Signs and symptoms Microbiology Treatment Etiology Complications Differential diagnosis

Acute •Usually, unilateral •Mixt flora •Etiological treatment •Tooth infections •Allergic maxillary sinusitis
OMS •Nasal rhinorrhea •Aerobic+ •Sinus drainage •Endodontic
•Nasal congestions •Anaerobic o Conservative treatment failure •Rhinogenic maxillary sinusitis
•Fever (38-39) bacteria o surgical •Dental surgery or
•Cheek/facial pressure •antibacterial treat. 7 days implants •Fungal sinusitis
•Cacosmia •anti-inflammatory complications •Para sinusitis
•Postnasal drip •antipyretic •Acute/chronic rhinitis
•Irradiated facial pain •sinus drainage •Spread of the
•Hypo-asmia o Conservative infection •Soft tissue abscess
•Alternated taste o Surgical
•Halitosis •Distant sepsis •Maxillary odontogenic cysts
•Fatigue
•Altered general status •Trigeminal neuralgia •Maxillary osteomyelitis
•Impaired appetite
•Midface soft tissue •Osteomyelitis of •Trigeminal neuralgia
•Congestion maxillary walls
Chronic –Similar with acute, but Anerobic Reversible stage –Progression from •Maxillary sinus retention cyst
oms REDUCES intensity bacteria o Etiologic treat. acute oms •Chronic
–Fever only during o Antibiotic –Oro-antral fistula digestive/respiratory •Midface malignancies
exacerbation o Anti-inflammatory –Chronic dental tract irritation
–Naming nasal drainage o Patency of sinus pathology •Maxillary hematoma
–Irritative cough drainage
–Migraines Irreversible stage
–Sore throat o etiologic tret surgery
–Good general status 1. endoscopic
–Abnormal passage of 2. radial surgery
fluid CALDWELL-LUC
Closure of oro-antral fistula if
present