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Purpose <p>Odontogenic 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.</p> Methods <p>We 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.</p> Results <p>Combined surgery significantly reduced reoperation rates (<i>p</i> = 0.003), particularly in periodontic/endodontic infection cases (<i>p</i> = 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 (<i>p</i> &lt; 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.</p> Conclusion <p>Single-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.</p>

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Impact of combined surgery on reoperation rates in odontogenic sinusitis: a retrospective comparative study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月12日

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  • Santiago Almanzo,
  • Saúl Astray-Gómez,
  • Inés Tortajada-Torralba,
  • Javier Cabrera-Guijo,
  • Lucas Fito-Martorell,
  • Noelia Muñoz-Fernández,
  • Miguel Armengot-Carceller,
  • Alfonso García-Piñero

摘要

Purpose

Odontogenic 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.

Methods

We 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.

Results

Combined 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.

Conclusion

Single-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.