Management of Odontogenic Maxillary Sinusitis with Nasal Polyp

Abstract

In previous reports, Caldwell-Luc surgery was performed in cases of odontogenic maxillary sinusitis that had not responded to dental and medical treatments. We reported three patients with odontogenic maxillary sinusitis and nasal polyps treated with endonasal polypotomy.
We encountered three patients with odontogenic maxillary sinusitis and nasal polyps in our out patient clinic. Although these patients had undergone dental treatment, sinusitis had not improved. We administered 150mg/day loxithromycin for a few months but nasal polyps did not decrease. Therefore, we performed endoscopic endonasal polypotomies. Several months later, the low-density shadow in the maxillary sinus had vanished on CT scanning and maxillary sinusitis had improved in all patients. This fact indicates that obstruction of the ostiomeatal complex might prolong some cases of odontogenic maxillary sinusitis.