Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2025; 13(5): 95130
Published online Feb 16, 2025. doi: 10.12998/wjcc.v13.i5.95130
Root canal therapy combined with endoscopic sinus surgery for odontogenic sinusitis: Efficacy comparison in a cohort study
Jun-Wen Xiao, Ping Yu, Zhang Zhao
Jun-Wen Xiao, Department of Stomatology, Wuhan No. 9 Hospital, Wuhan 430081, Hubei Province, China
Ping Yu, Department of Otorhinolaryngology, People's Hospital of Xishui County, Huanggang 438200, Hubei Province, China
Zhang Zhao, Department of Otorhinolaryngology, Hubei No. 3 People’s Hospital of Jianghan University, Wuhan 430033, Hubei Province, China
Author contributions: Xiao JW and Yu P completed the conceptualisation and first draft writing of the manuscript; Zhao Z analysed the data and drew the images; all authors reviewed the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Wuhan No. 9 Hospital.
Informed consent statement: The study was conducted using patient data that did not involve any personal or private information. All data were exclusively utilized for the purposes of this research and managed to ensure no harm to the participants. The ethics committee of Wuhan No. 9 Hospital granted a waiver for informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data can be obtained by contacting the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhang Zhao, BMed, Attending Doctor, Department of Otorhinolaryngology, Hubei No. 3 People’s Hospital of Jianghan University, No. 26 Zhongshan Road, Qiaokou District, Wuhan 430033, Hubei Province, China. zhang1413190313@163.com
Received: April 8, 2024
Revised: May 25, 2024
Accepted: June 12, 2024
Published online: February 16, 2025
Processing time: 224 Days and 17.1 Hours
Core Tip

Core Tip: Combining root canal therapy with nasal endoscopic surgery significantly improves treatment outcomes for severe odontogenic maxillary sinusitis caused by periapical periodontitis, compared to root canal therapy alone. This combination approach not only enhances the total effective rate but also reduces the scores of Lund-Kennedy and Lund-Mackay, indicating a reduction in maxillary sinus mucosa and bone injury. Moreover, it significantly lowers the incidence of complications and recurrence rates, while increasing patient satisfaction. These findings support the broader clinical adoption of this combined treatment strategy.