Maxillary sinus disease of odontogenicorigin
Pushkar Mehra, BDS, DMD
*,Haitham Murad, DMD
Department of Oral and Maxillofacial Surgery, Boston University Medical Center,Boston, MA
Department of Oral and Maxillofacial Surgery, Boston University School of Dental Medicine, 100 East Newton Street, Boston, MS 02118, USA
Department of Dentistry, Boston Medical Center, Boston, MA
The maxillary sinus, anatomically lying in an intermediate positionbetween the nasal and oral cavities is vulnerable to invasion by pathogenicorganisms through the nasal ostium or the mouth. Odontogenic sinusitisaccounts for approximately 10% to 12% of maxillary sinusitis cases.Sinus disease of odontogenic origin deserves special consideration becauseof some diﬀerences in pathophysiology, microbiology, and management ascompared with sinus disease of other origins. Sinusitis related to dentistryand odontogenic causes can occur when the Schneidarian membrane isviolated by conditions such as odontogenic pathology of the maxillary bone,infections arising from the maxillary teeth, maxillary dental trauma, oriatrogenic causes such as dental extractions, placement of dental implants,and maxillary osteotomies in orthognathic surgery. Management of sinusdisease of odontogenic origin often requires treatment of the sinusitis as wellthe odontogenic source.
Anatomy and physiology
The maxillary sinus is part of a series of paranasal sinuses, which includesthe frontal, ethmoid, and sphenoid sinuses. These pneumatic cavitiessurround the nasal cavity and are in close approximation to the orbital wallsand dura mater of the anterior cranial fossa. The maxillary sinus is the ﬁrst
* Corresponding author. Department of Oral and Maxillofacial Surgery, Boston UniversitySchool of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118.
2004 Elsevier Inc. All rights reserved.doi:10.1016/S0030-6665(03)00171-3Otolaryngol Clin N Am37 (2004) 347–364