Clinical efficacy of combined approach in treating maxillary sinusitis of dental origin a prospective study
DOI:
https://doi.org/10.48047/Keywords:
Maxillary sinusitis, dental origin, combined approach, functional endoscopic sinus surgery, SNOT-22, patient satisfaction, recurrence.Abstract
Background: Maxillary sinusitis of dental origin (MSDO) results from odontogenic infections or dental procedures affecting the maxillary sinus. Traditional treatments addressing either the dental or sinus aspect often lead to incomplete resolution and higher recurrence. This study evaluates the efficacy of a combined dental and otolaryngological approach in treating MSDO.
Objective: To assess the clinical efficacy of a multidisciplinary approach in managing MSDO, focusing on symptom resolution, radiographic improvements, recurrence rates, and patient satisfaction.
Methods: A prospective study enrolled 100 patients with MSDO, with 90 completing the follow-up. The combined approach included dental interventions (e.g., tooth extraction, endodontic therapy) and sinus management, with medical therapy and functional endoscopic sinus surgery (FESS) as needed. Outcomes were measured using the Sinonasal Outcome Test-22 (SNOT-22), radiographic CT scans, recurrence rates, and patient satisfaction.
Results: The mean SNOT-22 score significantly decreased from 42.5 pre-treatment to 12.3 post-treatment (p < 0.001). Radiographic improvements were seen in 80% of patients. The
recurrence rate was 11%, with minimal complications (8%). Patient satisfaction was high, with 85% reporting significant improvement.
Conclusion: The combined approach effectively treats MSDO, improving clinical and radiographic outcomes, reducing recurrence, and enhancing patient satisfaction. This
multidisciplinary strategy should be considered the standard of care for MSDO.
