Our Summary

This research paper discusses a type of sinusitis, called odontogenic sinusitis (ODS), that originates from dental infections or procedures. The inflammation in this type of sinusitis is severe and is primarily caused by specific types of immune responses (Th1 or Th17 inflammation). Unlike some other forms of sinusitis, the lining of the sinus remains functional in ODS, despite the severe inflammation.

This distinctive characteristic can lead to unique symptoms such as bad-smelling drainage, frequent pus production, and swelling that can be seen during a nasal examination. Understanding the specific characteristics and causes of ODS can help doctors recognize it and choose the best treatment options.

FAQs

  1. What is odontogenic sinusitis (ODS) and what causes it?
  2. What are some unique symptoms of odontogenic sinusitis (ODS)?
  3. How does understanding the specific characteristics and causes of ODS help doctors in treating it?

Doctor’s Tip

One helpful tip a doctor might give a patient about sinus surgery for ODS is to follow all post-operative care instructions carefully. This may include taking prescribed medications, using nasal saline rinses, and avoiding activities that could irritate the sinuses. Proper post-operative care can help ensure a successful recovery and reduce the risk of complications. It is also important to attend all follow-up appointments with your doctor to monitor your healing progress.

Suitable For

Patients who are typically recommended for sinus surgery include those who have:

  1. Chronic sinusitis: Patients who have chronic sinusitis that does not respond to medications or other non-surgical treatments may be recommended for sinus surgery. Chronic sinusitis is characterized by inflammation of the sinuses that lasts for more than 12 weeks.

  2. Recurrent acute sinusitis: Patients who have recurrent episodes of acute sinusitis, which are characterized by multiple episodes of sinus infections within a year, may be recommended for sinus surgery to prevent future infections.

  3. Nasal polyps: Patients who have nasal polyps, which are noncancerous growths in the lining of the nasal passages or sinuses, may be recommended for sinus surgery if the polyps are causing symptoms such as nasal congestion, facial pain, or reduced sense of smell.

  4. Sinus tumors: Patients who have tumors in the sinuses may be recommended for sinus surgery to remove the tumor and prevent it from spreading to other parts of the body.

  5. Structural abnormalities: Patients who have structural abnormalities in the sinuses, such as a deviated septum or narrow sinus passages, may be recommended for sinus surgery to correct the abnormality and improve sinus drainage.

  6. Odontogenic sinusitis: Patients who have odontogenic sinusitis, which is caused by dental infections or procedures, may be recommended for sinus surgery to remove the source of infection and alleviate symptoms.

Overall, sinus surgery may be recommended for patients who have severe or persistent sinus symptoms that do not improve with conservative treatments. It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine if sinus surgery is the best course of action for their specific condition.

Timeline

Before sinus surgery:

  1. Patient experiences symptoms of sinusitis such as nasal congestion, facial pain or pressure, headaches, post-nasal drip, and reduced sense of smell.
  2. Patient may undergo diagnostic tests such as a nasal endoscopy, CT scan, or allergy testing to determine the cause and severity of their sinus issues.
  3. Patient may try conservative treatments such as nasal steroid sprays, antibiotics, saline irrigation, and allergy medications to manage their symptoms.

After sinus surgery:

  1. Patient undergoes sinus surgery to remove blockages, polyps, or infected tissue in the sinuses.
  2. Patient may experience temporary discomfort, swelling, and drainage after surgery.
  3. Patient follows post-operative care instructions such as using saline irrigation, taking prescribed medications, and attending follow-up appointments.
  4. Patient gradually experiences improvements in their sinus symptoms such as reduced congestion, improved sense of smell, and decreased facial pain or pressure.
  5. Patient may need to make lifestyle changes such as avoiding allergens or irritants to prevent future sinus issues.

What to Ask Your Doctor

  1. What is odontogenic sinusitis and how is it different from other types of sinusitis?
  2. How do dental infections or procedures contribute to the development of odontogenic sinusitis?
  3. What are the specific symptoms of odontogenic sinusitis that I should be aware of?
  4. How is odontogenic sinusitis diagnosed, and what diagnostic tests may be necessary?
  5. What treatment options are available for odontogenic sinusitis, and what are the potential side effects or risks?
  6. Will sinus surgery be necessary to treat my odontogenic sinusitis, and if so, what does the surgery entail?
  7. What is the expected recovery time after sinus surgery for odontogenic sinusitis, and what post-operative care will be required?
  8. Are there any lifestyle changes or preventive measures I can take to reduce the risk of recurrent odontogenic sinusitis?
  9. How will odontogenic sinusitis affect my overall sinus health in the long term, and what follow-up care will be necessary?
  10. Are there any specific complications or concerns I should be aware of regarding odontogenic sinusitis and its treatment?

Reference

Authors: Craig JR, Hopkins C. Journal: Otolaryngol Clin North Am. 2024 Dec;57(6):1007-1018. doi: 10.1016/j.otc.2024.06.006. PMID: 39428205