Article: Volume 47 Number 9 Page 739 - October 2020

  Dent Update 2020; 47: 739-746  Read article

Oral surgery:  Rhinosinusitis Update

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Abstract: Rhinosinusitis is a common condition, affecting more than one in ten adults. This article will review current management strategies. While multi-factorial in aetiology, odontogenic rhinosinusitis is an important subgroup that is often misdiagnosed and recalcitrant to management. Patients with rhinosinusitis often report facial pain, but when it is severe, and mismatched in severity to other sinonasal symptoms, facial migraine should be suspected. Finally, the risks of implantation in the setting of maxillary sinus mucosal thickening and the need for ENT referral in such cases will be discussed.

Clinical relevance: Sinus issues may present to a dentist as dental pain, and dental disease may itself cause sinusitis. With increasing use of cone beam imaging, sinus pathology will be detected frequently in dental practice and this review will help to advise practitioners on current best practice.

Author notes: Claire Hopkins, BMBCH, MA(Oxon), FRCS(ORLHNS), DM, Professor of Rhinology, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UK, (email:

Objective: To review current management strategies of rhinosinusitis.