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Often, the condition is unilateral, affecting only the side where the dental problem exists, [9] though it is not uncommon for infectious process to progressively spread from the maxillary sinus to the other sinuses and the opposite side. [10]
The cause of this situation is usually a periapical or periodontal infection of a maxillary posterior tooth, where the inflammatory exudate has eroded through the bone superiorly to drain into the maxillary sinus. Medical management and treatment of the underlying dental pathology remains a critical initial step in the treatment of odontogenic ...
Sinus disease often occurs in conjunction with, and in other instances may contribute to the development of nasolacrimal duct obstruction. Patients should be asked about previous sinus surgery, as the nasolacrimal duct is sometimes damaged when the maxillary sinus ostium is being enlarged anteriorly.
The maxillary sinus is known for its thin floor and close proximity to the posterior maxillary (upper) teeth. [ 1 ] [ 6 ] The extraction of a maxillary tooth (typically a maxillary first molar which lies close to the lowest point of antral floor although any premolar or molar can be affected) is the most common cause of an OAC (which can then ...
Silent sinus syndrome is a subtype of stage three chronic maxillary atelectasis. The distinguishing factor is that in silent sinus syndrome, there is an absence of sinusitis symptoms. [ 3 ] [ 4 ] [ 5 ] To be clear, chronic maxillary sinusitis may be a primary causitive factor in a significant number of silent sinus syndrome cases, it just may ...
Treatment is typically with steroids, often in the form of a nasal spray. [1] If this is not effective, surgery may be considered. [1] The condition often recurs following surgery; thus, continued use of a steroid nasal spray is often recommended. [1] Antihistamines may help with symptoms but do not change the underlying disease. [1]
This treatment has shown good results in aviators who have recurrent sinus barotrauma. Computer-aided surgery has re-established the drainage of affected sinuses, especially with regard to the sphenoid sinuses. [10] When the sphenoids were entered endoscopically, mucosal petechia and hematoma were clearly seen.
Expansion of the cyst causes erosion of the floor of the maxillary sinus. As soon as it enters the maxillary antrum, the expansion rate increases due to available space for expansion. Performing a percussion test by tapping the affected teeth will cause shooting pain. This is often clinically diagnostic of pulpal infection. [citation needed]