Maxillary Sinus Pathologies: The Roles of ENT Specialists and Dentists
Pathologies of the Maxillary Sinus: The Role of ENT Specialists and Dentists
Course overview
A course that will address all questions regarding the treatment of patients with maxillary sinus diseases!
Oral and maxillofacial surgeon and otorhinolaryngologist together will cover the following topics:
Anatomy and Physiology of the Maxillary Sinus
Clinical presentation of maxillary sinusitis
Features of Presentation and Course of Rhinogenic and Odontogenic Sinusitis
Post-implantation sinusitis
Algorithm for Comprehensive Examination of the Maxillary Sinus
Medication treatment of sinusitis
Surgical treatment of sinusitis
Interaction between the otorhinolaryngologist and the dentist.
After completing the course there will be no doubt about who should manage treatment: the ENT specialist or the dentist, and when a team approach is required!
Course lessons
Lesson 1. Anatomy, Physiology, and Pathophysiology of the Maxillary Sinus
Maxillary sinus (MS): history of study
Age-related features of the maxilla and mandible
Paranasal sinuses
Innervation and blood supply of the maxillary sinus
Anatomy of the Maxillofacial Region and Paranasal Area
Ostiomeatal complex
Anatomical variations of the middle nasal concha
Hook-like process:
Строение
Резекция
Attachment options.
Relationship between the maxillary sinus and the canine fossa
Concept of chronic sinusitis
Incision of the posterior fontanelle
Formation of a Maxillary Sinus Ostium
Etiology of odontogenic sinusitis.
Lesson 2. Odontogenic Sinusitis
Odontogenic maxillary sinusitis: definition
Odontogenic causes of maxillary sinusitis
Pathways of spread of odontogenic infection
Sources of infection of the maxillary sinus
Iatrogenic Maxillary Sinusitis
Factors determining the development and course of odontogenic sinusitis
Composition of the oral cavity microflora
Microflora of odontogenic sinusitis
Disorders of maxillary sinus ventilation
Maxillary sinus drainage and its disorders
Diagnosis of maxillary sinusitis:
Clinical presentation
Additional diagnostic methods.
Radiographic Diagnosis of Maxillary Sinusitis
Риноскопия
Diagnostic endoscopy
Objectives of treatment for odontogenic maxillary sinusitis.
Lesson 3. Clinical presentation and diagnosis of maxillary sinusitis
Rhinosinusitis: definition
Classification of Maxillary Sinusitis
Acute sinusitis
Forms of acute rhinosinusitis
Clinical features of different forms of maxillary sinusitis:
Acute viral sinusitis
Post-viral sinusitis
Acute bacterial sinusitis.
Diagnosis of sinusitis
Antibiotic therapy: indications for prescribing
Chronic rhinosinusitis
Endotypes of chronic rhinosinusitis
Pathogenesis of chronic rhinosinusitis
Accessory ostium of the maxillary sinus
Normal microbiome of the nasal cavity and paranasal sinuses
Pathogens of chronic rhinosinusitis
Endoscopic Diagnosis of Chronic Forms of Sinusitis
Computed tomography in the diagnosis of maxillary sinusitis
Odontogenic sinusitis: prevalence, etiology, clinical features, differential diagnosis.
Lesson 4. Principles of Managing Patients with Rhinogenic Maxillary Sinusitis
Rhinogenic acute sinusitis: key characteristics
Therapy of acute rhinosinusitis
Rules for Prescribing Antibiotics
Chronic rhinosinusitis: with polyps and without polyps
Irrigation therapy
Intranasal glucocorticosteroids
Concept of chronic sinusitis
Surgical treatment of sinusitis:
Surgical anatomy
FESS (Functional Endoscopic Sinus Surgery).
Equipment for Endoscopic Paranasal Sinus Surgery
Instruments for sinus manipulations
Transethmoidal approach
Direct endonasal / paraseptal access
Video demonstrations of endoscopic procedures.
Lesson 5. Principles of Managing Patients with Odontogenic Maxillary Sinusitis
Prevalence of odontogenic sinusitis
Etiology of odontogenic sinusitis
Messerklinger Concept
Access selection: extranasal or endonasal
Foreign bodies of the maxillary sinus
Pathogenesis of mucocele
Post-implantation sinusitis
Maxillary sinusitis after sinus lifting
Oroantral fistula
Plastic closure of an oroantral fistula
Odontogenic cyst
Endoscopic Approaches to the Maxillary Sinus
Collaborative surgical work between oral and maxillofacial surgeons and otorhinolaryngologists
Case study analysis.
Lesson 6. Surgery of Odontogenic Sinusitis
Goals of surgical treatment
Sanitation of the causative tooth
Closure of oroantral communication
Methods for closure of oroantral communication
Methods of Maxillary Sinus Sanitation
Conservative treatment of maxillary sinusitis
Puncture of the maxillary sinus
Indications and Techniques for Open Surgery of the Maxillary Sinus
Access and method selection
Classic maxillary sinusotomy
Methods of endosurgical sanitation of the maxillary sinus.
Lesson 7. Post-implantation Sinusitis
Incidence of sinusitis after sinus lifting
Causes of sinusitis related to dental implantation and sinus lift procedures
Physiological processes occurring after implantation and sinus lift
Maxillary Sinus Response to Dental Implantation
Maxillary sinus response to sinus lift
Dynamics of radiographic changes after sinus lift
Surgical causes of sinusitis
Mucosal Perforations of the Maxillary Sinus during Dental Implantation and Sinus Lift Procedures
Mechanisms of Sinus Sanitation in Complications of Sinus Lift Procedures
Indications and contraindications for performing sinus lift procedures
Diagnosis of Sinusitis Following Sinus Lift and Dental Implantation
Radiographic criteria of post-implantation sinusitis
Prevention of sinusitis during sinus lifting and/or dental implantation
Differential diagnosis of sinusitis associated with sinus lifting and/or dental implantation
Treatment of sinusitis following sinus lift and/or dental implantation
Management approach for an installed implant
Choice of treatment method
Consequences of post-implantation sinusitis
When and to whom to refer the patient (oral surgeon/CMF surgeon/ENT).
