Journal of Capital Medical University ›› 2024, Vol. 45 ›› Issue (2): 239-245.doi: 10.3969/j.issn.1006-7795.2024.02.011

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Comparison of clinical characteristics between odontogenic sinusitis patients with and without sinusitis symptoms

Zheng Ming1 , Wu Jianyou2 , Sima Yutong1, Wang Xiangdong1，3，4, Zhang Luo1，3，4 *   

  1. 1.Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing 100730，China；2.Department of Stomatology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730，China；3.Beijing Laboratory of Allergic Diseases, Institute of Integrated Traditional Chinese and Western Medicine in Otolaryngology, Beijing Laboratory of Allergic Diseases (Beijing Municipal Education Commission)， Beijing Key Laboratory of Nasal Diseases, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University)，Ministry of Education, Beijing 100005，China；4.Research Unit of Diagnosis and Treatment of Chronic Nasal Diseases, Chinese Academy of Medical Sciences, Beijing 100005，China
  • Received:2024-01-18 Online:2024-04-21 Published:2024-04-25
  • Supported by:
    This study was supported by National Key R&D Program of China(2022YFC2504100), National Natural Science Foundation of China (81970852，82171110), Changjiang Scholars and Innovative Research Team (IRT 13082), Natural Science Foundation of Beijing (7222024) ，the CAMS Innovation Fund for Medical Sciences(2019-I2M-5-022), the Capital's Funds for Health Improvement and Research(2022-1-1091), the Scientific Research and Cultivation Fund of Capital Medical University (2020-1210020214).

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Abstract: Objective  To compare the differences of clinical manifestation between odontogenic sinusitis (ODS) patients with and without sinusitis symptoms. Methods  The clinical data of totally 92 ODS patients’ clinical data were retrospectively collected, who underwent endoscopic sinus surgery in the Department of Otolaryngology, Head and Neck Surgery in Beijing TongRen Hospital, Capital Medical Uniersity, from June 2020 to June 2022. Among them, 77 cases had sinusitis symptoms（SS group）, and 15 cases had no sinusitis symptoms（non-SS group）. The survey items included medical history, symptoms, etiology, endoscopic examination and sinus computed tomography(CT)were compared.Results  Compared with the SS group, the non-SS group has a shorter course of disease ［(4.9 ± 3.4) months vs (10.4 ± 11.0) months, P=0.048)］, and a higher proportion of first consultation in Department of Stomatology (100% vs 24.7%, P=0.035). There was no statistically significant difference in the positive rates of reported toothache and tooth loosening symptoms between the two groups of patients (29.9% vs 53.3%, P=0.133; 18.2% vs 35.3%, P=0.085). The proportion of periodontal endodontic combined lesions (PECL), apical periodontitis (AP), periodontitis (PE), and iatrogenic factor, accounted for the etiology of the two groups of patients, were 53.2% vs 20% (P=0.024); 28.6% vs 33.3% (P=0.76); 11.7% vs 26.7% (P=0.215); and 6.5% vs 20% (P=0.119), respectively. CT of the sinuses showed that the SS group had a higher proportion of involvement in the ostiomeatal complex (OMC), ethmoid sinus, and frontal sinus than non-SS group did, with 83.1% vs 26.7% (P=0.000); 80.5% vs 20% (P=0.000);  and 41.6% vs 0% (P=0.002), based on the evaluation of CT opacification. Conclusions  The multidisciplinary cooperation between Otolaryngology and Stomatology could early identify ODS patients without sinusitis symptoms, diagnose and treat timely dental related diseases, such as PECL, reduce the probability of endoscopic sinus surgery, and improve life quality of  patients. 

Key words: odontogenic sinusitis, clinical characteristics, sinus CT, symptom,  , periodontal-endodontic combined lesions

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