

4

14}, Ming Zheng², Anchun Mo¹⁵, Xin Xu¹⁶, Hanguo Wang¹⁷, Xuedong Zhou¹⁸, Luo Zhang^{19

20

21}

Affiliations

¹ Department of Stomatology, Beijing TongRen Hospital, Capital Medical University, Beijing, China.
² Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China.
³ Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China.
⁴ Department of Allergy, Beijing TongRen Hospital, Capital Medical University, Beijing, China.
⁵ State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shanxi International Joint Research Center for Oral Diseases, Department of Periodontology, School of Stomatology, The Fourth Military Medical University, Xi' an, China.
⁶ Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases, Beijing, China.
⁷ Department of Oral &Maxillofacial Pathology, School and Hospital of Stomatology, Jilin University, Jilin, China.
⁸ Department of Periodontology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China.
⁹ Department of Periodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China.
¹⁰ Department of Otorhinolaryngology Head and Neck Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
¹¹ Department of Otolaryngology, Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
¹² Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration, Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration, Shandong Provincial Clinical Research Center for Oral Diseases, Jinan, China.
¹³ Department of Implantology, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.
¹⁴ Research Unit of Diagnosis and Treatment of Chronic Nasal Diseases, Chinese Academy of Medical Sciences, Beijing, China.
¹⁵ State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
¹⁶ State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
¹⁷ State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Oral Diseases, Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University, Xi'an, China.
¹⁸ State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China. zhouxd@scu.edu.cn.
¹⁹ Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China. dr.luozhang@139.com.
²⁰ Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China. dr.luozhang@139.com.
²¹ Department of Allergy, Beijing TongRen Hospital, Capital Medical University, Beijing, China. dr.luozhang@139.com.

^# Contributed equally.

Abstract

Odontogenic maxillary sinusitis (OMS) is a subtype of maxillary sinusitis (MS). It is actually inflammation of the maxillary sinus that secondary to adjacent infectious maxillary dental lesion. Due to the lack of unique clinical features, OMS is difficult to distinguish from other types of rhinosinusitis. Besides, the characteristic infectious pathogeny of OMS makes it is resistant to conventional therapies of rhinosinusitis. Its current diagnosis and treatment are thus facing great difficulties. The multi-disciplinary cooperation between otolaryngologists and dentists is absolutely urgent to settle these questions and to acquire standardized diagnostic and treatment regimen for OMS. However, this disease has actually received little attention and has been underrepresented by relatively low publication volume and quality. Based on systematically reviewed literature and practical experiences of expert members, our consensus focuses on characteristics, symptoms, classification and diagnosis of OMS, and further put forward multi-disciplinary treatment decisions for OMS, as well as the common treatment complications and relative managements. This consensus aims to increase attention to OMS, and optimize the clinical diagnosis and decision-making of OMS, which finally provides evidence-based options for OMS clinical management.

Publication types

Review

MeSH terms

Consensus
Humans
Maxillary Sinus
Maxillary Sinusitis* / diagnostic imaging
Maxillary Sinusitis* / etiology
Maxillary Sinusitis* / therapy
Odontogenesis
Rhinosinusitis*

Abstract

Publication types

MeSH terms

Grants and funding