{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:00:21Z","timestamp":1790661621363,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Odontogenic sinusitis (ODS) is a condition that requires a multidisciplinary approach for successful treatment. Effective communication among the healthcare providers involved reduces the risk of errors and treatment failure. This study proposes a new ODS classification system to facilitate the communication of pivotal clinical information.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n \n In this observational study the authors considered 124 consecutive patients with ODS treated in the Campus Bio\u2010Medico of Rome Foundation Hospital. The main elements influencing the treatment of this condition resulted as: timing, etiology, presence of foreign body, maxillary obstruction of the ostiomeatal complex, and presence of oroantral fistula (OAF); these elements were organized in the acronym TEBOF. Each patient received a TEBOF classification. The \u201cT\u201d was categorized in \u201cT\n c<\/jats:sub>\n \u201d for patients diagnosed with chronic sinusitis, \u201cT\n a<\/jats:sub>\n \u201d for of acute sinusitis, and \u201cT\n 0<\/jats:sub>\n \u201d for patients with maxillary sinus foreign body without sinusitis. The \u201cE\u201d was differentiated in \u201cE\n c<\/jats:sub>\n \u201d when the condition was a side effect of a primary dental pathology, \u201cE\n p<\/jats:sub>\n \u201d when the initial cause was not a dental implant, and \u201cE\n a<\/jats:sub>\n \u201d for when the initial cause was having a dental implant placed. \u201cB\u201d was reported as \u201cB\n 1<\/jats:sub>\n \u201d when there was a maxillary sinus foreign body and \u201cB\n 0<\/jats:sub>\n \u201d when there was not. \u201cO\u201d was reported as \u201cO\n 1<\/jats:sub>\n \u201d when the ostiomeatal complex resulted closed and \u201cO\n 0<\/jats:sub>\n \u201d when it was clear. \u201cF\u201d was used as \u201cF\n 1<\/jats:sub>\n \u201d when there was a communication, and \u201cF\n 0<\/jats:sub>\n \u201d when there was not. A preliminary assessment was performed considering the change in the classification in the groups of patients that underwent different therapeutic approaches. This classification provides a concise and easy\u2010to\u2010understand combination facilitating communication between the various healthcare providers who are essential for the appropriate treatment of this condition.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among the 124 patients included (64 women, 51.6%; mean age 57.2\u2009\u00b1\u200913\u2009years), chronic sinusitis (T\n c<\/jats:sub>\n ) was the most frequent timing category (96 patients, 77.4%), while classical dental pathology represented the predominant etiology (E\n c<\/jats:sub>\n , 88 patients, 70.9%). Foreign body was detected in 39 patients (31.5%), ostiomeatal complex obstruction in 80 patients (64.5%), and oroantral fistula in 52 patients (41.9%). Combined surgical treatment (ESS\u2009+\u2009oral surgery) was the most frequently adopted approach (70 patients, 57%), followed by dental treatment alone (34 patients, 27%) and ESS alone (20 patients, 16%). The overall success rate was 97%, only four patients required second surgical procedure.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The TEBOF classification provides a concise, reproducible, and clinically intuitive tool for the characterization of odontogenic sinusitis. By integrating timing, etiology, and key anatomical features into a compact alphanumeric code, it facilitates multidisciplinary communication between otolaryngologists and dental providers, and may guide the selection of the most appropriate surgical strategy for each patient.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 4.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lio2.70555","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:23:36Z","timestamp":1790659416000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Classification of Odontogenic Sinusitis: A Clinical\u2010Based Phenotyping System to Guide Multidisciplinary Surgical Management"],"prefix":"10.1002","volume":"11","author":[{"given":"Lorenzo","family":"Sabatino","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Fondazione Policlinico Universitario Campus Bio\u2010Medico Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Di Giovanni","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelangelo","family":"Pierri","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Bigliardo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Mattaroccia","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5304-5444","authenticated-orcid":false,"given":"Matteo","family":"Valentini","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Moffa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Fondazione Policlinico Universitario Campus Bio\u2010Medico Rome Italy"},{"name":"Department of Otolaryngology, School of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuele","family":"Casale","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Fondazione Policlinico Universitario Campus Bio\u2010Medico Rome Italy"},{"name":"Department of Otolaryngology, School of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele Antonio","family":"Lopez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Fondazione Policlinico Universitario Campus Bio\u2010Medico Rome Italy"},{"name":"Specialized Odontostomatology Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology Fondazione Policlinico Universitario A. Gemelli IRCCS\u2013Universit\u00e0 Cattolica del Sacro Cuore Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"issue":"4","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"282","DOI":"10.14639\/0392-100X-N0457","article-title":"Odontogenic Sinusitis and Sinonasal Complications of Dental Treatments: A Retrospective Case Series of 480 Patients With Critical Assessment of the Current Classification","volume":"40","author":"Molteni M.","year":"2020","journal-title":"Acta Otorhinolaryngologica Italica"},{"issue":"2","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"390","DOI":"10.3390\/antibiotics12020390","article-title":"Odontogenic Sinusitis From Classical Complications and Its Treatment: Our Experience","volume":"12","author":"Sabatino L.","year":"2023","journal-title":"Antibiotics (Basel)"},{"issue":"8","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.1016\/j.jcms.2015.07.021","article-title":"Etiology and Clinical Characteristics of Symptomatic Unilateral Maxillary Sinusitis: A Review of 174 Cases","volume":"43","author":"Troeltzsch M.","year":"2015","journal-title":"Journal of Cranio\u2010Maxillo\u2010Facial Surgery"},{"issue":"3","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1007\/s00784-020-03384-4","article-title":"Odontogenic Causes Complicating the Chronic Rhinosinusitis Diagnosis","volume":"25","author":"Wuokko\u2010Land\u00e9n A.","year":"2021","journal-title":"Clinical Oral Investigations"},{"issue":"8","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1002\/alr.22777","article-title":"Diagnosing Odontogenic Sinusitis: An International Multidisciplinary Consensus Statement","volume":"11","author":"Craig J. R.","year":"2021","journal-title":"International Forum of Allergy & Rhinology"},{"issue":"5","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","DOI":"10.3390\/medicina59050937","article-title":"Odontogenic Sinusitis With Oroantral Communication and Fistula Management: Role of Regenerative Surgery","volume":"59","author":"Sabatino L.","year":"2023","journal-title":"Medicina (Kaunas, Lithuania)"},{"issue":"7","key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1002\/alr.21504","article-title":"Odontogenic Sinusitis: A Case Series Studying Diagnosis and Management","volume":"5","author":"Wang K. L.","year":"2015","journal-title":"International Forum of Allergy & Rhinology"},{"issue":"8","key":"e_1_2_13_9_1","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1016\/j.jcms.2019.04.012","article-title":"Single\u2010Step Surgical Treatment of Odontogenic Maxillary Sinusitis: A Retrospective Study of 98 Cases","volume":"47","author":"Costa F.","year":"2019","journal-title":"Journal of Cranio\u2010Maxillo\u2010Facial Surgery"},{"issue":"6","key":"e_1_2_13_10_1","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1177\/19458924221114941","article-title":"Odontogenic Sinusitis Is a Common Cause of Operative Extra\u2010Sinus Infectious Complications","volume":"36","author":"Douglas J. E.","year":"2022","journal-title":"American Journal of Rhinology & Allergy"},{"issue":"4","key":"e_1_2_13_11_1","first-page":"520","article-title":"Odontogenic Sinusitis Maxillaris: A Retrospective Study of 121 Cases With Surgical Intervention","volume":"45","author":"Zirk M.","year":"2017","journal-title":"Journal of Craniofacial Surgery"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.18032"},{"issue":"4","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"e101","DOI":"10.2500\/ajra.2013.27.3936","article-title":"Sinonasal Complications Resulting From Dental Treatment: Outcome\u2010Oriented Proposal of Classification and Surgical Protocol","volume":"27","author":"Felisati G.","year":"2013","journal-title":"American Journal of Rhinology & Allergy"},{"issue":"1","key":"e_1_2_13_14_1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s12663-020-01329-8","article-title":"Odontogenic Maxillary Sinusopathies: A Radiological Classification","volume":"21","author":"Di Girolamo S.","year":"2022","journal-title":"Journal of Maxillofacial and Oral Surgery"},{"issue":"3","key":"e_1_2_13_15_1","doi-asserted-by":"crossref","first-page":"321","DOI":"10.2334\/josnusd.18-0109","article-title":"A Large\u2010Scale Study of Treatment Methods for Foreign Bodies in the Maxillary Sinus","volume":"60","author":"Hara Y.","year":"2018","journal-title":"Journal of Oral Science"},{"issue":"2","key":"e_1_2_13_16_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjoto.2020.102388","article-title":"Differences in Self\u2010Reported Symptoms in Patients With Chronic Odontogenic and Non\u2010Odontogenic Rhinosinusitis","volume":"41","author":"Ore\u0161ki I.","year":"2020","journal-title":"American Journal of Otolaryngology"},{"issue":"2","key":"e_1_2_13_17_1","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.iac.2019.12.012","article-title":"Odontogenic Sinusitis","volume":"40","author":"Newsome H. 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