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ENT Nose and paranasal sinuses 84d851e6

Which sinus is involved in a patient with a toothache and sinusitis?

A
Maxillary
B
Ethmoid
C
Frontal
D
Sphenoid
High-Yield Explanation
Dental infections are an impoant source of maxillary sinusitis. Roots of premolar and molar teeth are related to the floor of sinuses and may be separated only by a thin layer of mucosal covering. A peripheral dental abscess may burst into the sinus or the root of a tooth during extraction may be pushed into the sinus. In the case of oroantral fistula following tooth extraction bacteria from the oral cavity enter the maxillary sinus. (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 214)

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