Prospective Study on the Efficacy of Exclusive Odontological and Medical Treatment in Chronic Dental Maxillary Sinusitis

  • STATUS
    Recruiting
  • End date
    Jun 15, 2022
  • participants needed
    100
  • sponsor
    Centre Hospitalier Intercommunal Creteil
Updated on 15 February 2021

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

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 Crteil 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.

Details
Condition Chronic Maxillary Sinusitis
Treatment Dental and medical treatment
Clinical Study IdentifierNCT04085536
SponsorCentre Hospitalier Intercommunal Creteil
Last Modified on15 February 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Age 18 years old
Signed Informed Consent
Patient with chronic maxillary sinusitis diagnosed by examination of the patient and ENT examination by naso-fibroscopy
Sinus imaging to confirm the diagnosis (facial mass scanner or cone beam CT)
Affiliated or beneficiary of a social security scheme

Exclusion Criteria

Fungal bullet sinusitis
Naso-sinus polyposis
atelectasic sinusitis
Systemic damage that may affect the maxillary sinuses (muciviscidosis, primary ciliary dyskinesia, vasculitis, granulomatosis, history of radiotherapy of the facial mass, pregnancy)
Long-term immunosuppressive treatment (chemo, anti-rejection)
Rhinosinusian tumor process
Fronto-ethmoidomaxillary sinusitis with risk of orbital or meningeal damage in the short to medium term
Refusal of consent
Simultaneous participation in another intervention research
Patient under guardianship, curatorship or justice protection
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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