Odontogenic Sinusitis (Not Rhinosinusitis) (2023 AMW)
2023 AAO-HNSF Annual Meeting & OTO Experience
Odontogenic sinusitis (ODS) is distinct from non-odontogenic rhinosinusitis, and is more common than historically thought. Recent studies suggest it may represent up to 25-40% of all chronic maxillary sinusitis, and 45-75% of all unilateral sinusitis. However, there has been significant underrepresentation of ODS in the sinusitis literature, representing about 1% of rhinosinusitis publications over the last 15 years. Additionally, diagnosis and treatment of ODS have not been formally discussed in even the most recent national and international sinusitis guidelines or position statements. ODS can be mistaken for various forms of non-odontogenic sinonasal disease, and is commonly missed by various dental and medical providers. It is therefore critical that otolaryngologists understand how to recognize, diagnose, and treat patients with ODS. Over the last 3-4 years, multiple studies have been published across various aspects of ODS, including epidemiology, microbiology, diagnosis, and treatment. Also important, evidence levels of these recent ODS studies have improved compared to the majority of prior ODS literature. Two multidisciplinary national and international consensus statements have also been published recently on diagnosing and treating ODS. This lecture will present an evidence-based approach to diagnosing and treating ODS, emphasizing the importance of distinguishing ODS from other forms of sinus disease. Additionally, important case scenarios will be reviewed to highlight some of the nuances encountered when evaluating and managing ODS patients. Lastly, not only will the presentation will be filled with highly practical and implementable clinical information, it will be fun!
Credits
CME:1.0, MOC:1.0