Novel Management for Severe Odontogenic Maxillary Sinusitis Based on Pathophysiology

Endoscopic sinus surgery is commonly performed to treat odontogenic maxillary sinusitis. However, recurrence and natural ostium reclosure often occur due to the inadequate patency of the excretory route. Furthermore, classical maxillary sinus radical surgery is still performed for odontogenic maxill...

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Main Authors: Yoshio Ohyama, Masaru Ogawa, Satoshi Yokoo
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/1614739
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author Yoshio Ohyama
Masaru Ogawa
Satoshi Yokoo
author_facet Yoshio Ohyama
Masaru Ogawa
Satoshi Yokoo
author_sort Yoshio Ohyama
collection DOAJ
description Endoscopic sinus surgery is commonly performed to treat odontogenic maxillary sinusitis. However, recurrence and natural ostium reclosure often occur due to the inadequate patency of the excretory route. Furthermore, classical maxillary sinus radical surgery is still performed for odontogenic maxillary sinusitis even though it can cause postoperative maxillary sinus deformation, loss of function, and a postoperative maxillary cyst. A management that addresses these issues has not yet been identified. This study reported a conservative maxillary sinus management, wherein a nasoantral window is prepared and the thickened maxillary sinus mucosa is preserved, using the Caldwell–Luc approach. This study presents a case of severe odontogenic maxillary sinusitis that spread to the frontal sinus. This novel management facilitated complete recovery from severe odontogenic maxillary sinusitis in this case.
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series Case Reports in Dentistry
spelling doaj-art-e19ab8ce683d43c1ad9b92268f4eb0922025-02-03T05:49:24ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/1614739Novel Management for Severe Odontogenic Maxillary Sinusitis Based on PathophysiologyYoshio Ohyama0Masaru Ogawa1Satoshi Yokoo2Department of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryEndoscopic sinus surgery is commonly performed to treat odontogenic maxillary sinusitis. However, recurrence and natural ostium reclosure often occur due to the inadequate patency of the excretory route. Furthermore, classical maxillary sinus radical surgery is still performed for odontogenic maxillary sinusitis even though it can cause postoperative maxillary sinus deformation, loss of function, and a postoperative maxillary cyst. A management that addresses these issues has not yet been identified. This study reported a conservative maxillary sinus management, wherein a nasoantral window is prepared and the thickened maxillary sinus mucosa is preserved, using the Caldwell–Luc approach. This study presents a case of severe odontogenic maxillary sinusitis that spread to the frontal sinus. This novel management facilitated complete recovery from severe odontogenic maxillary sinusitis in this case.http://dx.doi.org/10.1155/2022/1614739
spellingShingle Yoshio Ohyama
Masaru Ogawa
Satoshi Yokoo
Novel Management for Severe Odontogenic Maxillary Sinusitis Based on Pathophysiology
Case Reports in Dentistry
title Novel Management for Severe Odontogenic Maxillary Sinusitis Based on Pathophysiology
title_full Novel Management for Severe Odontogenic Maxillary Sinusitis Based on Pathophysiology
title_fullStr Novel Management for Severe Odontogenic Maxillary Sinusitis Based on Pathophysiology
title_full_unstemmed Novel Management for Severe Odontogenic Maxillary Sinusitis Based on Pathophysiology
title_short Novel Management for Severe Odontogenic Maxillary Sinusitis Based on Pathophysiology
title_sort novel management for severe odontogenic maxillary sinusitis based on pathophysiology
url http://dx.doi.org/10.1155/2022/1614739
work_keys_str_mv AT yoshioohyama novelmanagementforsevereodontogenicmaxillarysinusitisbasedonpathophysiology
AT masaruogawa novelmanagementforsevereodontogenicmaxillarysinusitisbasedonpathophysiology
AT satoshiyokoo novelmanagementforsevereodontogenicmaxillarysinusitisbasedonpathophysiology