Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-19T01:56:04.695Z Has data issue: false hasContentIssue false
  • English
  • Français

Evidence of an increase in the incidence of odontogenic sinusitis over the last decade in the UK

Published online by Cambridge University Press:  21 September 2011

E Hoskison ,
M Daniel ,
J E Rowson  and
N S Jones
E Hoskison
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, UK
M Daniel
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, UK
J E Rowson
Affiliation:
Department of Oral and Maxillofacial Surgery, Nottingham University Hospitals NHS Trust, UK
N S Jones*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, UK
*
Address for correspondence: Professor N S Jones, Department of Otolaryngology, Queen's Medical Centre, Nottingham NG7 2UH, UK Fax: +44 (0)115 970 9748 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Dental disease is a recognised cause of sinusitis. We perceived an increased incidence of sinusitis secondary to dental disease in recent years. This study reviews the incidence of odontogenic sinusitis, its clinical features and treatment.

Methods:

Medical records of patients with odontogenic sinusitis were identified using the senior author's clinical database and Hospital Information Support System data (January 2004 to December 2009).

Results:

Twenty-six patients were identified, nine females and 17 males (age range, 17–73 years). Rhinorrhoea and cacosmia were the commonest symptoms (81 and 73 per cent, respectively), with presence of pus the commonest examination finding (73 per cent). Causative dental pathology included periapical infection (73 per cent), oroantral fistula (23 per cent) and a retained root (4 per cent). In all 26 cases, treatment resulted in complete resolution of symptoms; 21 (81 per cent) required sinus surgery. The number of patients with odontogenic sinusitis undergoing surgery has steadily increased, from no cases in 2004 to 10 in 2009 (accounting for 8 per cent of all patients requiring sinus surgery). Reduced access to dental care may be responsible.

Conclusion:

The incidence of odontogenic sinusitis appears to be increasing. The importance of assessing the oral cavity and dentition in patients with rhinosinusitis is therefore emphasised.

Keywords

SinusitisDental CariesDiagnosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 1 , January 2012 , pp. 43 - 46
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Midlands Institute of Otology Winter Meeting, 14 January 2011, Coventry, UK

References

1Scadding, GK, Durham, SR, Mirakian, R, Jones, NS, Drake-Lee, AB, Ryan, D et al. BSACI guidelines for the management of rhinosinusitis and nasal polyps. Clin Exp Allergy 2008;38:260–75Google Scholar
2Meltzer, EO, Hamilos, DL, Hadley, JA, Lanza, DC, Marple, BF, Nicklas, RA et al. Rhinosinusitis: developing guidance for clinical trials. J Allergy Clin Immunol 2006;118 (suppl 5):S17–61CrossRefGoogle ScholarPubMed
3Shashy, RG, Moore, EJ, Weaver, A. Prevalence of chronic sinusitis diagnosis in Olmsted County, Minnesota. Arch Otolaryngol Head Neck Surg 2004;130:320–3CrossRefGoogle ScholarPubMed
4Pynnonen, MA, Terrell, JE. Conditions that masquerade as chronic rhinosinusitis: a medical record review. Otolaryngol Head Neck Surg 2006;132:748–51Google ScholarPubMed
5Su, WY, Liu, C, Hung, S, Tsai, WF. Bacteriological study in chronic maxillary sinusitis. Laryngoscope 1983;93:931–4Google Scholar
6Mehra, P, Jeong, D. Maxillary sinusitis of odontogenic origin. Curr Infect Dis Rep 2008;10:205–10CrossRefGoogle ScholarPubMed
7Fokkens, W, Lund, V, Mullol, J. European Position Paper on rhinosinusitis and nasal polyps 2007. Rhinology 2007;20(Suppl):1–136Google ScholarPubMed
8Maloney, PL, Doku, HC. Maxillary sinusitis of odontogenic origin. J Can Dent Ass 1968;34:591–603Google ScholarPubMed
9Hancock, M, Calnan, M, Manley, G. Private or NHS General Dental Service care in the United Kingdom? A study of public perceptions and experiences. J Pub Health Med 1999;21:415–20CrossRefGoogle ScholarPubMed
10Hospital Episode Statistics. In: http://www.hesonline.nhs.uk [August 2011]Google Scholar
11Eberhardt, JA, Tobrajinead, M, Christiansen, EL. A computerised tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1992;73:345–6Google Scholar
12Abrahams, JJ, Glassberg, RM. Dental disease: a frequently unrecognized cause of maxillary sinusitis abnormalities? AJR Am J Roentgenol 1996;166:1219–23Google Scholar
13Kretzschmar, DP, Kretzschmar, JL. Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:128–35CrossRefGoogle ScholarPubMed
14Brook, I. Microbiology of acute and chronic maxillary sinusitis associated with odontogenic origin. Laryngoscope 2005;115:823–5Google Scholar
15Douglass, CW, Valachovic, RW, Wijesinha, A, Chauncey, HH, Kapur, KK, McNeil, BJ. Clinical efficacy of dental radiography in the detection of dental caries and periodontal diseases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1986;62:330–9Google Scholar
16Bomeli, SR, Branstetter, BF 4th , Ferguson, BJ. Frequency of a dental source for acute maxillary sinusitis. Laryngoscope 2009;119:580–4Google Scholar
17Mehra, P, Caiazzo, A, Bestgen, S. Odontogenic sinusitis causing orbital cellulitis: a case report. J Am Dent Assoc 1999;130:1086–92CrossRefGoogle Scholar
18Carter, L, Starr, D. Alarming increase in dental sepsis. Brit Dent J 2006;200:243CrossRefGoogle ScholarPubMed
19Burnmam, R, Bhandari, R, Bridle, C. Changes in admission rates for spreading odontogenic infection resulting from changes in government policy about the dental schedule and remunerations. Br J Oral Maxillofac Surg 2011;49:26–8Google Scholar
20Thomas, SJ, Atkinson, C, Hughes, C, Revington, P, Ness, AR. Is there an epidemic of admissions for surgical treatment of dental abscesses in the UK? BMJ 2008;336:1219–20CrossRefGoogle ScholarPubMed