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Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol.
Saibene, Alberto Maria; Collurà, Fabio; Pipolo, Carlotta; Bulfamante, Antonio Mario; Lozza, Paolo; Maccari, Alberto; Arnone, Flavio; Ghelma, Filippo; Allevi, Fabiana; Biglioli, Federico; Chiapasco, Matteo; Portaleone, Sara Maria; Scotti, Alberto; Borloni, Roberto; Felisati, Giovanni.
Afiliación
  • Saibene AM; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Collurà F; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Pipolo C; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Bulfamante AM; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy. antonio.bulfamante90@gmail.com.
  • Lozza P; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Maccari A; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Arnone F; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Ghelma F; Disabled Advanced Medical Assistance Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy.
  • Allevi F; Maxillofacial Surgery Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy.
  • Biglioli F; Maxillofacial Surgery Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy.
  • Chiapasco M; Oral Surgery Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy.
  • Portaleone SM; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Scotti A; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Borloni R; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
  • Felisati G; Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, University of Milan, Via A. di Rudinì, 8, 20142, Milan, Italy.
Eur Arch Otorhinolaryngol ; 276(2): 401-406, 2019 Feb.
Article en En | MEDLINE | ID: mdl-30483941
PURPOSE: Odontogenic sinusitis and sinonasal complications of dental disease or treatment (SCDDT) represent a heterogeneous group of conditions that often require multidisciplinary care. The present study aims to prospectively validate a classification and treatment protocol for SCDDT patients. METHODS: One hundred twenty-eight consecutive patients (73 females and 45 males, mean age 52.4 years) affected by SCDDT not responding to dental and medical therapy were classified and surgically treated according to the proposed protocol. The protocol classified patients into three aetiology-based groups (preimplantologic, implantologic, and related to traditional dental diseases and procedures, respectively). The groups were further divided into classes according to the presence of oro-antral communications and/or dislocated dental hardware. Each condition was treated according to the class-related, protocol-defined treatment, by either a transnasal or combined transnasal/transoral approach. All patients were successfully classified according to our protocol. None of the proposed classes were redundant, and no condition fell outside the definitions. RESULTS: The surgical treatment protocol proved to be adequate and effective, in that 125 of the 128 patients completely recovered after surgical treatment. CONCLUSIONS: The term SCDDT and the consequent classification proposed by the authors appear, therefore, to be nosologically correct. Furthermore, the protocol-related proposed treatment appears to be clinically sound, with a success rate nearing 98%.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinusitis / Enfermedades Estomatognáticas / Implantes Dentales / Rinitis / Protocolos Clínicos Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Eur Arch Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinusitis / Enfermedades Estomatognáticas / Implantes Dentales / Rinitis / Protocolos Clínicos Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Eur Arch Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania