Unusual type of foreign body in the maxillary sinus

1990 ◽  
Vol 104 (9) ◽  
pp. 718-719 ◽  
Author(s):  
A. C. Gupta ◽  
D. P. Murthy ◽  
M. L. Pulotu

AbstractA broken end of the spear presenting as a foreign body in the nasopharynx and right maxillary sinus in a 19-year-old Papua New Guinean is described. The types of foreign bodies and their mechanisms of introduction into this site are summarized.

Author(s):  
Cristóvão Marcondes de Castro RODRIGUES ◽  
Izabella SOL ◽  
Daniela MENESES-SANTOS ◽  
Larissa Gonçalves Cunha RIOS ◽  
Jonas Dantas BATISTA ◽  
...  

ABSTRACT Foreign bodies in the paranasal sinuses after critical accidents are rare occurrences that have sporadically been reported worldwide. Firearm projectiles, daggers, knives, glass fragments, stones, teeth, and wood can get lodged in the soft and hard tissues of the face. The management and prognosis in these cases depend on the composition and location of the foreign body as well as on the presence or absence of infection. Although there are reports involving the soft tissues of the face, the ethmoid, sphenoid, frontal, and maxillary sinuses are the most frequently involved sites. The main manifestation of this condition is sinusitis arising from infection and/or inflammation caused by the foreign body, which is a contaminated object. We report a case of removal of a firearm projectile located in the maxillary sinus of a 34-year-old patient under local anesthesia.


Author(s):  
S.A. Karpishchenko ◽  
◽  
D.A. Usmanova ◽  
E.V. Bolozneva ◽  
E.S. Karpishchenko ◽  
...  

Maxillary sinus foreign bodies are interrelated with different types of treatment of pathologies of teeth of the maxilla. Foreign bodies can be presented by pins, sillers, impression materials, teeth, dental implants etc. Features of anatomical development of maxilla, degree of pneumatization of it and many other factors promote hit of the foreign body to the maxillary sinus. Detection of the foreign body in the maxillary sinus during the operation sometimes can become a serious technical difficulty and needs a surgeon to be a man of experience. Important part of success of the surgery is selection of access to the maxillary sinus based on the 3D computed tomography data. We represent a clinical case of treatment the patient with the maxillary sinus foreign body after two non-resultative surgeries. After the implantation of dental implant, patient appealed for medical treatment, complaining on the discomfort, passing pain at the right buccal region and secrete from the right part of nose. We know from the anamnesis, that the patient was operated through the anterior maxillary wall under the general anesthesia for two times. The foreign body was removed only during the third surgery, that was done under the local anesthesia under the control of the rigid endoscopes. The patient was conversed to the out-patient treatment at the day of the surgery. The efficacy of the endoscopic endonasal approach to the maxillary sinus through the inferior nasal meatus in case of maxillary sinus foreign body was approved.


2017 ◽  
Vol 45 (6) ◽  
pp. 2078-2084 ◽  
Author(s):  
Aram Baram ◽  
Fahmi H. Kakamad ◽  
Delan Ahmed Bakir

Background Foreign body aspiration refers to the inhalation of an object into the respiratory system and is a serious and potentially fatal event. A distinct group of patients has recently been recognized among Muslim nations. These patients include women who wear headscarves and place the safety pin in their mouth prior to securing the veils, leading to accidental foreign body aspiration. The aim of this study was to analyze the main presentation, diagnosis, treatment, and outcome of patients with scarf pin aspiration. Methods This prospective study involved patients with a history of scarf pin aspiration admitted to a single center during an 18-month period. Their main presentation, diagnosis, treatment, and outcome were analyzed. Results In total, 27 patients were included. The needle was extracted by flexible bronchoscopy in 12 (44.4%) patients, rigid bronchoscopy in 13 (48.1%), and thoracotomy in 2 (74%). One patient died during rigid bronchoscopy. All remaining 26 patients were satisfied with the postsurgical outcome at a mean follow-up of 1 week. Conclusions Scarf pin aspiration differs from other types of foreign body aspiration considering the specific population affected, and its management algorithm may thus differ from that of other foreign bodies. The left main bronchus is the most common site of pin impaction. Rigid bronchoscopy is the most commonly performed procedure for successful retrieval.


2021 ◽  
Vol 31 (2) ◽  
pp. 96-100
Author(s):  
Cicero Newton Lemos Felicio Agostinho ◽  
Thais Dias dos Santos ◽  
Leonardo Viana Araújo

The maxillary sinus is a pneumatized anatomical structure located bilaterally in the anterior region of the maxilla. The occurrence of displacement of foreign bodies in the maxillary sinus is not a common condition and when present, it is associated with car accidents, fire arm accidents, psychiatric disorders and iatrogenies in surgical procedures. The removal of the foreign body is carried out in order to prevent infections, and the permanence of the foreign body may offer immediate or chronic damage. Access to the maxillary sinus is most commonly performed using the Caldwell-Luc access technique. Thus, the objective of the study is to report a clinical case of surgical removal of a maxillary third molar from the interior of the maxillary sinus using the caldwell-luc access technique, with the aid of a surgical guide in order to conduct a safer and less invasive surgery.


Author(s):  
Nurul Alya Binti Azwan ◽  
Ram Kumar Sharma Shanmugam ◽  
Kong Yin Teng

<p class="abstract">Foreign body in paranasal sinus is rare. Very few cases have been reported of lodgement of foreign body in paranasal sinuses. Garces and Norris reported that 70% of these foreign bodies usually appeared after maxillofacial traumas and 30% appeared during or after dental procedures of maxilla. Foreign bodies are less common in the frontal sinus as compared to maxillary sinus. This is a case of foreign body in frontal sinus in an eighteen-year-old gentleman after a road traffic accident.</p>


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Yunus Feyyat Şahin ◽  
Togay Muderris ◽  
Sami Bercin ◽  
Ergun Sevil ◽  
Muzaffer Kırıs

Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.


Author(s):  
Bartosz Wojtera ◽  
Angelika Woźna ◽  
Oskar Komisarek

Abstract Displacement of foreign bodies into the maxillary sinus shows an increasing tendency, especially in regard to raising amount of dental implant installation procedures. The purpose of our study was to compare the efficiency and the rate of late complications among the methods of removal of foreign bodies from maxillary sinus. We performed a systematic review following PRISMA Checklist, searching Pubmed and Google Scholar databases for studies investigating the methods of removal of foreign bodies from maxillary sinus. The inclusion criteria embraced the examined group of at least 10 cases and the follow up period of minimum 3 months. We qualified 7 papers from 531 identified in primary search. Among qualified studies functional endoscopic sinus surgery used in order to remove foreign body from maxillary sinus had no late complications, whereas they occurred in 0–5% cases of using replaceable or pedicled bone approaches and in 15–18% cases of Caldwell-Luc approach. FESS probably should become a gold standard in retrieving foreign bodies from maxillary sinus, however poor evidence requires further investigation, especially in prospective, randomized trials.


2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Feride Fatma Görgülü ◽  
Orhan Görgülü ◽  
Ayşe Selcan Koç ◽  
Fatma Yasemin Öksüzler

Paranasal sinus (PNS) foreign bodies are not common. They are usually due to penetrating trauma and iatrogenic events. On imaging, radiopaque foreign bodies can easily be detected by X-ray views of PNS. CT scan may be necessary to evaluate the exact location of foreign body in some cases. Foreign body in the PNS should be removed as early as possible. Approach and technique of its removal depend upon its size, shape, and location. Nasal endoscopic examination can be helpful for these cases. We present a pediatric girl case of penetrating FB injury inserted into the maxillary sinus towards nasopharynx in a suddenly braking car.


2021 ◽  
Vol 11 (43) ◽  
pp. 111-117
Author(s):  
Mihai Preda ◽  
Codrut Sarafoleanu

Abstract Displacement of foreign bodies into the maxillary sinus is still a rare pathology, but the incidence is increasing continuously with the development of dental procedures. Most cases of foreign bodies are associated with dental procedures. These can be of varying natures, such as dental implants, fractured teeth roots, endodontic materials and tools, dental burs, dental impression materials or dental fillings materials. Less frequent are the foreign bodies of non-dental origin, which are related to facial injuries in accidents or assaults. The diagnosis is based on careful clinical and radiological examinations. Foreign bodies should be diagnosed and treated on time in order to prevent complications, mainly acute or chronic rhinosinusitis. In this article, we review the main characteristics regarding the incidence, etiology, diagnosis and treatment options – endoscopic and an external approach for the removal of a displaced foreign body into the maxillary sinus. Also, we present our personal experience and treatment options, highlighting the importance of pre-operative evaluation, proper imaging assessment, adequate access and visibility and adequate surgical technique, in order to prevent later sinonasal infectious complications.


2016 ◽  
Vol 50 (1) ◽  
pp. 30-32
Author(s):  
Sandeep Bansal ◽  
Neha Chauhan

ABSTRACT Foreign bodies in the maxillary sinus are not unusual findings. Many cases have been reported so far with foreign bodies like tooth, dental amalgam, chopstick, matchstick, guttapercha point, etc. This paper reports a case of bullet injury with a lodged bullet in maxillary sinus and was retrieved by Caldwell-Luc approach with no intraoperative and postoperative complications. How to cite this article Bansal S, Chauhan N, Gupta AK. Foreign Body (Bullet) in Maxilla. J Postgrad Med Edu Res 2016;50(1):30-32.


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