INNOVATIVE DIRECTIONS FOR DIAGNOSIS AND TREATMENT OF ODONTOGENOUS SYNDROME.
DOI:
https://doi.org/10.5281/zenodo.20309951Keywords:
odontogenic sinusitis, odontogenic maxillary sinusitis, cone-beam computed tomography (CBCT), functional endoscopic sinus surgery (FESS), artificial intelligence, radiomics, PCR diagnostics, 3D navigation, biomaterials.Abstract
Odontogenic maxillary sinusitis is an infectious-inflammatory disease of the maxillary sinus originating from dental pathology and is most commonly characterized by a unilateral clinical presentation. This analytical article systematizes current knowledge on the etiology, pathogenesis, and clinical manifestations of odontogenic sinusitis, and reviews modern diagnostic approaches, including cone-beam computed tomography (CBCT), endoscopic examination, radiomics, and artificial intelligence–based imaging analysis. In addition, innovative treatment strategies such as single-stage combined surgery (functional endoscopic sinus surgery — FESS combined with dental sanitation), 3D surgical navigation, and molecular microbiological methods are discussed.
Based on the analysis of recent scientific literature, diagnostic criteria for differentiating odontogenic sinusitis from non-odontogenic rhinosinusitis are proposed, along with a multidisciplinary management algorithm. Contemporary consensus guidelines recognize odontogenic maxillary sinusitis as a distinct clinical entity and emphasize the essential collaboration between dental surgeons and otorhinolaryngologists during diagnostic and therapeutic stages.
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