Late signs and symptoms of maxillary sinusitis after sinus augmentation

2010 ◽  
Vol 110 (1) ◽  
pp. e1-e4 ◽  
Author(s):  
Yifat Manor ◽  
Ofer Mardinger ◽  
Ilan Bietlitum ◽  
Aysar Nashef ◽  
Joseph Nissan ◽  
...  
Keyword(s):  
Maxillary Sinusitis ◽  
Signs And Symptoms ◽  
Sinus Augmentation

Endoscopic Drainage of Subperiosteal Abscess in Children: A Pilot Study

1996 ◽  
Vol 10 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Ramzi T. Younis ◽  
Rande H. Lazar
Keyword(s):  
Nasal Spray ◽  
Endoscopic Surgery ◽  
Traditional Approach ◽  
Maxillary Sinusitis ◽  
Signs And Symptoms ◽  
Sinus Surgery ◽  
High Dose ◽  
Endoscopic Drainage ◽  
Subperiosteal Abscess ◽  
External Incision

Subperiosteal abscess is a serious orbital complication of sinusitis that occurs predominantly in children. Infection may spread to the orbital site through a preexisting defect in the lamina papyracea or by means of a thrombophlebitic process. Although the traditional approach to treating a subperiosteal abscess has been drainage through an external incision, we treated this serious complication with functional endonasal sinus surgery. Ten pediatric patients with clinical and CT evidence of orbital subperiosteal abscess underwent endoscopic surgery at LeBonheur Children's Hospital in Memphis, Tenn., between July 1990 and June 1992. The four girls and six boys were between 3 and 12 years of age at the time of surgery. Despite 2 to 4 days of intravenous antibiotic therapy, their signs and symptoms progressed, and axial and coronal CT scans demonstrated orbital subperiosteal abscess. Seven patients had bilateral ethmoid and maxillary sinusitis, and the remaining three patients had unilateral ethmoiditis. Ophthalmologic assessments were performed for all patients immediately after hospital admission. The patients were started on regimens of high-dose intravenous cefuroxime sodium to subdue infections and pediatric decongestant nasal spray to facilitate drainage. All 10 patients with the confirmed diagnosis of subperiosteal abscess were treated with endoscopic surgery to drain the site of infection. All 10 patients improved significantly 12 to 24 hours after surgery and were discharged from the hospital to their homes 48 to 72 hours after surgery. Patients were continued on a regimen of broad-spectrum oral antibiotics and beclomethasone nasal spray for 2 weeks beyond the final examination. Follow-up endoscopic examinations were performed under general anesthesia in the operating room 2 to 3 weeks after surgery. No complications or adverse sequelae occurred. Our study appears to confirm that endoscopic drainage of subperiosteal abscess offers the patient an alternative to incisional surgery. The endoscopic approach prevents an external scar without increasing morbidity or length of hospitalization.

Sinusitis in Infants and Children

1992 ◽  
Vol 101 (1_suppl) ◽  
pp. 37-41 ◽  
Author(s):  
Ellen R. Wald
Keyword(s):  
Respiratory Tract ◽  
Maxillary Sinusitis ◽  
Bacterial Species ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Clinical Problem ◽  
Nasal Discharge ◽  
Upper Respiratory Tract ◽  
Radiographic Findings ◽  
Upper Respiratory

The major clinical problem in considering a diagnosis of sinusitis is differentiating uncomplicated upper respiratory tract infection from a secondary bacterial infection of the paranasal sinuses that may benefit from antimicrobial therapy. A diagnosis of sinusitis is suggested by presentation with protracted upper respiratory tract symptoms or a cold that is more severe than usual with fever and purulent nasal discharge. Confirmatory tests of sinus disease are transillumination (useful in adolescents if interpretation is confined to the extremes — normal or absent); radiographic findings of opacification, mucous membrane thickening, or an air-fluid level; and sinus aspiration (indicated for severe pain, clinical failures, or complicated disease). When clinical signs and symptoms are accompanied by abnormal radiographic findings, bacteria in high colony count are recovered from the maxillary sinus aspirate in 70% of patients. The common bacterial species recovered from children with acute maxillary sinusitis are Streptococcus pneumoniae, Moraxella (Branhamella) catarrhalis, and Hemophilus influenzae.

scholarly journals Assessment of odontogenic changes in computed tomography of patients with chronic sinusitis

2021 ◽  
Author(s):  
Paulina Czarnecka ◽  
Tomasz Zatoński ◽  
Hanna Gerber ◽  
Monika Rutkowska
Keyword(s):  
Computed Tomography ◽  
Paranasal Sinuses ◽  
Chronic Sinusitis ◽  
Maxillary Sinusitis ◽  
Direct Influence ◽  
Sinus Augmentation ◽  
Osteomeatal Complex ◽  
Patient Groups ◽  
Odontogenic Sinusitis ◽  
Inflammatory Changes

IntroductionChronic sinusitis can be caused by both laryngological and dental factors. The number of odontogenic sinusitis (OS) in last decades is increasing and seems to be underrated. A unique developmental and microbiological factors causing OS require a different therapeutic approach.Material and methodsThis study evaluated tomography examinations of 500 patients with a clinical diagnosis of chronic sinusitis. The patients were referred by laryngologists, neurologists, and maxillofacial surgeons. The scans were reanalyzed in view of the presence of odontogenic and laryngological pathologiesResultsAmong the 500 patients, 19,6% showed no inflammatory changes in the mucosa of the paranasal sinuses. All patient groups had numerous teeth missing, ranging from 27.3% to 33.2%. Most common odontogenic pathologies were periapical changes (28,8%) and the presence of teeth after improper endodontic treatment (24,2%). In the group in question dental implants (0,4%) and maxillary sinus augmentation (2,8%) were a marginal etiological factor.ConclusionsComputed tomography allows a thorough assessment of odontogenic changes. Obstruction of osteomeatal complex does not have direct influence on OS development. 43,2 % of the patients with chronic sinusitis have OS. It can be diagnosed in 50,8% of isolated right, 39,0% of isolated left and 57,8% of bilateral maxillary sinusitis patients. The results of this study can be used by dentists, maxillofacial surgeons and otolaryngologists to improve the standard of diagnosis and treatment in case of chronic odontogenic sinusitis.

scholarly journals Presentation and treatment of acute maxillary sinusitis in general practice: a French observational study

2011 ◽  
Vol 49 (1) ◽  
pp. 84-89
Author(s):  
J.M. Klossek ◽  
K. Mesbah
Keyword(s):  
General Practitioners ◽  
Daily Living ◽  
Maxillary Sinusitis ◽  
Oral Treatment ◽  
Signs And Symptoms ◽  
Professional School ◽  
School Activities ◽  
Intranasal Corticosteroids ◽  
Almost All

This survey-based study was conducted to determine the characteristics that influence the diagnosis and treatment patterns of acute maxillary sinusitis among general practitioners in France. Questionnaires were sent to 467 physicians and requested to be completed for the next 4 adult (≥ 15 years) patients diagnosed with acute maxillary sinusitis. A total of 397 physicians responded with eligible data on 1585 patients (57.5% female; mean age, 42.3 years). The most common presenting signs and symptoms were moderate-to-severe nasal obstruction (80.4%), pain on sinus palpitation (76.8%), facial pain (74.5%), rhinorrhea (70.4%), and headache (63.6%). Local treatments were prescribed in 93.2% of cases, including nasal lavage (52.1%), vasoconstrictors (42.2%), and intranasal corticosteroids (38.7%). Almost all patients (99%) were prescribed oral treatment including antibiotics (86.5%), analgesics (56.3%), antipyretics (53.7%), and expectorants/mucolytics (45.6%). Symptoms were indicated as having a moderate to very significant effect on quality of life areas including activities of daily living (71.6% of patients), leisure (63.1%), and professional/school activities (59.2%). The diagnosis and management patterns of acute maxillary sinusitis among general practitioners in France are generally consistent with the 2007 European Position Paper on Rhinosinusitis and Nasal Polyps (EP3OS) guidelines.

Efficacy of Clarithromycin vs. Amoxicillin/Clavulanate in the Treatment of Acute Maxillary Sinusitis

1993 ◽  
Vol 72 (12) ◽  
pp. 804-810 ◽  
Author(s):  
Jacques Dubois ◽  
Claude Saint-Pierre ◽  
Chantal Tremblay
Keyword(s):  
Staphylococcus Aureus ◽  
Streptococcus Pneumoniae ◽  
Moraxella Catarrhalis ◽  
Clinical Success ◽  
Maxillary Sinusitis ◽  
Signs And Symptoms ◽  
Amoxicillin Clavulanate ◽  
Clinically Significant ◽  
Cure Rates ◽  
Single Blind

A new macrolide drug, clarithromycin (Biaxin®) was compared with amoxicillin/clavulanate (Augmentin®) in a single-blind (investigator-blind), randomized, multicenter study of 497 outpatients with acute maxillary sinusitis; treatment was 500 mg clarithromycin bid (n = 246) or 500 mg amoxicillin/clavulanate tid (n = 251). Pathogens included Streptococcus pneumoniae in 22% of patients, Staphylococcus aureus in 16%, Haemophilus influenzae in 10%, and Moraxella catarrhalis in 7%. For evaluable patients, clinical success (cure or improvement) was noted for 97% (128/132) of clarithromycin recipients and 93% (119/128) amoxicillin/clavulanate recipients. Clinically significant improvement in signs and symptoms was comparable between groups. Bacteriologic cure rates were 87% (115/132) and 90% (115/128), respectively. Respective pathogen eradication rates were 87% (125/143) and 90% (125/139). Adverse events not due to concurrent conditions occurred in 41% of the former and 46% of the latter group; most were mild to moderate gastrointestinal upsets (21% and 38%, respectively; P ≤ 0.001). We conclude that clarithromycin appears to be as effective as amoxicillin/clavulanate in acute maxillary sinusitis and may cause fewer gastrointestinal upsets.

Frontal mucocele caused by an ectopic maxillary tooth

2007 ◽  
Vol 122 (12) ◽  
pp. 1384-1385 ◽  
Author(s):  
M A Buchanan ◽  
S E Prince ◽  
P R Prinsley
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Endoscopic Sinus Surgery ◽  
Conventional Treatment ◽  
Maxillary Sinusitis ◽  
Signs And Symptoms ◽  
Sinus Surgery ◽  
Documented Case ◽  
Maxillary Tooth ◽  
Ectopic Tooth

AbstractObjective:To present a previously unreported cause of frontal mucocele.Case report:A patient presented with a frontal mucocele and maxillary sinusitis. Computed tomography revealed an ectopic maxillary tooth as the cause of her signs and symptoms. Removal of the tooth by a Caldwell–Luc procedure facilitated resolution of the mucocele. Conventional treatment of mucoceles by endoscopic sinus surgery, and other rhinological sequelae of ectopic teeth, are considered.Conclusion:This is the first documented case of an ectopic tooth causing a frontal mucocele, and demonstrates how effectively the patient's symptoms resolved on removal of the tooth.

Functional Endoscopic Sinus Surgery for Paranasal Sinusitis Originating From a Peri-implantitis–Triggered Infection in the Augmented Maxilla: A Case Report

2020 ◽  
Vol 46 (4) ◽  
pp. 423-429
Author(s):  
Won-Bae Park ◽  
Young-Jin Kim ◽  
Yeek Herr ◽  
Hyun-Chang Lim
Keyword(s):  
Case Report ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Maxillary Sinusitis ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Sinus Augmentation ◽  
Implant Placement ◽  
Left Posterior ◽  
Posterior Maxilla

The aim of this case report was to report the course of treatment for advanced paranasal sinus infection triggered by peri-implantitis, managed using functional endoscopic sinus surgery (FESS), with outcomes. A nonsmoking male patient received sinus augmentation with implant placement on his left posterior maxilla 15 years ago. Possibly due to noncompliance to maintenance, peri-implantitis developed and progressed into the augmented bone area in the maxilla. Eventually, maxillary sinusitis occurred concomitantly with a spread of the infection to the other paranasal sinuses. Implant removal and intraoral debridement of inflammatory tissue were performed, but there was no resolution. Subsequently, FESS was performed, with removal of nasal polyp and sequestrum. After FESS, the patient's sinusitis resolved. Histologically, the sequestrum was composed of bone substitute particles, necrotic bone, stromal fibrosis, and a very limited cellular component. Two implants were placed on the present site, and no adverse event occurred for up to 1 year after the insertion of the final prosthesis. Peri-implantitis in the posterior maxilla can trigger maxillary sinusitis with concomitant infection to the neighboring paranasal sinuses. FESS should be considered to treat this condition.

Sign in / Sign up

Export Citation Format

Share Document