Chronic maxillary sinusitis. Differential diagnosis and genesis.
By a careful ENT and oral examination of 111 patients with suspected chronic maxillary sinusitis, the diagnosis was verified in  only 56% (62/111). In 29 of these 62 patients (47%) a relation to dental infections was found, periodontitis being as frequent as apical granulomas. In 61% of the patients, in whom the diagnosis chronic maxillary sinusitis could not be verified, dental infections and/or myofascial pain dysfunction syndrome (MPD) were the most common and likely cause of the symptoms. A careful oral examination including dental radiographs is thus important in patients with chronic maxillary sinusitis.
D000328:Adult; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging*; D010510:Periodontal Diseases / Q000150:complications / Q000000981:diagnostic imaging; D011859:Radiography; D012852:Sinusitis / Q000000981:diagnostic imaging* / Q000209:etiology; D014076:Tooth Diseases / Q000150:complications / Q000000981:diagnostic imaging