Defining appropriateness criteria for endoscopic sinus surgery in the management of adult dental implant patients with incidental maxillary sinus findings on conebeam computed tomography.

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
Nikul AminClaire Hopkins

Abstract

Conebeam computed tomography (CBCT) imaging is commonly requested by dental implant surgeons, preoperatively, for patients being considered for dental implants. Incidental maxillary sinus findings often result in otolaryngology (ENT) referral for further assessment. CBCT findings include transient and benign mucosal changes that may not require any intervention and therefore unnecessarily delay implant surgery. We aim to define appropriateness criteria for ESS in the management of adult dental implant patients with incidental maxillary sinus findings on CBCT and provide guidance to both dental implant and ENT surgeons. The RAND/UCLA appropriateness methodology was used to develop and define the appropriateness criteria. A virtual panel of 13 international experts in ESS. The expert panel completed two rounds of a modified Delphi ranking process for nine clinical scenarios, considering various factors affecting decision-making processes. To define appropriateness criteria for ESS in adult dental implant patients who have incidental maxillary sinus findings on CBCT. Patients with clinical symptoms and endoscopic findings of chronic rhinosinusitis together with an obstructed ostiomeatal complex (OMC) and concentric mucosal thicken...Continue Reading

References

Oct 29, 2013·National Journal of Maxillofacial Surgery·Jyoti Gupta, Syed Parveez Ali
Jan 20, 2017·International Journal of Implant Dentistry·Bartosz MaskaYvonne Kapila
May 4, 2018·Laryngoscope Investigative Otolaryngology·Ryan E LittleDavid M Poetker
Feb 20, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jong Seung KimBaek Hwa Han
Apr 17, 2019·Maxillofacial Plastic and Reconstructive Surgery·Soung Min Kim
May 7, 2019·Journal of International Society of Preventive & Community Dentistry·Atul Anand BajoriaPallawi Sinha
Sep 22, 2019·The Annals of Otology, Rhinology, and Laryngology·Sung Hee KimYong Ju Jang
Oct 22, 2019·The Annals of Otology, Rhinology, and Laryngology·Amit RitterEthan Soudry

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Citations

Apr 6, 2021·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Claire HopkinsValerie Lund
Aug 1, 2021·Acta otorrinolaringológica española·Ramón Moreno-LunaIsam Alobid

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