Toader Miorița 1, Oprea Alina 1, Drăghici M. 2
1 Emergency Clinical Hospital for Children Grigore Alexandrescu, Bucharest
2 Dentirad Hospital, Ploiești
Abstract
Odontogenic sinusitis is a rare adult clinical pathology and only a few cases have been described in the pediatric population. Usually, it involves the maxillary sinuses and are secondary to dental abcesses produced by polymicrobial aerobic-anaerobic microorganisms. Complications are a result of the infectious spread to the orbit (mainly cellulitis) and the central nervous system (meningitis, abscess). Management imposes a multidisciplinary team with both medical and surgical therapy. We report the management of a unilateral pansinusitis secondary to a dental abcess in a 12-year-old female patient. Under extensive wide-spectrum antibiotherapy and odontogenic therapy she exhibited a favorable therapeutic outcome with no complications, neither orbital, nor intracranial.