title: Dental and allergic aspects of sinusitis and nasal polyposis: a review.
abstract: The proximity of the maxillary sinus floor to the first, second, and third molar teeth predisposes it to contiguous dental disease. Infections of dental origin are usually mixed bacterial growth with anaerobic species predominating; extended-spectrum penicillins or cephalosporins are recommended. The patient with atopic allergy is susceptible to bacterial infection; combined therapy with antimicrobials, corticosteroids, and antihistamines is advised. The large solitary antrochoanal polyp is successfully managed with maxillary sinus surgery alone. Multiple ethmoidal polyps in children suggest cystic fibrosis, and in adults, the asthma triad syndrome. Thorough surgical management of the sinuses combined with antimicrobial and topical corticosteroid therapy is recommended.
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001241:Aspirin / Q000009:adverse effects; D001249:Asthma / Q000150:complications; D003550:Cystic Fibrosis / Q000150:complications*; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006801:Humans; D006967:Hypersensitivity / Q000150:complications* / Q000188:drug therapy; D009298:Nasal Polyps / Q000150:complications* / Q000601:surgery; D012852:Sinusitis / Q000150:complications*; D014076:Tooth Diseases / Q000150:complications*
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D006634:Histamine H1 Antagonists; D001241:Aspirin