Observational studyEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025
Impact of combined surgery on reoperation rates in odontogenic sinusitis: a retrospective comparative study.
Observational study in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Navigating the Treatment Landscape of Odontogenic Sinusitis: Current Trends and Future Directions.Medicina (Kaunas, Lithuania) · 2025Review
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOdontogenic sinusitis (ODS) is a frequent but underdiagnosed condition requiring multidisciplinary management. This study aims to compare outcomes between single-stage combined surgical treatment by otolaryngology and maxillofacial surgery teams versus non-combined approaches, and to evaluate whether the type of prior treatment influences the need for reintervention or secondary procedures.
methodsWe conducted a retrospective observational study including 96 patients with ODS surgically treated between January 2019 and December 2024. Patients were categorized according to etiology and surgical strategy (combined vs. non-combined). Additionally, we analyzed whether the type of previous treatment (none, otolaryngology alone, maxillofacial surgery, dentist, or combined) was associated with the need for reoperation or second-stage maxillofacial surgery.
resultsCombined surgery significantly reduced reoperation rates (p = 0.003), particularly in periodontic/endodontic infection cases (p = 0.002). No significant differences were observed in the need for second-stage maxillofacial surgery between groups. Reoperation was more frequent among patients initially treated by otolaryngology or maxillofacial surgeons, while those managed first by dentists had significantly lower reoperation rates (p < 0.001). The type of previous treatment was not significantly associated with second-stage maxillofacial surgery. Etiology and patient age did not influence surgical outcomes.
conclusionSingle-stage combined surgery reduces the need for reoperation in ODS. When a staged approach is selected, prioritizing initial dental or maxillofacial management before otolaryngologic intervention appears to yield better outcomes.
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