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The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla. [1] [2]: 345–346 Due to the special nature of the blood supply to the human nose and surrounding area, it is possible for retrograde infection from the nasal area to spread to the brain, causing cavernous sinus thrombosis, meningitis, or brain abscess.
Patients with odontogenic sinusitis may present with symptoms similar to those of other forms of sinusitis, such as nasal congestion, purulent nasal discharge, facial pain or pressure, and a reduced sense of smell. However, the presence of dental pain, foul smell, or a history of recent dental procedure might suggest an odontogenic source.
Nasal bridge is the bony part of the nose, overlying the nasal bones, above the part in blue labeled "Cartilage of Septum". The bridge is between the eyes, and just below them. The lower half of the nose is below the bridge. The nasal bridge is the upper, bony part of the nose, which overlies the nasal bones.
Your teeth can hurt in various ways. The pain can be sharp and sudden, a jolt that makes you sit up. Or it can be a dull, nagging throb or ache. It can affect just one tooth or several.
Nasal endoscopy involves inserting a flexible fiber-optic tube with a light and camera at its tip into the nose to examine the nasal passages and sinuses. Sinus infections, if they result in tooth pain, usually present with pain involving more than one of the upper teeth, whereas a toothache usually involves a single tooth.
Pain can also be referred to the upper teeth and be mistaken for toothache. [4] Another symptom is the movement of fluid from the mouth through the communication and into the maxillary sinus, as the maxillary sinus is connected to the nose and therefore fluid can come out of the nostrils when drinking. [3]
In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
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