Abstract
In recent years, against the backdrop of actively developing technologies in therapeutic and surgical stomatology, as well as endoscopic technologies in ENT practice, there has been an increase in the number of patients with various, including previously unobserved forms of odontogenic sinusitis (OS). Аccording to various data, from 5 to 30% of all cases of chronic rhinosinusitis are some odontogenic forms. Their specific gravity in the structure of the pathology of ENT hospitals is also growing. Accordingly, the number of surgical interventions is also increasing, which, in turn, necessitates a unification of indications for surgical interventions for some form of odontogenic sinusitis and, especially, in preparation for dental implantation. In the latter case, situations are not uncommon when the patient is referred to the maxillary sinus surgery proactively, “just in case”, which is unacceptable. This leads to the appearance of neglected, chronic forms, what is called "difficult-to-treat rhinosinusitis." The odontogenic (phlogogenic) reasons may include: foreign bodies of the sinus, complicated periodontitis, the consequences of sinus lifting, implantation, etc. It is necessary to study and specify the leading ones in each patient, which is important for building a competent medical strategy. Not all issues of diagnosis and treatment of odontogenic sinusitis, preparation for dental implantation are regulated by legal documents (standards, clinical guidelines). In the most difficult situations, collegial decision-making with the participation of all interested specialists is necessary. The number of diagnostic errors is increasing, especially in preparation for dental implantation and differential diagnosis of odontogenic and rhinogenic forms of sinusitis. At the same time, the bulk of such errors are allowed when interpreting data from radiation studies, or when prescribing radiation studies in the wrong format (MRI, radiography). All this determines the relevance of this study
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