Table I.

Multidisciplinary consensus statements on odontogenic sinusitis (from Craig et al., 2020 ⁹, mod.).

Optimal management of ODS involves a shared decision-making process between the otolaryngologist, dental provider, and patient, where the benefits and risks of dental treatment and ESS are discussed

For complicated ODS (orbital or intracranial involvement), patients should undergo ESS, opening all diseased sinuses on CT scan

For ODS patients who have treatable dental pathology, and have minimal or tolerable sinonasal symptoms, primary dental treatment should be pursued

Oral antibiotics alone are not appropriate in the management of ODS due to dental pathology amenable to dental treatments

Once the dental pathology causing ODS has been treated adequately, patients should be followed for at least 1 to 2 months post-treatment to monitor for sinusitis resolution

Balloon sinus dilation may not be appropriate in patients undergoing sinus surgical intervention for ODS given the degree of inflammation and need for definitive sinus drainage

For ODS patients who have treatable dental pathology and have failed primary dental treatment, ESS should be pursued

For ODS patients who have treatable dental pathology, but have significant sinonasal symptoms, primary ESS combined with subsequent dental treatment should be pursued

For ODS due to maxillary dental implants, primary ESS should be pursued in efforts to preserve the dental implant

CT: computed tomography; ESS: endoscopic sinus surgery; ODS: odontogenic sinusitis.