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Influence of the sequence of dental treatment and nasal ESS surgery on the prognosis of patients with odontogenic sinusitis

Influence of the sequence of dental treatment and nasal ESS surgery on the prognosis of patients with odontogenic sinusitis

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500114173
Enrollment
Unknown
Registered
2025-12-08
Start date
2025-10-01
Completion date
Unknown
Last updated
2025-12-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Odontogenic Sinusitis (OS)

Interventions

Group A:Oral treatment first, then ESS operation.
Group B:ESS treatment first, then stomatology treatment.
Group C:Simultaneous stomatological treatment and ESS operation.

Sponsors

The Third Affiliated Hospital Sun Yat-sen University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 100 Years

Inclusion criteria

Inclusion criteria: 1. All patients need to be diagnosed with odontogenic sinusitis (OS), and those who need to be intervened by stomatologists and rhinologists. 2. Patients with odontogenic sinusitis showed that the ostiomeatal complex of the affected sinus was occluded by CT, but it was ineffective after two months of conservative treatment (such as antibiotics and glucocorticoids) (symptoms did not improve well, purulent secretions were seen under nasal endoscope, and CT showed maxillary sinusitis, etc.). 3. There are definite pulp or periapical lesions, and conservative treatment is ineffective, so root canal therapy or tooth extraction is needed. 4. Age >=18 years old.

Exclusion criteria

Exclusion criteria: 1. Patients who get better after dental treatment and don't need ESS operation; 2. Patients who got better after ESS operation and did not need dental treatment; 3. Patients with tumor; 4. those with missing medical records; 5. Patients with serious cardiovascular and cerebrovascular diseases who cannot tolerate general anesthesia.

Design outcomes

Primary

MeasureTime frame
Lund-Kennedy score;Quality of life: ENS-6Q;SNOT-22 score;Sinusitis regression time (complete epithelization time of nasal mucosa after operation);

Secondary

MeasureTime frame
time for dental infection to subside;Lund-Mackay score;Recurrence frequency;Blood examination (neutrophil, eosinophil percentage);

Countries

China

Contacts

Public ContactShuo Wu

The Third Affiliated Hospital Sun Yat-sen University

wush68@sysu.edu.cn+86 20 8525 2239

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026