Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment

doi:10.1038/s41368-024-00278-z

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International Journal of Oral Science ›› 2024, Vol. 16 ›› Issue (0) : 11. DOI: 10.1038/s41368-024-00278-z

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Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment

Jiang Lin¹, Chengshuo Wang^2,3,4, Xiangdong Wang^2,3, Faming Chen⁵, Wei Zhang⁶, Hongchen Sun⁷, Fuhua Yan⁸, Yaping Pan⁹, Dongdong Zhu¹⁰, Qintai Yang¹¹, Shaohua Ge¹², Yao Sun¹³, Kuiji Wang², Yuan Zhang^2,3,4, Mu Xian^2,3,4,14, Ming Zheng², Anchun Mo¹⁵, Xin Xu¹⁶, Hanguo Wang¹⁷, Xuedong Zhou¹⁶, Luo Zhang^2,3,4

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1. Department of Stomatology, Beijing TongRen Hospital, Capital Medical University, Beijing, China;
2. Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China;
3. Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China;
4. Department of Allergy, Beijing TongRen Hospital, Capital Medical University, Beijing, China;
5. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shanxi International Joint Research Center for Oral Diseases, Department of Periodontology, School of Stomatology, The Fourth Military Medical University, Xi’ an, China;
6. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases, Beijing, China;
7. Department of Oral &Maxillofacial Pathology, School and Hospital of Stomatology, Jilin University, Jilin, China;
8. Department of Periodontology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China;
9. Department of Periodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China;
10. Department of Otorhinolaryngology Head and Neck Surgery, China-Japan Union Hospital of Jilin University, Changchun, China;
11. Department of Otolaryngology, Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China;
12. Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration, Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration, Shandong Provincial Clinical Research Center for Oral Diseases, Jinan, China;
13. Department of Implantology, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China;
14. Research Unit of Diagnosis and Treatment of Chronic Nasal Diseases, Chinese Academy of Medical Sciences, Beijing, China;
15. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, China;
16. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China;
17. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Oral Diseases, Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University, Xi’an, China

Corresponding author: 2024-02-01

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Abstract

Odontogenic maxillary sinusitis (OMS) is a subtype of maxillary sinusitis (MS). It is actually inflammation of the maxillary sinus that secondary to adjacent infectious maxillary dental lesion. Due to the lack of unique clinical features, OMS is difficult to distinguish from other types of rhinosinusitis. Besides, the characteristic infectious pathogeny of OMS makes it is resistant to conventional therapies of rhinosinusitis. Its current diagnosis and treatment are thus facing great difficulties. The multi-disciplinary cooperation between otolaryngologists and dentists is absolutely urgent to settle these questions and to acquire standardized diagnostic and treatment regimen for OMS. However, this disease has actually received little attention and has been underrepresented by relatively low publication volume and quality. Based on systematically reviewed literature and practical experiences of expert members, our consensus focuses on characteristics, symptoms, classification and diagnosis of OMS, and further put forward multi-disciplinary treatment decisions for OMS, as well as the common treatment complications and relative managements. This consensus aims to increase attention to OMS, and optimize the clinical diagnosis and decision-making of OMS, which finally provides evidence-based options for OMS clinical management.

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Jiang Lin, Chengshuo Wang, Xiangdong Wang, Faming Chen, Wei Zhang, Hongchen Sun, Fuhua Yan, Yaping Pan, Dongdong Zhu, Qintai Yang, Shaohua Ge, Yao Sun, Kuiji Wang, Yuan Zhang, Mu Xian, Ming Zheng, Anchun Mo, Xin Xu, Hanguo Wang, Xuedong Zhou, …Luo Zhang. Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment. International Journal of Oral Science, 2024, 16(0): 11 https://doi.org/10.1038/s41368-024-00278-z

References

1. Homsi M. T.& Gaffey, M. M. Sinus Endoscopic Surgery. in StatPearls (StatPearls Publishing Copyright © 2023, StatPearls Publishing LLC., Treasure Island (FL) ineligible companies. Disclosure: Megan Gaffey declares no relevant financial relationships with ineligible companies., 2023).
2. Craig, J. R.et al.Diagnosing odontogenic sinusitis: an international multidisciplinary consensus statement.Int. Forum Allergy Rhinol. 11, 1235-1248 (2021).
3. Craig, J. R.et al.Diagnosing odontogenic sinusitis of endodontic origin: a multidisciplinary literature review.Am. J. Otolaryngol. 42, 102925(2021).
4. Mehra P.& Jeong, D. Maxillary sinusitis of odontogenic origin.Curr. Allergy Asthma Rep. 9, 238-243 (2009).
5. Wuokko-Landen, A., Blomgren, K. & Valimaa, H. Acute rhinosinusitis - are we forgetting the possibility of a dental origin? A retrospective study of 385 patients.Acta Otolaryngol. 139, 783-787 (2019).
6. Albu S.& Baciut, M. Failures in endoscopic surgery of the maxillary sinus.Otolaryngol. Head. Neck Surg. 142, 196-201 (2010).
7. Turfe Z., Ahmad A., Peterson E. I.& Craig, J. R. Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification.Int. Forum Allergy Rhinol. 9, 1515-1520 (2019).
8. Troeltzsch, M.et al.Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: a review of 174 cases.J. Craniomaxillofac Surg. 43, 1522-1529 (2015).
9. Matsumoto Y., Ikeda T., Yokoi H.& Kohno, N. Association between odontogenic infections and unilateral sinus opacification.Auris Nasus Larynx 42, 288-293 (2015).
10. Martu C., Martu M. A., Maftei G. A., Diaconu-Popa, D. A. & Radulescu, L. Odontogenic sinusitis: from diagnosis to treatment possibilities-a narrative review of recent data.Diagnostics 12, 1600(2022).
11. Vitali, F. C.et al. Global prevalence of maxillary sinusitis of odontogenic origin and associated factors: a systematic review and meta-analysis. J. Endod. 49, 369-381.e311 (2023).
12. Craig J. R., Cheema A. J., Dunn R. T., Vemuri S.& Peterson, E. L. Extrasinus complications from odontogenic sinusitis: a systematic review.Otolaryngol. Head. Neck Surg. 166, 623-632 (2022).
13. Preda, M. A.et al.Oculo-orbital complications of odontogenic sinusitis.Rom. J. Ophthalmol. 67, 175-179 (2023).
14. Watanabe, S., Shibata, Y.& Ishikawa, E. Brain abscess due to dental sinusitis: a case report on incomplete infection defense associated with a post-fusion linear skull fracture.Cureus 15, e43941(2023).
15. Goyal V. K., Spillinger A., Peterson E. I.& Craig, J. R. Odontogenic sinusitis publication trends from 1990 to 2019: a systematic review.Eur. Arch. Otorhinolaryngol. 278, 3857-3865 (2021).
16. Pokorny A.& Tataryn, R. Clinical and radiologic findings in a case series of maxillary sinusitis of dental origin.Int. Forum Allergy Rhinol. 3, 973-979 (2013).
17. Goyal V. K., Ahmad A., Turfe Z., Peterson E. I.& Craig, J. R. Predicting odontogenic sinusitis in unilateral sinus disease: a prospective, multivariate analysis.Am. J. Rhinol. Allergy 35, 164-171 (2021).
18. Craig J. R.Odontogenic sinusitis: a state-of-the-art review.World J. Otorhinolaryngol. Head. Neck Surg. 8, 8-15 (2022).
19. Wang K. L., Nichols B. G., Poetker D. M.& Loehrl, T. A. Odontogenic sinusitis: a case series studying diagnosis and management.Int. Forum Allergy Rhinol. 5, 597-601 (2015).
20. Whyte A.& Boeddinghaus, R. The maxillary sinus: physiology, development and imaging anatomy.Dentomaxillofac Radio. 48, 20190205(2019).
21. Pagin O., Centurion B. S., Rubira-Bullen, I. R., & Alvares Capelozza, A. L. Maxillary sinus and posterior teeth: accessing close relationship by cone-beam computed tomographic scanning in a Brazilian population.J. Endod. 39, 748-751 (2013).
22. Psillas G., Papaioannou D., Petsali S., Dimas G. G.& Constantinidis, J. Odontogenic maxillary sinusitis: a comprehensive review.J. Dent. Sci. 16, 474-481 (2021).
23. Di Russo, P., Giammattei, L. & Froelich, S. Transnasal endoscopic skull base and brain surgery: surgical anatomy and its applications by Aldo C Stamm (2019) 690 pp., 704 illustrations hardback ISBN: 9781626237100 Thieme publishers New York/Stuttgart.Acta Neurochirurgica 162, 1241-1241 (2020).
24. Newsome H. A.& Poetker, D. M. Odontogenic sinusitis: current concepts in diagnosis and treatment.Immunol. Allergy Clin. North Am. 40, 361-369 (2020).
25. Ren S., Zhao H., Liu J., Wang Q.& Pan, Y. Significance of maxillary sinus mucosal thickening in patients with periodontal disease.Int. Dent. J. 65, 303-310 (2015).
26. Lathiya V. N., Kolte A. P., Kolte R. A.& Mody, D. R. Analysis of association between periodontal disease and thickness of maxillary sinus mucosa using cone beam computed tomography - A retrospective study.Saudi Dent. J. 31, 228-235 (2019).
27. Zhang, B.et al.Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study.J. Periodontol. 91, 1429-1435 (2020).
28. Brook I.Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin.Laryngoscope 115, 823-825 (2005).
29. Wagner Mackenzie, B. et al. Bacterial community collapse: a meta-analysis of the sinonasal microbiota in chronic rhinosinusitis.Environ. Microbiol 19, 381-392 (2017).
30. Wu, J.et al.Bacterial diversity and community characteristics of the sinus and dental regions in adults with odontogenic sinusitis.BMC Microbiol. 23, 201(2023).
31. Yassin-Kassab, A. et al. Comparison of bacterial maxillary sinus cultures between odontogenic sinusitis and chronic rhinosinusitis.Int. Forum Allergy Rhinol. 11, 40-47 (2021).
32. Tajima S., Nakamura M., Ito S., Matsumoto F.& Ikeda, K. Presence of anaerobic bacteria and symptoms supports diagnosis of odontogenic sinusitis.Am. J. Otolaryngol. 43, 103544(2022).
33. Lu, Y. T.et al.Microbiota dysbiosis in odontogenic rhinosinusitis and its association with anaerobic bacteria.Sci. Rep. 12, 21023(2022).
34. Haider A. A., Marino M. J., Yao W. C., Citardi M. J.& Luong, A. U. The Potential Of High-throughput DNA sequencing of the paranasal sinus microbiome in diagnosing odontogenic sinusitis.Otolaryngol. Head. Neck Surg. 161, 1043-1047 (2019).
35. Brook, I., Frazier, E. H.& Gher, M. E. Jr Microbiology of periapical abscesses and associated maxillary sinusitis.J. Periodontol. 67, 608-610 (1996).
36. Saibene, A. M.et al.Odontogenic and rhinogenic chronic sinusitis: a modern microbiological comparison.Int. Forum Allergy Rhinol. 6, 41-45 (2016).
37. Kondrashev, P. A., Lodochkina, O. E.& Opryshko, O. N. Microbiological spectrum of causative agents of rhinogenic and odontogenic chronic sinusitis and mucociliary activity of mucosal epithelium in the nasal cavity.Vestn. Otorinolaringol. 4, 45-47 (2010).
38. Puglisi, S.et al.Bacteriological findings and antimicrobial resistance in odontogenic and non-odontogenic chronic maxillary sinusitis.J. Med. Microbiol. 60, 1353-1359 (2011).
39. Taschieri, S.et al.Pathophysiology of sinusitis of odontogenic origin.J. Investig. Clin. Dent. 8, e12202(2017).
40. Brook I.The role of anaerobic bacteria in sinusitis.Anaerobe 12, 5-12 (2006).
41. Smith K. A., Pulsipher A., Gabrielsen D. A.& Alt, J. A. Biologics in chronic rhinosinusitis: an update and thoughts for future directions.Am. J. Rhinol. Allergy 32, 412-423 (2018).
42. Gong, X.et al.The interplay of inflammation and remodeling in the pathogenesis of chronic rhinosinusitis: current understanding and future directions.Front. Immunol. 14, 1238673(2023).
43. Zhang Y., Lan F., Li Y., Wang C.& Zhang, L. Formation of papillary mucosa folds and enhancement of epithelial barrier in odontogenic sinusitis.Int. Forum Allergy Rhinol. 9, 1281-1288 (2019).
44. Craig, J. R.et al.Inflammatory endotype of odontogenic sinusitis.Int. Forum Allergy Rhinol. 13, 998-1006 (2023).
45. Kwiatkowska M. A., Szczygielski K., Chloupek A., Szczupak P.& Jurkiewicz, D. Clinical characteristics of odontogenic sinusitis with periapical lesions.Am. J. Otolaryngol. 43, 103338(2022).
46. Maina, I. W., Patel, N. N.& Cohen, N. A. Understanding the role of biofilms and superantigens in chronic rhinosinusitis.Curr. Otorhinolaryngol. Rep. 6, 253-262 (2018).
47. Raman, A.et al.Histopathologic features of chronic sinusitis precipitated by odontogenic infection.Am. J. Rhinol. Allergy 33, 113-120 (2019).
48. Sato, K.et al.Histopathology of maxillary sinus mucosa with odontogenic maxillary sinusitis.Laryngoscope Investig. Otolaryngol. 5, 205-209 (2020).
49. Nair P. N.& Schmid-Meier, E. An apical granuloma with epithelial integument.Oral. Surg. Oral. Med Oral. Pathol. 62, 698-703 (1986).
50. Simon J. H.Incidence of periapical cysts in relation to the root canal.J. Endod. 6, 845-848 (1980).
51. Seltzer, S., Soltanoff, W.& Bender, I. B. Epithelial proliferation in periapical lesions.Oral. Surg. Oral. Med Oral. Pathol. 27, 111-121 (1969).
52. Fokkens, W. J.et al.European position paper on rhinosinusitis and nasal polyps 2020.Rhinology 58, 1-464 (2020).
53. Workman, A. D., Granquist, E. J.& Adappa, N. D. Odontogenic sinusitis: developments in diagnosis, microbiology, and treatment.Curr. Opin. Otolaryngol. Head. Neck Surg. 26, 27-33 (2018).
54. Simuntis, R.et al.Comparison of Sino-Nasal Outcome Test 22 symptom scores in rhinogenic and odontogenic sinusitis.Am. J. Rhinol. Allergy 33, 44-50 (2019).
55. Wu J., Zheng M., Wang X.& Wang, S. Endo-periodontal lesions—an overlooked etiology of odontogenic sinusitis.J. Clin. Med. 12, 6888(2023).
56. Aksoy U.& Orhan, K. Association between odontogenic conditions and maxillary sinus mucosal thickening: a retrospective CBCT study.Clin. Oral. Investig. 23, 123-131 (2019).
57. Mark I. T.& Glastonbury, C. M. Role of computed tomography and magnetic resonance imaging in the evaluation of headache due to paranasal sinus and teeth disorder.Neurol. Clin. 40, 631-639 (2022).
58. Allevi, F.et al.Diagnostic criteria for odontogenic sinusitis: a systematic review.Am. J. Rhinol. Allergy 35, 713-721 (2021).
59. Lu, Y.et al.Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study.J. Endod. 38, 1069-1074 (2012).
60. Maillet M., Bowles W. R., McClanahan, S. L., John, M. T. & Ahmad, M. Cone-beam computed tomography evaluation of maxillary sinusitis.J. Endod. 37, 753-757 (2011).
61. Rodriguez P. A.,Chaintiou Piorno, R. & Consoli Lizzi, E. P. Resolution of odontogenic sinus pathosis by endodontic microsurgery.J. Med Cases 13, 456-461 (2022).
62. Ly D.& Hellgren, J. Is dental evaluation considered in unilateral maxillary sinusitis? A retrospective case series.Acta Odontol. Scand. 76, 600-604 (2018).
63. Yoshida, H.et al.Relationship between infected tooth extraction and improvement of odontogenic maxillary sinusitis.Laryngoscope Investig. Otolaryngol. 7, 335-341 (2022).
64. Zirk, M.et al.Odontogenic sinusitis maxillaris: a retrospective study of 121 cases with surgical intervention.J. Craniomaxillofac Surg. 45, 520-525 (2017).
65. Terlemez A., Tassoker M., Kizilcakaya M.& Gulec, M. Comparison of cone-beam computed tomography and panoramic radiography in the evaluation of maxillary sinus pathology related to maxillary posterior teeth: do apical lesions increase the risk of maxillary sinus pathology?Imaging Sci. Dent. 49, 115-122 (2019).
66. Vijayakumar, S., Balakrishnan, S. S.& Pulimi, R. Are we missing something in the CT-PNS Report? - an observational study on the rate of reporting the presence of dental disease and the probable etiology of sinusitis on CT Scans.J. Belg. Soc. Radio. 106, 109(2022).
67. Zhang, J.et al.Diagnosis of odontogenic maxillary sinusitis by cone-beam computed tomography: a critical review.J. Endod. 49, 1445-1456 (2023).
68. Costa A. L.F. et al. Cone-beam computed tomography texture analysis can help differentiate odontogenic and non-odontogenic maxillary sinusitis.Imaging Sci. Dent. 53, 43-51 (2023).
69. Vidal F., Coutinho T. M., Carvalho Ferreira, D., Souza, R. C. & Goncalves, L. S. Odontogenic sinusitis: a comprehensive review.Acta Odontol. Scand. 75, 623-633 (2017).
70. Craig, J. R.et al.Management of odontogenic sinusitis: multidisciplinary consensus statement.Int. Forum Allergy Rhinol. 10, 901-912 (2020).
71. Craig J. R.,McHugh, C. I., Griggs, Z. H. & Peterson, E. I. Optimal timing of endoscopic sinus surgery for odontogenic sinusitis.Laryngoscope 129, 1976-1983 (2019).
72. Sato, K.et al.Pathophysiology of current odontogenic maxillary sinusitis and endoscopic sinus surgery preceding dental treatment.Auris Nasus Larynx 48, 104-109 (2021).
73. Kwiatkowska M. A., Szczygielski K., Brociek-Pilczynska, A., Chloupek, A. & Jurkiewicz, D. The influence of endodontic lesions on the clinical evolution of odontogenic sinusitis-a cohort study.J. Clin. Med. 12, 1103(2023).
74. Simuntis, R.et al.Chronic odontogenic rhinosinusitis: optimization of surgical treatment indications.Am. J. Rhinol. Allergy 34, 767-774 (2020).
75. Tsuchiya, E.et al.Evaluating tooth extraction as a stand-alone treatment for odontogenic sinusitis.Acta Otolaryngol. 143, 495-498 (2023).
76. Aukstakalnis, R., Simonaviciute, R.& Simuntis, R. Treatment options for odontogenic maxillary sinusitis: a review.Stomatologija 20, 22-26 (2018).
77. Mattos, J. L., Ferguson, B. J.& Lee, S. Predictive factors in patients undergoing endoscopic sinus surgery for odontogenic sinusitis.Int. Forum Allergy Rhinol. 6, 697-700 (2016).
78. Longhini A. B.& Ferguson, B. J. Clinical aspects of odontogenic maxillary sinusitis: a case series.Int. Forum Allergy Rhinol. 1, 409-415 (2011).
79. Yoo, B. J.et al.Treatment strategy for odontogenic sinusitis.Am. J. Rhinol. Allergy 35, 206-212 (2021).
80. Yassin-Kassab, A., Peterson, E. L. & Craig, J. R. Total times to treatment completion and clinical outcomes in odontogenic sinusitis.Am. J. Otolaryngol. 44, 103921(2023).
81. Lee K. C.& Lee, S. J. Clinical features and treatments of odontogenic sinusitis.Yonsei Med. J. 51, 932-937 (2010).
82. Felisati, G.et al.Sinonasal complications resulting from dental treatment: outcome-oriented proposal of classification and surgical protocol.Am. J. Rhinol. Allergy 27, e101-e106 (2013).
83. Saibene, A. M.et al.Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol.Eur. Arch. Otorhinolaryngol. 276, 401-406 (2019).
84. Vrushali N. L., Abhay P. K., Rajashri A. K.& Dhawal, R. M. Effect of periodontal therapy. on maxillary sinus mucous membrane thickening in chronic periodontitis: a split-mouth study.J. Dent. Res Dent. Clin. Dent. Prospects 12, 166-173 (2018).
85. Nurbakhsh B., Friedman S., Kulkarni G. V., Basrani B.& Lam, E. Resolution of maxillary sinus mucositis after endodontic treatment of maxillary teeth with apical periodontitis: a cone-beam computed tomography pilot study.J. Endod. 37, 1504-1511 (2011).
86. Longhini, A. B., Branstetter, B. F.& Ferguson, B. J. Unrecognized odontogenic maxillary sinusitis: a cause of endoscopic sinus surgery failure.Am. J. Rhinol. Allergy 24, 296-300 (2010).
87. Sakkas, A.et al.Factors influencing recurrence after surgical treatment of odontogenic maxillary sinusitis: an analysis from the oral and maxillofacial surgery point of view.J. Clin. Med. 12, 3670(2023).
88. Suzuki, S.et al.Complication rates after functional endoscopic sinus surgery: analysis of 50,734 Japanese patients.Laryngoscope 125, 1785-1791 (2015).
89. Halderman, A. A., Sindwani, R.& Woodard, T. D. Hemorrhagic complications of endoscopic sinus surgery.Otolaryngol. Clin. North Am. 48, 783-793 (2015).
90. Yang, W.et al.The 15 degrees reverse Trendelenburg position can improve visualization without impacting cerebral oxygenation in endoscopic sinus surgery-A prospective, randomized study.Int. Forum Allergy Rhinol. 11, 993-1000 (2021).
91. Higgins, T. S.et al.Systematic review of topical vasoconstrictors in endoscopic sinus surgery.Laryngoscope 121, 422-432 (2011).
92. Wormald P. J., van Renen, G., Perks, J., Jones, J. A. & Langton-Hewer, C. D. The effect of the total intravenous anesthesia compared with inhalational anesthesia on the surgical field during endoscopic sinus surgery.Am. J. Rhinol. 19, 514-520 (2005).
93. Cohen, N. A., Antunes, M. B.& Morgenstern, K. E. Prevention and management of lacrimal duct injury.Otolaryngol. Clin. North Am. 43, 781-788 (2010).
94. Asmael H. M.The modified caldwell-luc approach in retrieval of accidentally displaced root into the maxillary sinus.J. Craniofac Surg. 29, e130-e131 (2018).
95. Wang, X.et al.Removal of the residual roots displaced into the maxillary sinus via endoscopy.J. Craniofac Surg. 29, 1034-1036 (2018).
96. Gao Q. M., Yang C., Zheng L. Y.& Hu, Y. K. Removal of long-term broken roots displaced into the maxillary sinus by endoscopic assistant.J. Craniofac Surg. 27, e77-e80 (2016).
97. Bailey, E.et al.Surgical techniques for the removal of mandibular wisdom teeth.Cochrane Database Syst. Rev. 7, CD004345 (2020).
98. Inokoshi M., Kubota K., Yamaga E., Ueda K.& Minakuchi, S. Postoperative bleeding after dental extraction among elderly patients under anticoagulant therapy.Clin. Oral. Investig. 25, 2363-2371 (2021).
99. Kumbargere Nagraj, S. et al. Interventions for treating post-extraction bleeding.Cochrane Database Syst. Rev. 3, CD011930 (2018).
100. Daly B. J., Sharif M. O., Jones K., Worthington H. V.& Beattie, A. Local interventions for the management of alveolar osteitis (dry socket).Cochrane Database Syst. Rev. 9, CD006968 (2022).
101. Kirkevang L. L.,El Karim, I. A., Duncan, H. F., Nagendrababu, V. & Kruse, C. Outcomes reporting in systematic reviews on non-surgical root canal treatment: a scoping review for the development of a core outcome set.Int. Endod. J. 55, 1128-1164 (2022).
102. Terauchi, Y., Ali, W. T.& Abielhassan, M. M. Present status and future directions: removal of fractured instruments.Int. Endod. J. 55, 685-709 (2022).
103. Remschmidt, B.et al.Augmented reality-guided apicoectomy based on maxillofacial CBCT Scans.Diagnostics 13, 3037(2023).
104. Jepsen, K., Sculean, A.& Jepsen, S. Complications and treatment errors related to regenerative periodontal surgery.Periodontol 92, 120-134 (2023).