Objectives. The diversity of symptoms presented in COS does not differ from chronic sinusitis of other origin. However, the microbiological and pathophysiological differences extort a specific diagnostic approach and treatment.… Click to show full abstract
Objectives. The diversity of symptoms presented in COS does not differ from chronic sinusitis of other origin. However, the microbiological and pathophysiological differences extort a specific diagnostic approach and treatment. This is why odontogenic sinusitis is considered to be an independent disease. The basic method used to diagnose odontogenic foci is an orthopantomogram (OPM), but CB-CT is currently becoming a more common option. A proper diagnostic route enables correct problem identification and implementation of the best treatment method. Endoscopic sinus surgery (ESS) is an effective way of treating up to 85% of patients. Postoperative lack of success may be associated with odontogenic foci, which is why it is highly important to exclude this infection focus in the preliminary qualification for surgery.
               
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