Recognizing odontogenic sinusitis: A national survey of otolaryngology chief residents

• Published in: American journal of otolaryngology 2020-11, Vol.41 (6), p.102635-102635, Article 102635
• Main Authors: Shukairy, Mohammad Kareem, Burmeister, Charlotte, Ko, Alvin B., Craig, John R.
• Format: Article
• Language: English
• Subjects: Abscesses; Awareness; Career development planning; Careers; Chronic rhinosinusitis; Computed tomography; Curricula; Diagnosis, Differential; Disease; Endoscopic sinus surgery; Fistula; Geographical distribution; Head and neck; Humans; Internship and Residency; Maxillary sinusitis; Maxillary Sinusitis - complications; Maxillary Sinusitis - diagnosis; Maxillary Sinusitis - diagnostic imaging; Medical diagnosis; Medical imaging; Odontogenic sinusitis; Online Systems; Otolaryngologists - psychology; Otolaryngology; Otolaryngology - education; Paranasal Sinus Diseases - etiology; Pathology; Polls & surveys; Polyps; Questions; Rhinitis; Sinus; Sinuses; Sinusitis; Statistical analysis; Surgery; Surveys and Questionnaires; Tomography, X-Ray Computed; Training; Tumors; Unilateral sinus disease; United States
• ISSN: 0196-0709; 1532-818X
• DOI: 10.1016/j.amjoto.2020.102635

Odontogenic sinusitis is underrepresented in sinusitis literature as well as in the otolaryngology teaching curriculum sponsored by the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngologists and residents in training may therefore have a decreased awareness of the condition. The objective of this study was to survey otolaryngology chief residents toward the ends of their training to determine how often they considered odontogenic sinusitis as a cause of unilateral sinus disease. An online REDCap survey was conducted from December 2018 to January 2019. Online surveys were emailed to 119 Otolaryngology residency program directors in the United States of America, which were then forwarded to their chief residents. Surveys included 3 demographic and 4 clinical questions. Clinical questions included 3 computed tomography-based questions requiring either differential diagnoses or most likely diagnosis, and 1 question on residents' perceived prevalence of odontogenic sinusitis as a cause of unilateral sinus opacification. Answer choices were tabulated and compared based on geographic region and post-residency career plans. Of 293 chief residents emailed, 94 completed the survey (32.1%). While answer choices on imaging-based questions varied, odontogenic sinusitis was generally underrecognized. Approximately 70% of residents felt odontogenic sinusitis represented 0%–40% of unilateral sinus opacification. There were no statistically significant differences in answers based on geographic distribution or post-residency career plans. Otolaryngology chief residents recognized odontogenic sinusitis with variable accuracy on imaging, and generally underestimated its prevalence as a cause of unilateral sinus opacification. Efforts should be made to teach otolaryngology residents about odontogenic sinusitis.