scholarly journals Chronic maxillary sinusitis of dental origin and oroantral fistula: The results of combined surgical approach in an Italian university hospital

2020 ◽  
Author(s):  
Massimo Galli ◽  
Giulia De Soccio ◽  
Fabrizio Cialente ◽  
Francesca Candelori ◽  
Francesca Romana Federici ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Maxillary Sinusitis ◽  
Combined Treatment ◽  
Case Series ◽  
University Hospital ◽  
Sinus Surgery ◽  
Oroantral Fistula ◽  
Dental Origin ◽  
Chronic Maxillary Sinusitis

Unilateral chronic maxillary sinusitis is a possible complication of odontogenic disease or dental treatment and is mainly due to the development of an oroantral fistula (OAF). The management of chronic maxillary sinusitis of dental origin requires a combined treatment via endoscopic sinus surgery (ESS) and intraoral surgical treatment of the odontogenic source. The aim of this study is to present the results of our university hospital unit in the treatment and follow-up of a case series of 34 patients treated with combined surgical approach for chronic maxillary sinusitis of dental origin due to OAF. All patients were treated with ESS combined with an intraoral approach. No intraoperative or immediate postoperative complications were observed; nasal synechia was found in 3 patients (8.82%). The overall success rate after primary intervention was 94.12%; recurrence was observed in 2 cases (5.88%), both were suffering from diabetes mellitus and were tobacco smokers. Our results confirm that simultaneous surgery with a combination of an intraoral and endoscopic approach can be considered the best strategy for the long-term restoration of a normal sinonasal homeostasis in selected patients with chronic odontogenic sinusitis and OAF, guaranteeing an effective treatment with minimal complications in the short and long term.

Maxillary sinusitis of dental origin due to oroantral fistula, treated by endoscopic sinus surgery and primary fistula closure

2010 ◽  
Vol 124 (9) ◽  
pp. 986-989 ◽  
Author(s):  
J Hajiioannou ◽  
E Koudounarakis ◽  
K Alexopoulos ◽  
A Kotsani ◽  
D E Kyrmizakis
Keyword(s):  
Alveolar Bone ◽  
Treatment Approach ◽  
Maxillary Sinusitis ◽  
Case Series ◽  
Current Treatment ◽  
Sinus Surgery ◽  
Oroantral Fistula ◽  
Dental Origin ◽  
Odontogenic Sinusitis ◽  
Chronic Maxillary Sinusitis

AbstractAim:To present the current treatment approach for oroantral fistula causing maxillary sinusitis.Design:Case series. Four cases of oroantral fistula (diameters: 6, 9, 11 and 13 mm) due to chronic maxillary sinusitis were treated by excision of all diseased oroantral fistula tissue, followed by endoscopic creation of a large middle antrostomy and closure of the fistula using buccal flaps. A synthetic surgical glue and local alveolar bone were used.Results:Patients were followed up for six months to three years; all were considered cured.Conclusion:Most surgeons use buccal or palatal flaps, combined with the Caldwell–Luc procedure, to treat chronic odontogenic sinusitis and to repair fistulae more than 5 mm in diameter. This study supports the hypothesis that an endoscopic technique could be successfully used in patients with oroantral fistula causing chronic maxillary sinusitis of dental origin, instead of the Caldwell–Luc procedure, at least in patients with a small to medium-sized oroantral fistula.

Ultrastructural ciliary changes of maxillary sinus mucosa following functional endoscopic sinus surgery: an image analysis quantitative study

2003 ◽  
Vol 117 (4) ◽  
pp. 273-279 ◽  
Author(s):  
Ahmed Bassiouny ◽  
Ahmed M. Atef ◽  
Mahmoud Abdel Raouf ◽  
Safaa Mohamed Nasr ◽  
Magdy Nasr ◽  
...  
Keyword(s):  
Image Analysis ◽  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Quantitative Methods ◽  
Maxillary Sinusitis ◽  
Functional Endoscopic Sinus Surgery ◽  
University Hospital ◽  
Sinus Surgery ◽  
Chronic Maxillary Sinusitis ◽  
Sinus Mucosa

This was a study of the effect of functional endoscopic sinus surgery (FESS) on the ciliary regeneration of maxillary sinus mucosa in patients with chronic maxillary sinusitis, using objective quantitative methods. Twenty specimens from the mucosa of both the superolateral wall and the ostium of the maxillary sinus were sampled during FESS and then six to 12 months later. They were light examined first by light microscopy and then by scanning electron microscopy in combination with image analysis software in order to study the cilia under higher magnification and to calculate proportion of the field that was ciliated. Samples were taken and studied at Cairo University hospital. This study showed that the maxillary sinus mucosa in chronic sinusitis is capable of regeneration and could return towards normal with the improvement of ventilation and drainage of the maxillary sinus following FESS. There were no significant changes in the degree of glandular hyperplasia, goblet cells or pathological glands after surgery.

Chronic Maxillary Sinusitis of Dental Origin: Is External Surgical Approach Mandatory?

2002 ◽  
Vol 112 (6) ◽  
pp. 1056-1059 ◽  
Author(s):  
Andrey S. Lopatin ◽  
Svyatoslav P. Sysolyatin ◽  
Pavel G. Sysolyatin ◽  
Mikhail N. Melnikov
Keyword(s):  
Surgical Approach ◽  
Maxillary Sinusitis ◽  
Dental Origin ◽  
Chronic Maxillary Sinusitis

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

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.

scholarly journals Long-Term Effectiveness of Balloon Catheter Sinuplasty in Pediatric Chronic Maxillary Sinusitis

2019 ◽  
Vol 98 (4) ◽  
pp. 207-211 ◽  
Author(s):  
Habib G. Zalzal ◽  
Chadi A. Makary ◽  
Hassan H. Ramadan
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Pediatric Patients ◽  
Maxillary Sinusitis ◽  
Balloon Catheter ◽  
Sinus Surgery ◽  
Inclusion Criteria ◽  
Chronic Maxillary Sinusitis

The objective of our study was to assess the long-term effectiveness of balloon catheter sinuplasty in the treatment of pediatric chronic maxillary sinusitis following failed first-line medical and surgical management with adenoidectomy. Pediatric patients younger than 12 years were reviewed for having failed previous adenoidectomy and undergone a balloon catheter sinuplasty between August 2006 and March 2011 for chronic rhinosinusitis. Demographic data and clinical characteristics were recorded in patients who met inclusion criteria. Outcomes were assessed by need for functional endoscopic sinus surgery and persistence of chronic infection within at least 5 years of follow-up. Failure was defined by any child who was rediagnosed with chronic sinus disease after balloon catheter sinuplasty or who required endoscopic sinus surgery within 5 years. Sixty-two children were reviewed, with 38 patients meeting inclusion criteria (prior adenoidectomy, a preoperative Lund-Mackay score of ≥5, and balloon catheter sinuplasty). The mean age (standard deviation) was 6.76 (2.27) years with an age range of 2 to 11 years. Eight children (21.1%, P < .01) continued to have chronic sinus complaints following balloon procedure, with 5 (13.1%) individuals requiring eventual endoscopic surgery within 5 years. Age, asthma, allergy, and gender did not have any statistically significant impact on outcome. Balloon catheter sinuplasty is an effective long-term alternative for the treatment of chronic rhinosinusitis in pediatric patients, hoping to avoid further infections and eventual endoscopic surgery.

scholarly journals Long-Term Follow-Up After Maxillary Sinus Balloon Sinuplasty and ESS

2021 ◽  
pp. 014556132098603
Author(s):  
Anni Koskinen ◽  
Marie Lundberg ◽  
Markus Lilja ◽  
Jyri Myller ◽  
Matti Penttilä ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Revision Surgery ◽  
University Hospital ◽  
Sinus Surgery ◽  
Control Group ◽  
University Hospitals ◽  
Balloon Sinuplasty ◽  
Long Term Follow Up

Objectives: The aim of this controlled follow-up study was to compare the need for revision surgery, long-term efficacy, and satisfaction in chronic rhinosinusitis patients who had undergone maxillary sinus operation with either balloon sinuplasty or traditional endoscopic sinus surgery (ESS) technique. Methods: Thirty-nine ESS patients and 36 balloon patients of our previously described cohort, who had been primarily operated in 2008 to 2010, were contacted by phone. Symptoms, satisfaction, and need for revision surgery were asked. In addition, we collected data of patients who had undergone primary maxillary sinus balloon sinuplasty in the Helsinki University Hospital during the years 2005 to 2019. As a control group, we collected data of patients who had undergone primary maxillary sinus ESS at 3 Finnish University Hospitals, and 1 Central Hospital in years 2005, 2008, and 2011. Results: Altogether, 77 balloon patients and 82 ESS patients were included. The mean follow-up time was 5.3 years in balloon group and 9.8 years in ESS group. Revision surgery was performed on 17 balloon patients and 6 ESS patients. In the survival analysis, the balloon sinuplasty associated significantly with a higher risk of revision surgery compared to ESS. According to the phone interviews, 82% of ESS patients and 75% of balloon patients were very satisfied with the primary operation. Conclusion: Although the patient groups expressed equal satisfaction and change in symptoms after the operations, the need for revision surgery was higher after balloon sinuplasty than after ESS. This should be emphasized when counselling patients regarding surgical options.

Long-term stenting for chronic frontal sinus disease: case series and literature review

2010 ◽  
Vol 124 (11) ◽  
pp. 1216-1222 ◽  
Author(s):  
B Hunter ◽  
S Silva ◽  
R Youngs ◽  
A Saeed ◽  
V Varadarajan
Keyword(s):  
Frontal Sinus ◽  
Relevant Literature ◽  
Case Series ◽  
Outflow Tract ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Narrow Channels ◽  
Co Morbidity ◽  
Disease Case

AbstractObjective:The frontal sinus outflow tract consists anatomically of narrow channels prone to stenosis. Following both endonasal and external approach surgery, up to 30 per cent of patients suffer post-operative re-stenosis of the frontal sinus outflow tract, with recurrent frontal sinus disease. This paper proposes the surgical placement of a long-term frontal sinus stent to maintain fronto-nasal patency, as an alternative to more aggressive surgical procedures such as frontal sinus obliteration and modified Lothrop procedures.Design:We present a series of three patients with frontal sinus disease and significant co-morbidity, the latter making extensive surgery a significant health risk. We also review the relevant literature and discuss the use of long-term frontal sinus stenting.Results:These three cases were successfully treated with long-term frontal sinus stenting. Stents remained in situ for a period ranging from 48 to over 60 months.Conclusion:Due to the relatively high failure rates for both endonasal and external frontal sinus surgery, with a high post-operative incidence of frontal sinus outflow tract re-stenosis, long-term stenting is a useful option in carefully selected patients.

Bone-anchored hearing aids and chronic pain: a long-term complication and a cause for elective implant removal

2012 ◽  
Vol 126 (5) ◽  
pp. 445-449 ◽  
Author(s):  
D Siau ◽  
H Nik ◽  
J C Hobson ◽  
A J Roper ◽  
M P Rothera ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Case Series ◽  
Implant Removal ◽  
University Hospital ◽  
Royal Infirmary ◽  
Legal Implications ◽  
Adults And Children ◽  
Bone Anchored Hearing Aid ◽  
Site Pain

AbstractObjectives:To report a case series of elective removal of bone-anchored hearing aid implants, and reasons for removal.Design:Retrospective review of a prospectively collected database.Setting:Two tertiary referral centres in the Manchester area: Manchester Royal Infirmary and Salford Royal University Hospital.Participants:A series of 499 adults and children who had undergone a total of 602 implant insertions (1984–2008).Main outcome measures:Implant removal rates, and reasons.Results:Twenty-seven of the 602 implants (4.5 per cent) required removal. Of these, 12 were due to pain (2.0 per cent), seven to persistent infection (1.2 per cent), three to failure of osseointegration (0.5 per cent), three to trauma (0.5 per cent) and two to other reasons (0.4 per cent).Conclusion:Chronic implant site pain represents the main reason why implants are removed electively, and affects 2 per cent of all implants. This complication has important medico-legal implications and should be discussed when obtaining informed consent for implantation.

Long-term outcomes of endoscopic maxillary mega-antrostomy for refractory chronic maxillary sinusitis

2014 ◽  
Vol 5 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Milena L. Costa ◽  
Alkis J. Psaltis ◽  
Jayakar V. Nayak ◽  
Peter H. Hwang
Keyword(s):  
Maxillary Sinusitis ◽  
Long Term Outcomes ◽  
Chronic Maxillary Sinusitis
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