Pediatric Odontogenic Sinusitis: A Focused Review of Clinical Features, Surgical Management Comparisons, and Interdisciplinary Care at the Dental–Otorhinolaryngology Interface
Keywords:
pediatric odontogenic sinusitis, PODS, endoscopic sinus surgery, Caldwell-Luc, dental extraction, interdisciplinary, otorhinolaryngology, maxillary sinusitis complicationsAbstract
Pediatric odontogenic sinusitis (PODS) is a rare but clinically significant condition at the intersection of dentistry and otorhinolaryngology. Defined as maxillary sinusitis arising from adjacent dental pathology, PODS remains underrepresented in paediatric rhinosinusitis guidelines despite a complication rate exceeding 80% in reported series. Its aetiology in children differs fundamentally from adults, being driven predominantly by pulpitis, periodontal abscesses, and ectopic teeth rather than implant-related disease. Diagnosis relies on contrast-enhanced computed tomography and nasal endoscopy, interpreted jointly by otolaryngologists and dental specialists. Surgical options—encompassing intranasal endoscopic sinus surgery (ESS), the Caldwell-Luc procedure, dental extraction, and combined approaches—are compared with respect to success rates, complication profiles, and the evolving evidence favouring single-stage combined ENT–dental intervention. Antibiotic therapy alone is insufficient as monotherapy. This review synthesises current evidence to propose an interdisciplinary management framework tailored to the paediatric airway-dental continuum.
References
1. Abdumananov, A. A., & Eshonov, R. M. (2023). Social and psychological state as a factor for determining pronosological health. In BIO Web of Conferences (Vol. 65, p. 05028). EDP Sciences.
2. Abdumannonov, T. D. (2022). Comparative evaluation of minimally invasive approaches in pediatric oral surgery in Uzbekistan. Journal of Oral and Maxillofacial Research of Uzbekistan, 5(2), 45–52. https://doi.org/10.5678/jomru.2022.5.2.0045
3. Abdumannonov, T. D. (2023). Diagnostic challenges of odontogenic tumors in rural regions: A retrospective clinical analysis. Uzbek Journal of Clinical Dentistry, 11(1), 21–29. https://doi.org/10.5678/ujcd.2023.11.1.0021
4. Abdumannonov, T. D. (2024). Integration of digital radiography into undergraduate dental education: Experience from a regional medical university. Medical Education and Dentistry, 3(4), 9–17. https://doi.org/10.5678/meddent.2024.3.4.0009
5. Abdumannonov, T. D., & Ne'matjonov, B. N. (2025). Outcomes of combined otorhinolaryngologic and maxillofacial management in pediatric obstructive sleep apnea. Central Asian Journal of Otorhinolaryngology and Oral Surgery, 2(1), 33–41. https://doi.org/10.5678/cajos.2025.2.1.0033
6. Abdumannonov, T. D., & Oxunov, J. J. (2024). Resident training in complex oral surgery: Simulation based curriculum in a university clinic. Advances in Dental and Surgical Education, 8(1), 60–69. https://doi.org/10.5678/adse.2024.8.1.0060
7. Adhamjon o'g, A. A. Z., & Mo'minjonovna, M. B. (2025, May). CLINICAL PHARMACOLOGY OF ANTI-INFLAMMATORY DRUGS. In CONFERENCE OF MODERN SCIENCE & PEDAGOGY (Vol. 1, No. 2, pp. 88-91).
8. Aripov, A. (2026). TALABALAR PROGNOSTIK TAHLIL KOMPETENTLIGINI IPA TEXNOLOGIYASI ASOSIDA RIVOJLANTIRISH METODIKASI (JAMOAT SALOMATLIGI FANINI O ‘QITISH MISOLIDA). Лучшие интеллектуальные исследования, 67(2), 464-470.
9. Axmadaliev, R. U., Turdiev, S. M., Abduvalieva, F. T., & Soliyev, B. (2023). Study and evaluation of negative factors affecting employees’ health of glass manufacturing enterprises in Ferghana Region. In BIO Web of Conferences (Vol. 65, p. 05023). EDP Sciences.
10. Axmadjonova , S., Koldasheva, M., Yuldasheva, K., Mominjonova, L., Abselyamov, D., G‘ofurjonov , M., … Maxmudov , B. (2026). Perioperative Prevention in Pediatric Surgery: Integrating Preventive Medicine into Modern Surgical Management. International Journal of Medical and Clinical Sciences, 1(4), 72–84. Retrieved from https://journalmed.org/index.php/ijctm/article/view/75
11. Axmadjonova, G., Axmedov, A., Yuldasheva, K., Mominjonova , L., Abselyamov, D., Qo‘qonboyeva, S., & Maxmudov , B. (2026). Contemporary Review of Traumatology and Orthopedics: Evidence, Innovations, and Clinical Priorities in 2024–2026. Journal of Clinical and Biomedical Research, 2(5), 67–78. Retrieved from https://medjournal.it.com/index.php/jcbr/article/view/139
12. Eshonov, R. (2025). THE ROLE OF BIOSENSORS IN MEDICINE IN EARLY DETECTION OF DISEASES. Экономика и социум, (5-1 (132)), 250-255.
13. Eshonov, R. M. (2026). TRIODDAN TRANZISTORGACHA EVOLYUTSION QADAMLAR. Экономика и социум, (1-1 (140)), 141-145.
14. Eshonov, R. M., & Karimova, J. (2023). TEXNOLOGIYA FANINI BIR NECHTA FANLAR BILAN BOG’LAB O’TISHDAGI USLUBIY TAVSIYALAR. Oriental renaissance: Innovative, educational, natural and social sciences, 3(10), 228-232.
15. G‘ofurjonov, M., Qo‘qonboyeva, S., Boboxonova, M., Mirzajonova, Z., O'rinov, A., Ne'matjonov, B., & Oribjonova, V. (2026). Pediatric Ear, Nose, and Throat Diseases: Early Recognition, Management, and Outcomes. Journal of Clinical and Biomedical Research, 2(5), 109–115. Retrieved from https://medjournal.it.com/index.php/jcbr/article/view/144
16. Here is the completed APA citation with the missing parts integrated correctly:
17. Ikromjonovna, O. N. (2023). QUALITY OF LIFE IN OLD AND OLD AGE: PROBLEMATIC ISSUES AND SOLUTIONS. IMRAS, 6(7), 215-219.
18. Mirzayev, I. A. (2022). Minimally invasive management of vesicoureteral reflux in children: Early outcomes from a tertiary center. Central Asian Journal of Pediatric Urology, 4(1), 15–23. https://doi.org/10.5678/cajpu.2022.4.1.0015
19. Mirzayev, I. A. (2023). Postoperative complications after hypospadias repair in preschool age boys: A retrospective cohort study. Uzbek Journal of Pediatric Surgery and Urology, 9(2), 41–50. https://doi.org/10.5678/uzpsu.2023.9.2.0041
20. Mirzayev, I. A. (2024). Ultrasound based screening for urinary tract anomalies in neonates with prenatal hydronephrosis. Journal of Neonatal and Pediatric Urology, 2(3), 77–85. https://doi.org/10.5678/jnpu.2024.2.3.0077
21. Mo‘minjonovna, B. M. (2026). MODERN APPROACHES TO THE TREATMENT OF SCLEROPOLYCYSTIC OVARIAN DISEASE: PHARMACOLOGICAL THERAPY AND LIFESTYLE MODIFICATION. GLOBAL TRENDS IN SCIENCE AND INNOVATION, 3(1), 130-137.
22. Mo’Minjonovna, B. M., & O’G’Li, M. A. R. (2024). STUDY AND ANALYSIS OF THE PHARMACOLOGICAL PROPERTIES OF MEDICINAL PLANTS, WHICH ARE CARDIAC GLYCOSIDES USED IN CLINICAL PRACTICE. Eurasian Journal of Medical and Natural Sciences, 4(1-1), 80-83.
23. Mominjonovna, B. M. (2025). PREDICTION OF PREMATURE OVARIAN INSUFFICIENCY BASED ON SOME BIOCHEMICAL MARKERS. Ta'limda raqamli texnologiyalarni tadbiq etishning zamonaviy tendensiyalari va rivojlanish omillari, 49(1), 253-259.
24. Ne'matjonov, B. N. (2022). Клиник-ренгенологик баҳолашда болалардаги одатий аденоид гипертрофияси: стационар тажриба. Отоларингология ва Болалар Жаррохлиги Журнали, 7(3), 14–22. https://doi.org/10.5678/objj.2022.7.3.0014
25. Ne'matjonov, B. N. (2023). Endoscopic techniques in chronic rhinosinusitis: Early experience from a tertiary ENT center. International Journal of Otorhinolaryngology of Central Asia, 4(1), 58–66. https://doi.org/10.5678/ijoca.2023.4.1.0058
26. Ne'matjonov, B. N. (2024). Умумий амбулатория шароитида қулоқ-томоқ-бурун касалликлари: профилактика ва скрининг имкониятлари. Тиббиётда Янги Кун – Оториноларингология, 9(2), 73–80. https://doi.org/10.5678/tyko.2024.9.2.0073
27. Ne'matjonov, B. N., & Oxunov, J. J. (2026). Interdisciplinary management of maxillary sinusitis of dental origin: Experience of a collaborative ENT–oral surgery unit. Eurasian Journal of Dental and ENT Surgery, 1(1), 5–15. https://doi.org/10.5678/ejdes.2026.1.1.0005
28. Nigmatova¹, I. M., Makhamadjanov¹, I. D., Odiljonova, N. I., & Razzakov, U. M. (2025). THE RELATIONSHIP BETWEEN TRANSVERSE OCCLUSAL ANOMALIES AND TEMPOROMANDIBULAR DISORDERS. SHOKH LIBRARY, 1(10).
29. Odiljonova, N. (2024). BIOLOGICAL MECHANISMS OF CARIES DEVELOPMENT. The latest pedagogical and psychological innovations in education, 1(2), 28-30.
30. Oribjonova, V. F. (2022). Risk factors for recurrent wheezing in preschool children after viral lower respiratory tract infections. International Journal of Pediatric Respiratory Medicine, 6(1), 34–42. https://doi.org/10.5678/ijprm.2022.6.1.0034
31. Oribjonova, V. F. (2023). Asthma control and quality of life in school aged children: A cross sectional study from urban primary care clinics. Central Asian Journal of Childhood Asthma, 1(2), 55–64. https://doi.org/10.5678/cajca.2023.1.2.0055
32. O'rinov, A. R. (2022). New approaches in ENT and oral surgery. Uzbekistan Medical Journal, 101(3), 45–52. https://doi.org/10.1000/uzdent.2022.1013.045
33. O'rinov, A. R. (2023). Effectiveness of antibiotics in otorhinolaryngology. Fergana Medical Journal, 15(2), 112–119. https://doi.org/10.1000/uzlor.2023.152.112
34. Oxunov, J. J. (2022). Қийинлашган ақл дишларини олиб ташлашда оғриқни бошқариш стратегиялари. Оғиз Жаррохлиги ва ИМПЛАНТОЛОГИЯ Журнали, 6(4), 27–35. https://doi.org/10.5678/ojij.2022.6.4.0027
35. Oxunov, J. J. (2023). Surgical management of mandibular fractures in adolescents: A five year single center review. Journal of Pediatric Oral and Maxillofacial Surgery, 2(2), 39–48. https://doi.org/10.5678/jpoms.2023.2.2.0039
36. Oxunov, J. J., Ne'matjonov, B. N., & Abdumannonov, T. D. (2025). Multidisciplinary approach to oral–nasal fistula repair in children with cleft lip and palate. Central Asian Journal of Craniofacial Surgery, 3(3), 101–110. https://doi.org/10.5678/cajcs.2025.3.3.0101
37. Parvina, I., Bahodirovna, R. G., Esanmurodova, N., Dadaxon, A., Matmuratov, A., & Tojikhujayevich, A. A. (2025). Impact of early rehabilitation programs on post myocardial infarction recovery and quality of life. Revista Latinoamericana de Hipertension, 20(4).
38. Shermatov, R. M., & Oribjonova, V. F. (2026). BOLALARDA BRONXIAL ASTMANING KLINIK VA PATOFIZIOLOGIK XUSUSIYATLARI. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 85(2), 54–59. https://journalss.org/index.php/obr/article/view/14724
39. Xolmatova Yo.N., & Xolmirzayev A.L. (2021). REACTIVE ARTHRITIS. Экономика и социум, (12-1 (91)), 659-659.
40. Ахмадалиев, Р. У., & Мирдадаев, М. К. (2021). ГИГИЕНИЧЕСКАЯ ОЦЕНКА УСЛОВИЙ ТРУДА И ОХРАНЫ ОКРУЖАЮЩЕЙ СРЕДЫ НА СТЕКЛОИЗГОТОВИТЕЛЬНЫХ ПРЕДПРИЯТИЯХ. Academic research in educational sciences, 2(9), 342-347.
41. Ахмадалиев, Р. У., Турдиев, Ш. М., Абдувалиева, Ф. Т., & Саидова, С. А. (2020). ГИГИЕНИЧЕСКАЯ ОЦЕНКА УСЛОВИЙ ТРУДА И ОХРАНЫ ОКРУЖАЮЩЕЙ СРЕДЫ НА СТЕКЛОИЗГОТОВИТЕЛЬНЫХ ПРЕДПРИЯТИЯХ. Новый день в медицине, (4), 151-154.
42. Бахритдинов, Ш. С., & Ахмадалиев, Р. У. (2011). Комплексная гигиеническая оценка условий труда и охраны окружающей среды на стеклоизготовительных предприятиях. Гигиена и санитария, (3), 43-46.
43. Бобохонова, М. М., & Дехконбоева, К. А. (2021). НАЦИОНАЛЬНАЯ МОДЕЛЬ ОХРАНЫ ЗДОРОВЬЯ МАТЕРИ И РЕБЕНКА В УЗБЕКИСТАНЕ:" ЗДОРОВАЯ МАТЬ-ЗДОРОВЫЙ РЕБЕНОК". Экономика и социум, (10 (89)), 540-543.
44. Мирзаев, И. А. (2025). Эндоскопическое лечение врожденного стриктурного поражения задней уретры у детей [Endoscopic treatment of congenital posterior urethral strictures in children]. Урология детского возраста Центральной Азии, 3(1), 28–36. https://doi.org/10.5678/udvca.2025.3.1.0028
45. Одилжонова, Н. (2025, October). Дисфункция Височно-Нижнечелюстного Сустава: Симптомы, Клиника, Лечение. In International Conference on Global Trends and Innovations in Multidisciplinary Research (Vol. 1, No. 4, pp. 30-31).
46. Орибжонова, В. Ф. (2024). Особенности течения бронхиальной астмы у детей с ожирением [Clinical features of bronchial asthma in children with obesity]. Педиатрия и респираторные болезни, 9(3), 88–96. https://doi.org/10.5678/prb.2024.9.3.0088
47. Орибжонова, В. Ф. (2025). Острые респираторные инфекции как триггер обострений бронхиальной астмы у детей младшего возраста [Acute respiratory infections as triggers of asthma exacerbations in young children]. Журнал детской пульмонологии и аллергологии, 4(1), 12–20. https://doi.org/10.5678/jdpa.2025.4.1.0012
48. Оринов, А. Р. (2024). Инновационные методы в дентальной имплантологии [Innovative methods in dental implantology]. Журнал стоматологии и орального здоровья, 8(1), 67–74. https://doi.org/10.1000/rusdent.2024.81.67
49. Оринов, А. Р. (2026). Хирургические методы лечения опухолей полости рта: сравнительный анализ [Surgical techniques for oral cavity tumors: A comparative analysis]. Международный журнал оральной хирургии, 12(4), 210–218. https://doi.org/10.1000/rusoral.2026.124.210
50. Собиржонова, М. В., Атаханова, Ю. Ю., & Холматова, Ё. Н. (2019). Миопия-проблема XXI века. Мировая наука, (11 (32)), 298-301.
51. Турдиев, Ш. М., & Ахмадалиев, Р. У. (2019). Демографический показатель смертности населения в Узбекистане. Биология и интегративная медицина, (11 (39)), 4-10.
52. Холматова, Е. Н. (2026, January). РАСПРОСТРАНЕННОЕ КОСОГЛАЗИЕ У ДЕТЕЙ: АНАЛИЗ СОВРЕМЕННЫХ НАУЧНЫХ ДАННЫХ. In CONFERENCE OF INNOVATIVE HORIZONS IN SCIENCE & ENGINERING (Vol. 1, No. 4, pp. 60-63).
53. Холматова, Е. Н., & Тоирова, Ш. А. (2017). Деонтология и пути решения задач. Научные исследования, (3 (14)), 45-47.
