Single-step Functional Sinus Endoscopy and Transoral Surgery Enhance Odontogenic Sinusitis Treatment Outcomes: a Randomized Controlled Trial

What this Trial Is About

Researchers are studying a specific type of sinus infection called odontogenic maxillary sinusitis (OMS), which arises from dental or dento-alveolar issues affecting the floor of the maxillary sinus. This condition requires different treatment approaches than other sinus infections and the study aims to evaluate the effectiveness of combining functional sinus endoscopy and transoral surgery performed together in one step. The study addresses the uncertainty about which specialists should manage OMS and which surgical methods are best suited for treatment. The study compares three treatment approaches: a combined single-step procedure involving both functional sinus endoscopy performed by an otolaryngologist and transoral surgery by an oral and maxillofacial surgeon during the same visit; functional sinus endoscopy alone by an otolaryngologist; and transoral surgery alone by the oral and maxillofacial surgeon. The combined approach includes detailed surgical steps under general anesthesia, such as infundibulotomy and sinus irrigation, along with dental procedures like tooth extraction, fistula closure, or cyst removal. Participants will undergo clinical, radiographic, and endoscopic evaluations before and after treatment. Researchers will measure the thickness of the sinus mucosa at two weeks, one month, and three months following the intervention to assess treatment outcomes. The study uses a randomized, double-blind design and aims to monitor the effectiveness of each treatment method in managing OMS through integrated departmental care.

Single-step Functional Sinus Endoscopy and Transoral Surgery