scholarly journals Endoscopic findings of dental implant found in the infundibulum showing the mucociliary clearance of the maxillary sinus

2022 ◽  
pp. 014556132110624
Author(s):  
HyunJun Lee ◽  
Jong Seung Kim
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Dental Implant ◽  
Mucociliary Clearance ◽  
Uncinate Process ◽  
Sinus Surgery ◽  
Purulent Discharge ◽  
Nasal Sinus ◽  
Left Maxillary Sinus ◽  
Left Middle

Significance statement: A 53-year-old man with left facial pain was referred to our hospital. Nasal endoscopy revealed a purulent discharge at the left middle meatus and bulging of the uncinate process. Computed tomography demonstrated that the dental implant was blocking the left maxillary ostium. Functional endoscopic sinus surgery was performed under general anesthesia. After removal of the uncinate process, a yellowish purulent discharge in the left maxillary sinus discharged from the maxillary sinus. The presence of the dental implant in the infundibulum shows the direction of mucociliary clearance from the nasal sinus. This case indicates how our sinus clears a foreign body, and the direction in which the foreign body is removed.

scholarly journals FOREIGN BODY IN MAXILLARY SINUS WITH SKIN FISTULA – CLINICAL CASE

2019 ◽  
Vol 6 (3) ◽  
pp. 82-84 ◽  
Author(s):  
Daniela Vrînceanu ◽  
M. Dumitru ◽  
B. Banica ◽  
Adriana Nica
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Maxillary Sinus ◽  
Head Trauma ◽  
Clinical Case ◽  
Sinus Surgery ◽  
Facial Trauma ◽  
Legal Implications ◽  
Left Maxillary Sinus ◽  
Skin Fistula

We present the case of a 41 years old patient with poor social status and previous facial trauma with a sharp object (wood branch) 2 years ago. Although it was performed the extraction of the branch in a local ENT department, the patient developed a fistula in the left genian region with the presence of puss. Two months ago the patient undergoes another head trauma leading to neurosurgery. CT scan raises the suspicion of a foreign body in the left maxillary sinus. We performed left maxillary sinus surgery through Caldwell-Luc approach with extraction of the foreign body and closure of the fistula. Surgical healing was optimal within 10 days. We analyze the medico-legal implications of such cases.

Transnasal Endoscopy Removal of Dislodged Dental Implant: A Case Report

2017 ◽  
Vol 43 (3) ◽  
pp. 228-231 ◽  
Author(s):  
Daniel Lim ◽  
Rosliza Parumo ◽  
Ma Bee Chai ◽  
Jothi Shanmuganathan
Keyword(s):  
Maxillary Sinus ◽  
Dental Implant ◽  
Maxillary Antrum ◽  
Rare Complication ◽  
Sudden Change ◽  
Sinus Surgery ◽  
Best Interest ◽  
General Dental Practitioner ◽  
Delayed Referral ◽  
Left Maxillary Sinus

Displacement of dental implants into the maxillary sinus is a rare complication. This article presents a case of displaced dental implant into maxillary sinus. Retrieval of the dental implant from left maxillary sinus was performed via endoscopic sinus surgery. This case highlighted a delayed referral of a 53-year-old male by a general dental practitioner for management of a dislodged dental implant into the left maxillary antrum. The implant was dislodged during placement of a healing abutment 4 months after implant insertion to replace missing 25. Cone beam computerized tomography revealed the displaced implant was located at the ostium of the left nose. A sudden change in sinonasal pressure when the patient took a deep breath during the procedure may have created a negative pressure and suction effect causing the implant to be dislodged and embedded at the ostium. In view of its position, a referral to an otorhinolaryngologist was made for endoscopic removal of the displaced implant. This case also highlighted the need for inter disciplinary cooperation in the management of such a complication for the best interest of the patients.

scholarly journals Maxillary Sinus Ameloblastoma: Transnasal Endoscopic Management

2020 ◽  
pp. 014556132093055
Author(s):  
John Karp ◽  
Wei Xiong ◽  
Sara Derikvand ◽  
Amin Javer
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Resection ◽  
Sinus Surgery ◽  
Endoscopic Management ◽  
Additional Surgery ◽  
History Of ◽  
Incidental Discovery ◽  
Short And Long Term ◽  
Left Maxillary Sinus ◽  
Odontogenic Neoplasm

Ameloblastoma (AM) is a slow growing and aggressive benign tumor with an odontogenic epithelial origin arising from the mandible or maxilla. The odontogenic neoplasm invades local tissues asymptomatically and accounts for 1% of oral tumors and over 10% of odontogenic tumors. A 64-year-old man with a history of allergic fungal rhinosinusitis (AFRS) undergoing a revision image-guided endoscopic sinus surgery was found to have a fibrous mass suspicious of malignancy projecting inferolaterally and attached to the floor of the left maxillary sinus. Diagnostic biopsies were taken, and additional surgery was required to successfully resect the tumor via a transnasal endoscopic dissection. Multiple permanent pathology samples concluded the diagnosis of an AM. Endoscopic investigations led to the incidental discovery and ultimate complete endoscopic resection of the AM. The utilization of an endoscopic resection compared to the traditional maxillectomy with reconstruction results in significant less short and long-term morbidity for the patient.

Restoration of the mucociliary clearance ofthe maxillary sinus after endoscopic sinus surgery

1997 ◽  
Vol 99 (1) ◽  
pp. 48-52 ◽  
Author(s):  
K IKEDA ◽  
T OSHIMA ◽  
M FURUKAWA ◽  
Y KATORI ◽  
A SHIMOMURA ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Mucociliary Clearance ◽  
Sinus Surgery

Reevaluation of Maxillary Sinus Surgery: Experimental Study in Rabbits

1989 ◽  
Vol 98 (11) ◽  
pp. 901-906 ◽  
Author(s):  
David W. Kennedy ◽  
Hisham Shaalan
Keyword(s):  
Maxillary Sinus ◽  
Complex Disease ◽  
Mucociliary Clearance ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Control Group ◽  
Ostiomeatal Complex ◽  
The Status ◽  
Sinus Ostium ◽  
Sinus Mucosa

Functional endoscopic sinus surgery concentrates primarily on the removal of ostiomeatal complex disease. When required, maxillary sinus ostioplasty is performed. However, surgical widening of a sinus ostium is contrary to common precepts. A study therefore was performed to reevaluate the effects of antrostomies and of intrasinus mucosal removal. Widening of the natural ostium, a separate antrostomy at some distance from the ostium, or radical mucosal removal was performed on 30 rabbits. Fifteen sinuses were used as controls. After 6 to 8 weeks the status of the sinus mucosa and mucociliary clearance was studied. The study confirmed that mucociliary clearance continued toward the natural ostium following inferior antrostomy. Following widening of the natural ostium, mucociliary clearance through the ostium redeveloped in 11 of 18 sinuses but was typically imperfect. There were no cases of ostial closure; however, the incidence of infection was significantly higher in all three experimental groups than in the control group.

scholarly journals Removal of a Dental Implant Displaced into the Maxillary Sinus by Means of the Bone Lid Technique

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Pietro Fusari ◽  
Matteo Doto ◽  
Matteo Chiapasco
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Dental Implants ◽  
Dental Implant ◽  
Low Incidence ◽  
Edentulous Jaws

Background. Rehabilitation of edentulous jaws with implant-supported prosthesis has become a common practice among oral surgeons in the last three decades. This therapy presents a very low incidence of complications. One of them is the displacement of dental implants into the maxillary sinus. Dental implants, such as any other foreign body into the maxillary sinus, should be removed in order to prevent sinusitis.Methods. In this paper, we report a case of dental implant migrated in the maxillary sinus and removed by means of the bone lid technique.Results and Conclusion. The migration of dental implants into the maxillary sinus is rarely reported. Migrated implants should be considered for removal in order to prevent possible sinusal diseases. The implant has been removed without any complications, confirming the bone lid technique to be safe and reliable.

scholarly journals Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis

2017 ◽  
Vol 10 (2) ◽  
pp. 78-85
Author(s):  
Anjali Prakash ◽  
Anoop Raj ◽  
Vikram Wadhwa ◽  
Swati Tandon ◽  
Praveen K Rathore
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Multidetector Ct ◽  
Sinus Surgery ◽  
Prospective Clinical Study ◽  
Computed Tomographic ◽  
Preoperative Ct ◽  
Left Maxillary Sinus ◽  
Operating Surgeon

ABSTRACT Objective Chronic sinusitis affects more than 30 million people each year worldwide. Computed tomography (CT) has become a standard diagnostic tool in the evaluation of paranasal sinuses (PNS), but medical literature lacks studies correlating preoperative CT and intraoperative findings of functional endoscopic sinus surgery (FESS). The aim of our study was to evaluate ostiomeatal unit on multidetector CT (MDCT) and correlate findings of MDCT with intraoperative findings during FESS in patients with chronic sinusitis and hence check for its usefulness during surgery. Study design Prospective clinical study. Materials and methods Forty-nine patients with chronic sinusitis who visited the Lok Nayak Hospital, Delhi, India, between October 2010 and February 2012 were included in the study. All such patients underwent preoperative CT scan of PNS before surgery, i.e., FESS with or without septoplasty under general anesthesia. Results Maxillary sinus was found to be the most common sinus involved in chronic sinusitis. Preoperative CT findings correlated well with intraoperative findings for all sinuses except left maxillary sinus. Conclusion Multiplanar CT of nose and PNS helps to deli­neate the anatomy of nose and PNS, and drainage pathways of sinuses preoperatively. Therefore, the operating surgeon should be well versed with it. Progress of endoscopic sinus surgery can be partially attributed to revolution in imaging modalities. How to cite this article Tandon S, Rathore PK, Raj A, Prakash A, Wadhwa V. Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis. Clin Rhinol An Int J 2017;10(2):78-85.

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