Dataset Information

Effects of Dental Factors on Fungal Sinusitis.

ABSTRACT:

Objectives

This study aimed to investigate the associations between dental treatments and fungal maxillary sinusitis (FMS).

Methods

We retrospectively reviewed medical charts between July 2014 and March 2019. In total, 100 cases of FMS were included in this study. We also recruited 200 patients as a control group in the same period. Therefore, each of the FMS, chronic rhinosinusitis (CRS), and normal sinus groups consisted of 100 patients. We recorded all endodontic treatments (EDTs), tooth extractions, dental implantations, and apical lesions (ALs).

Results

The FMS group had higher incidences of tooth extraction (49% vs. 11%, respectively) and EDT (29% vs. 16%, respectively) compared to the normal sinus group and fewer ALs compared to the CRS group (6% vs. 24%, respectively). There were significant differences between the CRS and normal sinus groups in the extraction rate (53% vs. 11%, respectively) and frequency of ALs (24% vs. 4%, respectively). The dental implantation prevalence rates were similar across all 3 groups.

Conclusion

The rates of tooth extraction were significantly higher in the FMS and CRS groups compared to the normal sinus group. In addition, of the 3 conditions, FMS was related to EDT, and CRS was related to ALs.

SUBMITTER: Basurrah M

PROVIDER: S-EPMC9533448 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Publications

Effects of Dental Factors on Fungal Sinusitis.

Basurrah Mohammed M Kim Do Hyun DH Lee Il Hwan IH Kim Sung Won SW Kim Soo Whan SW

ORL; journal for oto-rhino-laryngology and its related specialties 20211006 4

<h4>Objectives</h4>This study aimed to investigate the associations between dental treatments and fungal maxillary sinusitis (FMS).<h4>Methods</h4>We retrospectively reviewed medical charts between July 2014 and March 2019. In total, 100 cases of FMS were included in this study. We also recruited 200 patients as a control group in the same period. Therefore, each of the FMS, chronic rhinosinusitis (CRS), and normal sinus groups consisted of 100 patients. We recorded all endodontic treatments (ED ...[more]

PMID: 34614490

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Project description:ImportanceDespite the aggressive progression of fulminant acute invasive fungal sinusitis (AIFS), data on prognostic factors have been disparate, hindering the development of a staging system. A composite staging system may improve prognostication for patient counseling and conduct of clinical research.ObjectiveTo identify prognostically important factors in AIFS and to incorporate the factors into a comprehensive Functional Severity Staging System and Clinical Severity Staging System.Design, setting, and participantsThis retrospective cohort study included adult patients diagnosed with pathology-proven AIFS from June 1, 1992, to December 31, 2022, at Washington University Medical Center and Barnes-Jewish Hospital, a tertiary care center in St Louis, Missouri. Data were analyzed from April to July 2023.Main outcome and measuresSequential sequestration and conjunctive consolidation was used to develop a composite staging system to predict 6-month overall survival.ResultsOf 71 patients with pathology-proven AIFS over the 30-year period, the median (range) age of the cohort was 56 (19-63) years, and there were 47 (66%) male patients. The median (range) follow-up time was 2 (0-251) months. There were 28 patients alive within 6 months, for a 39% survival rate. Symptoms, comorbidity burden, and presence and duration of severe neutropenia were associated with 6-month survival and were consolidated into a 3-category Clinical Severity Staging System with 6-month survival of 75% for stage A (n = 16), 41% for stage B (n = 27), and 18% for stage C (n = 28). The discriminative power of the composite staging system was moderate (C statistic, 0.63).Conclusion and relevanceThis cohort study supports the clinical importance of symptomatology, comorbidity burden, and prolonged severe neutropenia at the time of AIFS presentation. The composite clinical staging system may be useful for clinicians when counseling patients with AIFS and conducting clinical research.

Dataset Information

Effects of Dental Factors on Fungal Sinusitis.

Objectives

Methods

Results

Conclusion

Publications

Effects of Dental Factors on Fungal Sinusitis.

Similar Datasets

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