Unilateral Sinus Disease: What Is, and Is Not Odontogenic Sinusitis?
Recommended Citation
Kwiatkowska MA, and Craig JR. Unilateral Sinus Disease: What Is, and Is Not Odontogenic Sinusitis? Otolaryngol Clin North Am 2024.
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