The Modified Caldwell-Luc Approach with the Use of Collagen Material for Treatment of a Chronic Perforated Maxillary Sinusitis

Oroantral fistula (OAF) often develops after extraction of posterior maxillary teeth and requires surgical closure. If it persists, OAF may result in maxillary sinusitis. This paper reports a case of an oroantral fistula, associated with chronic maxillary sinusitis. A 46-year-old female patient presented with a history of traumatic tooth extraction, which led to OAF formation. Three unsuccessful attempts were made to close it elsewhere. With one operation, we performed Caldwell-Luc surgery and closed OAF with a collagen membrane and plug and a buccal flap. The patient was assessed at 1-, 3-, 6-, and 12-month and 8-year follow-up visits, with no signs of maxillary sinusitis or OAF recurrence being found with the efficient amount of bone and opportunity for further dental rehabilitation like sinus lifting and dental implantation. We believe that this approach may be a viable option in similar cases.

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Odontogenic maxillary sinusitis following the operation of sinus-lifting and dental implantation (the clinical observation and the review of the literature)

Rossiiskaya rinologiya ◽

10.17116/rosrino20182603154 ◽

2018 ◽

Vol 26 (3) ◽

pp. 54 ◽

Cited By ~ 2

Author(s):

I. A. Kim ◽

O. V. Parakhina ◽

D. R. Ragimova

Keyword(s):

Clinical Observation ◽

Maxillary Sinusitis ◽

Review Of The Literature ◽

Dental Implantation ◽

Sinus Lifting

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Ruptured Globe due to a Bird Attack

Case Reports in Ophthalmology ◽

10.1159/000444180 ◽

2016 ◽

Vol 7 (1) ◽

pp. 112-114 ◽

Cited By ~ 1

Author(s):

Haitham A. Abdulla ◽

Saad K. Alkhalifa

Keyword(s):

Posterior Chamber ◽

Rare Type ◽

Hand Motion ◽

Surgical Closure ◽

Eye Trauma ◽

Posterior Chamber Intraocular Lens ◽

History Of ◽

Antibiotic Coverage ◽

Corneal Laceration

Introduction: Bird attacks are in general an uncommon event. To our knowledge, this is the first reported case in Bahrain. There have been very few cases reported worldwide. Mainly, birds attack humans as retaliation to threats surrounding their environment. At certain occasions, bird attack frequency increases especially during mating season or in the presence of a threat toward their young. Methods: A 31-year-old male presented with a history of left-eye trauma, loss of vision, pain and tearing for 2 hours. A left corneal penetrating laceration and traumatic cataract were diagnosed. The corneal laceration was closed surgically, the lens was aspirated and anterior vitrectomy performed. Results: After 4 months of follow-up, penetrating keratoplasty and posterior chamber intraocular lens implantation were performed elsewhere. The patient's vision improved from hand motion in his left eye to 20/200 without correction. Conclusion: Corneal perforation secondary to a bird injury can be treated successfully with surgical closure and broad intravenous antibiotic coverage. This rare type of ocular trauma does not require any specific additional measures.

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Characteristics of Chronic Maxillary Sinusitis in Patients With a History of Long-term Bisphosphonate Use

American Journal of Rhinology and Allergy ◽

10.1177/1945892419847109 ◽

2019 ◽

Vol 33 (5) ◽

pp. 500-506 ◽

Cited By ~ 1

Author(s):

Chi Sang Hwang ◽

Chunui Lee ◽

Hee Sung Chae ◽

Chun Han ◽

Hyun Woo Yang ◽

...

Keyword(s):

Maxillary Sinus ◽

Chronic Rhinosinusitis ◽

Single Photon ◽

Maxillary Sinusitis ◽

Photon Emission ◽

Clinical Manifestations ◽

Clinical Appearance ◽

Oroantral Fistula ◽

History Of

Background Bisphosphonates are widely used as bone stabilizers, which can cause major side effects including bisphosphonate-related osteonecrosis of the jaw (BRONJ) that occurs more frequently in the mandible. Consequently, there is a need for a detailed investigation of BRONJ of the maxilla and, in particular, of involvement of the maxillary sinus. Objective Our aim was to evaluate the characteristic radiologic and clinical manifestations in patients with maxillary sinusitis and a history of long-term bisphosphonate use. Methods Between January 2015 and July 2018, 55 patients with symptoms consistent with chronic rhinosinusitis who underwent a paranasal sinus computed tomography (CT) and had a history of >12 months of bisphosphonate therapy were included in the analysis. Results Radiologically and clinically evident chronic rhinosinusitis was noted in 24 of the 55 patients, of whom more than half (14/24, 58.3%) had BRONJ. The CT studies demonstrated that the maxillary sinus was involved in all 24 patients, characterized by unilateral involvement (70.8%) and bony remodeling in the posterior maxillary region (90.5%). The evidence of osteitis on CT and/or single-photon emission CT was observed in the majority of cases (19/21, 90.5%) and 12 patients (50.0%) had oroantral fistula. However, there were no differences in the clinical appearance of the diseases with respect to the radiologic aspects. Conclusions Besides its well-known effects on the mandible, long-term bisphosphonate use can also affect the maxillary sinus, with typical clinical and radiological manifestations.

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THE PROBLEM OF DEVELOPMENT OF MAXILLARY SINUSITIS AFTER SINUS-LIFTING SURGERY

The actual problems in dentistry ◽

10.18481/2077-7566-2020-16-3-5-10 ◽

2020 ◽

Vol 16 (3) ◽

pp. 5-10

Author(s):

Ekaterina Remizova ◽

Malkan Amkhadova ◽

Tamara Gergieva ◽

Islam Amkhadov

Keyword(s):

Clinical Practice ◽

Maxillary Sinus ◽

Maxillary Sinusitis ◽

Systematic Analysis ◽

Bone Material ◽

Dental Implantation ◽

Sinus Cavity ◽

Sinus Lifting ◽

Odontogenic Sinusitis ◽

Optimal Visualization

Subject. In some clinical cases maxillary sinus lift is a nessesary surgery preparing for dental implantation in the distal parts of the upper jaw. However, despite the widespread using of this type of surgery in clinical practice, the percentage of postoperative complications leading to the development of odontogenic maxillary sinusitis after sinus-lifting surgery does not decrease from year to year. Among the complications of sinus lifting, the following main ones are distinguished: perforation of the maxillary sinus mucosa and nasal cavity; rejection of a previously installed dental implant; migration of the implant and/or bone material to the maxillary sinus; bleeding; acute maxillary sinusitis. The aim is to conduct a systematic analysis of domestic and foreign literature sources to determine the main factors of development of postoperative odontogenic sinusitis, as well as features of diagnosis and prevention of this complication. Methodology. The review of research allows us to consider the etiology of odontogenic maxillary sinusitis after sinus-lifting surgery and the pathogenesis of the disease, to draw conclusions about possible ways to prevent its development. Results. Odontogenic sinusitis that developed after the sinus-lifting operation is very common in clinical practice, despite the widespread use of this type of bone augmentation and proven methods of surgical intervention. The reason for this can be both anatomical prerequisites and iatrogenic factors, as well as insufficient diagnosis of pathologies of the paranasal sinuses in the preoperative period. Conclusions. The development of postoperative sinusitis can be avoided with careful planning of the operation, necessarily with computer tomography (preferably, cone-beam (dental) computed tomography, which is characterized by a relatively low load for optimal visualization of the maxillofacial tissues). Pathological changes in the sinus cavity and paranasal structures should be eliminated as planned before the sinus-lifting operation.

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Clinical Characteristics of Patients Diagnosed with Odontogenic Maxillary Sinusitis through the Consultation with Dentistry

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2019.00808 ◽

2020 ◽

Vol 63 (6) ◽

pp. 259-264

Author(s):

Sangjun Kim ◽

Daeyeon Kim ◽

Sang Hoo Park ◽

Woo Yong Bae

Keyword(s):

Maxillary Sinus ◽

Dental Treatment ◽

Past History ◽

Maxillary Sinusitis ◽

Clinical Results ◽

Disease Recurrence ◽

Dental Origin ◽

Chief Complaints ◽

History Of

Background and Objectives For maxillary sinus diseases, it is not easily determined whether it is of the sinus or dental origin as the root of a tooth is located in the maxillary sinus; hence the need to find the pathologic origin for better clinical results. The purpose of this study was to define the characteristics of patients who had needed to consult both a dentist and an otolaryngologist with respect to the diagnosis and management.Subjects and Method Thirty-one patients who visited the department of dentistry and ENT between 2014 and 2018 were included in the study. Patients with dental implant sinusitis were excluded. We restrospectively reviewed the medical records for chief complaints, assessment, diagnose, treatment, and prognosis of the patients.Results Of 31 patients, 13 patients were diagnosed with odontogenic rhinosinusitis (ORS), 5 with postoperative cheek cyst (POCC), 2 with radicular cyst without ORS, 7 with sinusitis, and 4 with other diseases. Thirteen patients underwent combined operation and 5 at each department. Follow-up periods was about 6.5 months. There was no disease recurrence except one patients with POCC.Conclusion There needs to be an active consultation with the dentistry department in case of unilateral sinusitis and past history of dental treatment temporally or when patients show positive findings in CT.

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Multidisciplinary treatment of patients with chronic odontogenic maxillary sinusitis: A case series

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh190822012k ◽

2020 ◽

Vol 148 (3-4) ◽

pp. 227-230

Author(s):

Liana Karapetyan ◽

Valeriy Svistushkin ◽

Ekaterina Diachkova ◽

Svetlana Tarasenko ◽

Liudmila Shamanaeva

Keyword(s):

Maxillary Sinusitis ◽

Multidisciplinary Treatment ◽

Case Series ◽

Endoscopic Technique ◽

Surgical Approaches ◽

Collagen Membrane ◽

Treatment Technique ◽

Oroantral Fistula ◽

Open Operation ◽

Chronic Maxillary Sinusitis

Introduction. The treatment of chronic odontogenic maxillary sinusitis remains an important problem for medicine due to the presence of numerous available techniques, number of complex surgical approaches, performed by an ENT or maxillofacial surgeon or both. This study aims to analyse different methods of treatment of chronic maxillary sinusitis by several specialists for the choice of the optimal treatment technique. Outline of cases. We describe two clinical cases of multidisciplinary treatment of patients with chronic odontogenic maxillary sinusitis with the involvement of different specialists ? the ENT and the maxillofacial surgeon. One patient was treated with endoscopic technique, and other underwent classic open sinusotomy using local tissues and xenogenic collagen membrane for removing an oroantral fistula. For assessing the condition before and after the treatment, clinical examination and computed tomography were used. Conclusion. According to the results of our study, the endoscopic technique is the preferred method of treatment of patients with chronic maxillary sinusitis when there is no connection with the oral cavity. If an oroantral fistula is present, it is necessary to perform an open operation by a maxillofacial surgeon.

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Features of preparation of patients with chronic maxillary sinusitis for sinus lifting and dental implantation

Pacific Medical Journal ◽

10.34215/1609-1175-2020-2-74-75 ◽

2020 ◽

pp. 74-75

Author(s):

T. I. Gurina ◽

S. S. Berveno ◽

K. N. Parkhomenko

Keyword(s):

Oral Cavity ◽

Nasal Cavity ◽

Chronic Infection ◽

Maxillary Sinusitis ◽

Maxillofacial Region ◽

Dental Implantation ◽

Sinus Lifting ◽

Preparatory Stage ◽

Chronic Maxillary Sinusitis ◽

Maxillary Sinuses

An important point in dental implantation is considered to be the preparatory stage, which includes the elimination of foci of chronic infection in the oral cavity and the entire maxillofacial region as well as in the nasal cavity and sinuses. The article covers the clinical features of preparation for sinus lifting, compares the methods of rehabilitation of the maxillary sinuses.

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Management of idiopathic alveolar bone necrosis associated with oroantral fistula after upper left first molar extraction

Dental Journal (Majalah Kedokteran Gigi) ◽

10.20473/j.djmkg.v43.i3.p151-156 ◽

2010 ◽

Vol 43 (3) ◽

pp. 151

Author(s):

Ni Putu Mira Sumarta

Keyword(s):

Alveolar Bone ◽

Maxillary Sinusitis ◽

Bone Necrosis ◽

Oroantral Fistula ◽

Maxillary Molar ◽

History Of ◽

Wound Bed Preparation ◽

Maxillary Molar Extraction ◽

Maxillary Region ◽

Molar Extraction

Background: Complications such as alveolar osteonecrosis and oroantral fistula can occure in maxillary molar extraction. The management of such complication is done by treating to treat any persisting maxillary sinusitis if present, prevent further antral contamination, wound bed preparation, and oroantral fistula closure with appropriate method. Purpose: This case report presents a treatment stage of an idiopathic upper alveolar bone necrosis and oroantral fistula that occurred 4 months after left upper first molar extraction. Case: A case of an idiopathic upper alveolar bone necrosis associated with oroantral fistula that occurred 4 months after left upper first molar extraction is presented. Patient suffered from pain and swelling at left upper jaw since 2 month before admission. There was a history of complicated tooth extraction 4 months earlier. Patient also complained pus and blood discharge from post extraction socket. Patient occasionally choked when drinking and fluids escaped through the nostril. There was a diffuse swelling in the left maxillary region; there was no hyperemia, with soft consistency and no pain on palpation. In the 26, 27 region there was a

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Closure of large oroantral fistula with resorbable collagen membrane: Case report

Stomatoloski glasnik Srbije ◽

10.2298/sgs0904201m ◽

2009 ◽

Vol 56 (4) ◽

pp. 201-206 ◽

Cited By ~ 3

Author(s):

Aleksa Markovic ◽

Snjezana Colic ◽

Radojica Drazic ◽

Ljiljana Stojcev ◽

Bojan Gacic

Keyword(s):

Case Report ◽

Oral Cavity ◽

Maxillary Sinus ◽

Maxillary Sinusitis ◽

Collagen Membrane ◽

Oroantral Fistula ◽

Chronic Maxillary Sinusitis

Oroantral fistula is pathologic communication between oral cavity and maxillary sinus, usually localized between antrum and buccal vestibulum. Persisting OAF always causes chronic maxillary sinusitis. A technique for closure of a large oroantral fistula with resorbable collagen membrane is described.

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