April 9, 2014

Chronic Maxillary Rhinosinusitis of Dental Origin: A Systematic Review of 674 Patient Cases

International Journal of Otolaryngology
Volume 2014 (2014), Article ID 465173, 9 pages
http://dx.doi.org/10.1155/2014/465173
Review Article
1Laboratory of Anatomy and Cell Biology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Avenue du Champ de Mars 6, B7000 Mons, Belgium
2Laboratory of Phonetics, Faculty of Psychology, Research Institute for Language Sciences and Technology, University of Mons (UMons), B7000 Mons, Belgium
3Laboratory of Neurogenetics and Behavior, Rockefeller University, 1230 York Avenue, New York City, NY 10065, USA
4Department of Otorhinolaryngology, Head, and Neck Surgery, CHU Saint-Pierre, Faculty of Medicine, Université Libre de Bruxelles (ULB), B1000 Brussels, Belgium
Received 19 December 2013; Revised 6 March 2014; Accepted 11 March 2014; Published 8 April 2014
Academic Editor: Charles Monroe Myer
Copyright © 2014 Jerome R. Lechien et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. The aim of this systematic review is to study the causes of odontogenic chronic maxillary rhinosinusitis (CMRS), the average age of the patients, the distribution by sex, and the teeth involved. Materials and Methods. We performed an EMBASE-, Cochrane-, and PubMed-based review of all of the described cases of odontogenic CMRS from January 1980 to January 2013. Issues of clinical relevance, such as the primary aetiology and the teeth involved, were evaluated for each case. Results. From the 190 identified publications, 23 were selected for a total of 674 patients following inclusion criteria. According to these data, the main cause of odontogenic CMRS is iatrogenic, accounting for 65.7% of the cases. Apical periodontal pathologies (apical granulomas, odontogenic cysts, and apical periodontitis) follow them and account for 25.1% of the cases. The most commonly involved teeth are the first and second molars. Conclusion. Odontogenic CMRS is a common disease that must be suspected whenever a patient undergoing dental treatment presents unilateral maxillary chronic rhinosinusitis.

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