Non-Cochrane · intervention · PM42239557
Treatment of Odontogenic Sinusitis With Oroantral Communication and Fistula: A Systematic Review and Meta-Analysis.
Alharbi Rana R, Alnajar Omar F, Almahdi Reham E, et al. · Saudi medical journal · 2026 · PubMed · doi:10.15537/1658-3175.8760
Findings
Population Adults with odontogenic sinusitis secondary to oroantral communication or fistula
3 findings
| Surgical treatment (endoscopic sinus surgery, dental procedures, fistula closure) | Medical treatment (antibiotics, intranasal corticosteroids, decongestants) | Treatment failure rate Follow-up 3 to 8.6 months | OR 0.60 [0.00, 486.70] GRADE not reported 3 studies · 91 participants |
| Surgical treatment (endoscopic sinus surgery, dental procedures, fistula closure) | Medical treatment (antibiotics, intranasal corticosteroids, decongestants) | Treatment success rate Follow-up 3 to 8.6 months | OR 3.24 [0.23, 46.18] GRADE not reported 5 studies · 179 participants |
| Surgical treatment (endoscopic sinus surgery, dental procedures, fistula closure) | Medical treatment (antibiotics, intranasal corticosteroids, decongestants) | Adverse events Follow-up 3 to 8.6 months | RD 0.00 [-0.08, 0.08] GRADE not reported 2 studies · 60 participants |
Included primary studies 5
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Gata 2021 Role of Endoscopic Sinus Surgery and Dental Treatment in the Management of Odontogenic Sinusitis Due to Endodontic Disease and Oroantral… PMID:34205358 | 2021 | this review only | not stated | not extracted yet |
| Kim 2022 Clinical Characteristics of Patients Diagnosed With Odontogenic Rhinosinusitis After Dental Implants. PMID:39664467 | 2022 | this review only | not stated | not extracted yet |
| Kwon 2024 Retrospective comparison of first-line treatments for odontogenic sinusitis based on duration of symptoms. PMID:38420842 | 2024 | this review only | not stated | not extracted yet |
| Wang 2015 Odontogenic sinusitis: a case series studying diagnosis and management. PMID:25732329 | 2015 | this review only | not stated | not extracted yet |
| Yun 2021 Odontogenic Maxillary Sinusitis: Therapeutic Management of Cases with Oroantral Fistulae DOI:10.3390/sinusitis5010006 | 2021 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Adults with odontogenic sinusitis secondary to oroantral communication or fistula | Adults with odontogenic sinusitis (n=459) |
| Intervention | Medical therapy (antibiotics, corticosteroids) or surgical procedures for fistula closure or sinus drainage | Surgical treatment (ESS, dental procedures, fistula closure) (n=95 in success analysis) |
| Comparison | Not specified | Medical treatment (antibiotics, intranasal corticosteroids, decongestants) (n=84 in success analysis) |
| Outcomes | Treatment success, recurrence, complications, follow-up duration | Treatment success (5 studies); failure (3 studies); adverse events (2 studies) |
| Study designs | RCTs, prospective or retrospective cohort studies, case series | 4 retrospective cohort studies and 1 case series |
| Timing | Not specified | Follow-up 3 to 8.6 months |