Unilateral Sinus Disease: What Is, and Is Not Odontogenic Sinusitis?

Document Type

Article

Publication Date

12-1-2024

Publication Title

Otolaryngologic clinics of North America

Abstract

The differential diagnosis of unilateral sinus disease (USD) is broad, and while concerning etiologies like sinonasal neoplasia, invasive fungal sinusitis, and cerebrospinal fluid rhinorrhea should always be considered, most cases are due to noninvasive inflammatory or infectious conditions. To diagnose USD appropriately, clinicians must integrate the clinical history and examination, nasal endoscopy, computed tomography (CT), and possibly MRI. Odontogenic sinusitis (ODS) is the most common cause of unilateral maxillary sinus opacification on CT, with 45% to 75% of such cases being odontogenic in nature. This study provides USD diagnostic considerations and reinforces the diagnostic approach to ODS.

Medical Subject Headings

Humans; Tomography, X-Ray Computed; Diagnosis, Differential; Magnetic Resonance Imaging; Endoscopy; Paranasal Sinus Diseases; Sinusitis; Maxillary Sinusitis; Maxillary Sinus

PubMed ID

39147657

ePublication

ePub ahead of print

Volume

57

Issue

6

First Page

1099

Last Page

1117

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