Sinonasal Complications of Dental Disease and Treatment

Description:

Filling a gap in the literature, this unique and innovative reference is a comprehensive guide to the management of sinonasal complications of dental disease and treatment. It bridges the fields of otorhinolaryngology and oral surgery, providing multidisciplinary and precise discussion of the etiology, prevention, diagnosis, and treatment of sinonasal complications. The text considers complications following inadequately treated dental infection, improper endodontic treatments, implant placement, and maxillary sinus grafting prior to or in association with oral implant placement. Readers will find complete coverage of both medical and surgical protocols to prevent and treat sinonasal complications, with practical guidance for the diagnostic and therapeutic dilemmas posed by these often clinically complex cases.

Special Features:

Insights from otorhinolaryngologists, craniomaxillofacial surgeons, oral surgeons, and dentists allow for the effective treatment of a broad range of complications, from fungus balls and oro-antral fistulae to peri-implant osteitis with sinusitis and failed maxillary sinus augmentation procedures

Chapter on anatomy, physiology, and pathophysiology of the paranasal sinuses presents relevant background information

Thorough description of surgical procedures, including functional endoscopic sinus surgery (FESS) and intraoral approaches, used separately or in combination

More than 300 high-quality images, including radiological images, color line illustrations, and photographs, support and enhance the text

Flow charts, tables, and key points throughout the book offer quick access to crucial details

Case reports and online surgical videos aid in the application of concepts to everyday practice

Sinonasal Complications of Dental Disease and Treatment: Prevention, Diagnosis, Management is an indispensable resource for otorhinolaryngologists, oral surgeons, craniomaxillofacial surgeons, and dentists who encounter patients with sinonasal complications resulting from dental pathologies or treatments. It contains the up-to-date and accurate information that surgeons need to have before dealing with these frequently occurring complications.

Table of Contents:

1. Anatomy, Physiology, and Pathophysiology of the Paranasal Sinuses

1.1 Maxilla and Maxillary Sinus

1.1.1 Topographic Anatomy

1.2 Endoscopic Anatomy of the Lateral Nasal Wall and Paranasal Sinuses

1.2.1 Anterior Ethmoid Sinus

1.2.2 Frontal Sinus

1.2.3 Posterior Ethmoid

1.2.4 Sphenoid Sinus

1.2.5 Anterior Skull Base

1.3 Microscopic Anatomy of the Sinonasal Mucosa

1.4 Elements of Physiology

1.4.1 Mucus

1.4.2 Defensive Role of the Sinonasal Mucosa

1.5 Pathophysiological Implications of Nasal and Sinusal Ventilation

1.6 Pathophysiology of Odontogenic Rhinosinusitis

2. Imaging of the Maxilla and Paranasal Sinuses

2.1 Techniques of Radiological Examination

2.1.1 Panoramic Radiography

2.1.2 Intraoral Periapical Radiography

2.1.3 Cone Beam and Multidetector Computed Tomography

2.2 Radiological Anatomy of the Maxilla and Paranasal Sinuses

2.3 Role of Imaging in the Evaluation and Prevention of Sinonasal Complications following Dental Tre

2.3.1 Introduction

2.3.2 Role of Imaging in the Evaluation of Sinonasal Complications after Dental Treatment

2.3.3 Role of Imaging in the Prevention of Complications

3. Paranasal Sinuses: Complications following Dental Pathologies or Treatments

3.1 Introduction: Classification

3.2 Classic Odontogenic Sinusitis (Group III, Classes 3a, 3b)

3.2.1 Introduction

3.2.2 Clinical Scenarios

3.3 Complications Following the Use of Oral Implants in the Upper Jaw (Infection/Displacement) (Grou

3.3.1 Introduction

3.3.2 Clinical Scenarios

3.4 Complications following Maxillary Sinus Grafting Prior to or in Association with Oral Implant Pl

3.4.1 Elevation of the Sinus Membrane and Grafting of Maxillary Sinus Floor via a Lateral Approach

3.4.2 Elevation of the Sinus Membrane through a Crestal Approach

3.4.3 Complications

4. Microbiology of Odontogenic Sinusitis

4.1 Introduction: Oral Microbiome and SCDDT

4.2 Human Oral Microbiota

4.2.1 Definition

4.2.2 Microbial Composition

4.2.3 Technical Approaches

4.2.4 Oral Diseases

4.2.5 Nonoral Diseases

4.2.6 Future Directions

4.3 Pathogens

4.3.1 Bacteria

4.3.2 Fungi

5. Medical Treatment of Odontogenic Sinusitis

5.1 Introduction

5.2 Treatment of Acute Odontogenic Sinusitis

5.2.1 Treatment of the Odontogenic Focus

5.2.2 Antibiotic Treatment

5.2.3 Systemic Support Treatment

5.2.4 Local Treatment

5.3 Perioperative Medical Care of Odontogenic Sinusitis

5.3.1 Systemic Therapy

5.3.2 Local Therapy

5.3.3 Fungus Ball

6. Surgical Treatment

6.1 Intraoral Approaches

6.1.1 Introduction

6.1.2 Techniques

6.1.3 Clinical Cases (History, Imaging, Treatment, Outcome)

6.2 Transnasal Endoscopic Surgery

6.2.1 Introduction

6.2.2 Surgical Techniques

6.2.3 Transnasal Surgical Approach to Complications of Dental Disease and Treatment

6.2.4 Clinical Cases (History, Imaging, Treatment, Outcome)

6.2.5 Classification Example

6.3 Multidisciplinary Approach (Endoscopic and Intraoral)

6.3.1 Introduction

6.3.2 Techniques

6.3.3 Clinical Cases (History, Imaging, Treatment, Outcome)

7. ENT Contraindications to Maxillary Sinus Grafting Prior To or In Association with Oral Implant Pl

7.1 Introduction

7.2 Evaluation of the Candidate for Maxillary Sinus Elevation

7.2.1 Case History Collection

7.2.2 Imaging

7.3 Reversible and Irreversible Contraindications

7.3.1 Reversible Contraindications

7.3.2 Irreversible Contraindications

7.4 Treatment of Reversible Contraindications

7.4.1 Medical Treatment of Reversible Contraindications

7.4.2 Surgical Treatment with Delayed Maxillary Sinus Grafting

7.4.3 Surgical Treatment with Simultaneous Maxillary Sinus Grafting

7.5 Clinical Cases

7.5.1 Case 1

7.5.2 Case 2

Index