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Peer-reviewedCC BYFrontiers in oral health

Maxillary foreign body management in odontogenic sinusitis: an algorithm based on a single centre experience.

  1. 1Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
  2. 2Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
  3. 3Universita Campus Bio-Medico di Roma, Rome, Italy.

Abstract

Purpose

This study aimed to evaluate the management of patients with odontogenic maxillary sinusitis associated with foreign bodies.Methods

We retrospectively reviewed 165 patients treated at our institution; 48 met the inclusion criteria and were analyzed. All presented odontogenic sinusitis with a maxillary sinus foreign body and underwent surgery according to a multidisciplinary treatment algorithm based on clinical and radiological findings.Results

Thirty-two patients were treated with a simultaneous combined oral and nasal approach, 12 with an oral approach alone, and 4 with a nasal approach alone. Complete removal of the foreign body and complete symptom resolution were achieved in all cases.Conclusion

In this retrospective series, surgical treatment was successful in all 48 patients. Our results support that a multidisciplinary approach was the most frequently utilized strategy in our cohort and proved highly effective in appropriately selected patients for the management of odontogenic sinusitis associated with maxillary foreign bodies, allowing surgeons to tailor the surgical approach to the specific anatomical and clinical presentation.

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BibTeX
@article{sabatino2026maxillary,
  title = {{Maxillary foreign body management in odontogenic sinusitis: an algorithm based on a single centre experience.}},
  author = {Lorenzo Sabatino and Michele Antonio Lopez and Matteo Valentini and Marco Mattaroccia and Francesco Iafrati and Simone Di Giovanni and Antonio Moffa and Manuele Casale},
  journal = {Frontiers in oral health},
  year = {2026},
  month = oct,
  doi = {10.3389/froh.2026.1945885},
  url = {https://europepmc.org/article/MED/42952565},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Maxillary foreign body management in odontogenic sinusitis: an algorithm based on a single centre experience.
AU  - Lorenzo Sabatino
AU  - Michele Antonio Lopez
AU  - Matteo Valentini
AU  - Marco Mattaroccia
AU  - Francesco Iafrati
AU  - Simone Di Giovanni
AU  - Antonio Moffa
AU  - Manuele Casale
PY  - 2026
DA  - 2026/10/14
JO  - Frontiers in oral health
DO  - 10.3389/froh.2026.1945885
UR  - https://europepmc.org/article/MED/42952565
AB  - Purpose  This study aimed to evaluate the management of patients with odontogenic maxillary sinusitis associated with foreign bodies.Methods  We retrospectively reviewed 165 patients treated at our institution; 48 met the inclusion criteria and were analyzed. All presented odontogenic sinusitis with a maxillary sinus foreign body and underwent surgery according to a multidisciplinary treatment algorithm based on clinical and radiological findings.Results  Thirty-two patients were treated with a simultaneous combined oral and nasal approach, 12 with an oral approach alone, and 4 with a nasal approach alone. Complete removal of the foreign body and complete symptom resolution were achieved in all cases.Conclusion  In this retrospective series, surgical treatment was successful in all 48 patients. Our results support that a multidisciplinary approach was the most frequently utilized strategy in our cohort and proved highly effective in appropriately selected patients for the management of odontogenic sinusitis associated with maxillary foreign bodies, allowing surgeons to tailor the surgical approach to the specific anatomical and clinical presentation.
SN  - 2673-4842
ER  -