Chronic Maxillary Sinusitis
Conditions
Brief summary
The study will be offered to patients for whom chronic maxillary sinusitis will be diagnosed in the first ENT (ear, nose and throat) consultation. These patients will then be seen in a stomatology consultation to determine whether or not a dental cause is objective
Detailed description
Chronic maxillary sinusitis is an inflammatory condition and/or infectious diseases of the maxillary sinus, which last longer than 12 weeks. Those whose the origin is dental, are well described, and yet under-diagnosed most of the time due to a lack of well-defined diagnostic criteria and literature. There is controversy in the various studies about their prevalence. Their management and in particular the therapeutic sequence, is not the subject of any recommendation and involves only a few clinical studies. Their consequences on the patient's general health and quality of life are important. The lack of knowledge about them often leads to diagnostic errors and therefore to a persistence of symptomatology. Moreover, their complications when they are not or incorrectly treated, although rare, can be dramatic (occulo-orbital or endo-cranial complications for example). Preliminary work in the form of a retrospective study was carried out within of the Centre Hospitalier intercommunal de Créteil in 2015. In view of the results the investigators wanted to set up a clinical trial with the following objectives measure the prevalence of chronic maxillary sinusitis of dental origin and measure the effectiveness of exclusive dental and medical treatment, which could avoid surgical intervention under general anaesthesia, at the higher morbidity.
Interventions
PROCEDUREDental and medical treatment
If the dental cause of sinusitis is objective, if necessary, dental treatment combined with medical treatment will be carried out.
Sponsors
Centre Hospitalier Intercommunal Creteil
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age ≥ 18 years old 2. Signed Informed Consent 3. Patient with chronic maxillary sinusitis diagnosed by examination of the patient and ENT examination by naso-fibroscopy 4. Sinus imaging to confirm the diagnosis (facial mass scanner or cone beam CT) 5. Affiliated or beneficiary of a social security scheme
Exclusion criteria
1. Fungal bullet sinusitis 2. Naso-sinus polyposis 3. atelectasic sinusitis 4. Systemic damage that may affect the maxillary sinuses (muciviscidosis, primary ciliary dyskinesia, vasculitis, granulomatosis, history of radiotherapy of the facial mass, pregnancy) 5. Long-term immunosuppressive treatment (chemo, anti-rejection) 6. Rhinosinusian tumor process 7. Fronto-ethmoidomaxillary sinusitis with risk of orbital or meningeal damage in the short to medium term. 8. Refusal of consent 9. Simultaneous participation in another intervention research 10. Patient under guardianship, curatorship or justice protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of therapeutic successes | 3 months after the end of dental care | Disappearance of symptoms and absence of pus from the meatus observed at the 2nd consultation visit ENT control |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of dental origin | 3 months after the end of dental care | Patients whose dental origin has been identified |
| Percentage of patients with preserved teeth | 3 months after the end of dental care | Percentage of patients who received conservative treatment of the tooth versus non-conservative dental treatment |
| Percentage of each type of dental disease causing chronic maxillary sinusitis | 3 months after the end of dental care | Measure the prevalence of the different dental diseases that cause sinusitis |
Countries
France
Outcome results
None listed