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Optimal timing of endoscopic sinus surgery for the retention cyst of maxillary sinus

Published online by Cambridge University Press:  02 August 2022

K Sato Open the ORCID record for K Sato [Opens in a new window] ,
S Chitose ,
K Sato ,
F Sato ,
T Ono  and
H Umeno
K Sato*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
S Chitose
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
K Sato
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
F Sato
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
T Ono
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
H Umeno
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
*
Author for correspondence: Dr Kiminori Sato, Department of Otolaryngology – Head and Neck Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan E-mail: kimisato@oct-net.ne.jp
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Abstract

Objective

The optimal timing of functional endoscopic sinus surgery for odontogenic infections precipitated by retention cysts of the maxillary sinus was investigated.

Methods

Five adults who underwent functional endoscopic sinus surgery were examined.

Results

The root apexes of all teeth that had odontogenic infection protruded into the maxillary sinus. All teeth with odontogenic infections precipitated by the retention cysts had percussion pain, indicating they had periodontitis and pulpitis around the root apex. They were vital teeth, indicating they did not have pulp necrosis. The small area of cyst wall attached to the floor of the maxillary sinus and root apex were left intact. The teeth that had odontogenic infections precipitated by retention cysts continued to be vital with no symptoms.

Conclusion

Functional endoscopic sinus surgery should be performed before periodontitis and pulpitis of the root apex progress to ascending pulpitis and pulp necrosis. In other words, functional endoscopic sinus surgery should be performed while the affected tooth is still vital.

Keywords

CystMaxillary SinusPeriodontitisPulpitisPhysiopathologyEndoscopic Sinus Surgery
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 6 , June 2023 , pp. 661 - 666
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr K Sato takes responsibility for the integrity of the content of the paper

References

Becker, S, Larson, T 3rd. Imaging of the maxillary sinus and surrounding structures. In: Duncavage, J, Becker, S, eds. The Maxillary Sinus. Medical and Surgical Management. New York: Thieme Medical Publishers, 2011;8–26Google Scholar
Sato, K. Pathology of recent odontogenic maxillary sinusitis and the usefulness of endoscopic sinus surgery [in Japanese]. Nihon Jibiinkoka Gakkai Kaiho 2001;104:715–20CrossRefGoogle ScholarPubMed
Sato, K. Current Odontogenic Maxillary Sinusitis[in Japanese]. Fukuoka: Kyushu University Press, 2011Google Scholar
Sato, K. Management of teeth causing odontogenic maxillary sinusitis on endoscopic sinus surgery. Pract Otol (Kyoto) 2006;99:1029–34CrossRefGoogle Scholar
Sato, K. Odontogenic maxillary sinusitis caused by dental restoration [in Japanese]. Nihon Jibiinkoka Gakkai Kaiho 2014;117:809–1410.3950/jibiinkoka.117.809CrossRefGoogle ScholarPubMed
Little, RE, Long, CM, Loehrl, TA, Poetker, DM. Odontogenic sinusitis: a review of the current literature. Laryngoscope Investig Otolaryngol 2018;3:110–1410.1002/lio2.147CrossRefGoogle ScholarPubMed
Sato, K, Chitose, S, Sato, K, Sato, F, Ono, T, Umeno, H. Pathophysiology of current odontogenic maxillary sinusitis and endoscopic sinus surgery preceding dental treatment. Auris Nasus Larynx 2021;48:104–9CrossRefGoogle ScholarPubMed
Sato, K. Clinicopathological investigations of the dental diseases caused by maxillary lesions [in Japanese]. Nihon Jibiinkoka Gakkai Kaiho 1998;101:272–8CrossRefGoogle ScholarPubMed
Sato, K. Odontogenic maxillary sinusitis caused by odontogenic infections precipitated by maxillary lesions. Pract Otol (Kyoto) 2022; supple 160:87–97CrossRefGoogle Scholar
Sato, K. Odontogenic maxillary sinusitis diagnosed using conebeam X-ray CT. Oto-Rhino-Laryngology Tokyo 2007;50:214–21Google Scholar
Low, KM, Dula, K, Burgin, W, von Arx, T. Comparison of periapical radiography and limited cone-beam tomography in posterior maxillary teeth referred for apical surgery. J Endod 2008;34:557–6210.1016/j.joen.2008.02.022CrossRefGoogle ScholarPubMed
Shahbazian, M, Vandewoude, C, Wyatt, J, Jacobs, R. Comparative assessment of periapical radiography and CBCT imaging for radiodiagnostics in the posterior maxilla. Odontology 2015;103:97–104CrossRefGoogle ScholarPubMed