INNOVATIVE DIRECTIONS FOR DIAGNOSIS AND TREATMENT OF ODONTOGENOUS SYNDROME.

Odontogenic maxillary sinusitis is an infectious-inflammatory disease of the maxillary sinus originating from dental pathology and is most commonly characterized by a unilateral clinical presentation. This analytical article systematizes current knowledge on the etiology, pathogenesis, and clinical manifestations of odontogenic sinusitis, and reviews modern diagnostic approaches, including cone-beam computed tomography (CBCT), endoscopic examination, radiomics, and artificial intelligence–based imaging analysis. In addition, innovative treatment strategies such as single-stage combined surgery (functional endoscopic sinus surgery — FESS combined with dental sanitation), 3D surgical navigation, and molecular microbiological methods are discussed. Based on the analysis of recent scientific literature, diagnostic criteria for differentiating odontogenic sinusitis from non-odontogenic rhinosinusitis are proposed, along with a multidisciplinary management algorithm. Contemporary consensus guidelines recognize odontogenic maxillary sinusitis as a distinct clinical entity and emphasize the essential collaboration between dental surgeons and otorhinolaryngologists during diagnostic and therapeutic stages.

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