Treatment of sinusitis associate with filling material of the maxillary sinus by endonasal endoscopic sinus surgery simultaneous sinus-lifting and dental implantation

AbstractObjectives:Endoscopic sinus surgery has been widely performed to treat nose and paranasal diseases. However, it is difficult to manipulate anterior wall lesions of the maxillary sinus using conventional surgical instruments. This paper presents a method of performing endoscopic surgery for anterior wall lesions of the maxillary sinus, using a 135° reflective CO2 laser.Method:A CO2 laser with a 135° reflective tip on the pipe-guide handpiece and a CO2 laser angulated to the same degree were used. The pipe-guide handpiece with reflective tip was inserted into the nasal cavity and the base of the maxillary sinus anterior wall lesion was vaporised and removed via an enlarged natural ostium. During the procedure, the maxillary antrum was visualised with a 70° endoscope. Ten cases of maxillary sinus anterior wall lesion underwent this surgical procedure.Results:In all cases, the base of the maxillary sinus anterior wall lesion was removed completely and recurrence avoided.Conclusion:This method is a reliable procedure enabling endoscopic sinus surgery for anterior wall lesions of the maxillary sinus.

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Saccharin Test of Maxillary Sinus Mucociliary Function After Endoscopic Sinus Surgery

The Laryngoscope ◽

10.1097/00005537-200001000-00021 ◽

2000 ◽

Vol 110 (1) ◽

pp. 117-122 ◽

Cited By ~ 43

Author(s):

Kazuyasu Asai ◽

Shin-ichi Haruna ◽

Nobuyoshi Otori ◽

Kiyoshi Yanagi ◽

Masaya Fukami ◽

...

Keyword(s):

Maxillary Sinus ◽

Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Mucociliary Function

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Enophthalmos secondary to maxillary sinus disease: single-stage operative management

The Journal of Laryngology & Otology ◽

10.1017/s0022215100131536 ◽

1995 ◽

Vol 109 (9) ◽

pp. 868-870 ◽

Cited By ~ 5

Author(s):

N. J. P. Beasley ◽

N. S. Jones ◽

R. N. Downes

Keyword(s):

Maxillary Sinus ◽

Endoscopic Sinus Surgery ◽

Operative Management ◽

Single Stage ◽

Sinus Surgery ◽

Orbital Floor ◽

Sinus Disease

AbstractMaxillary sinus disease can lead to dehiscence of the orbital floor. Using endoscopic sinus surgery it is possible to simultaneously reconstruct the orbital floor and to assess and treat underlying sinus disease.

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"Silent sinus syndrome": One more indication for functional endoscopic sinus surgery

Medicinski pregled ◽

10.2298/mpns14s1065j ◽

2014 ◽

Vol 67 (suppl. 1) ◽

pp. 65-68

Author(s):

Ljiljana Jovancevic ◽

Slobodan Savovic ◽

Slavica Sotirovic-Senicar ◽

Maja Buljcik-Cupic

Keyword(s):

Maxillary Sinus ◽

Endoscopic Sinus Surgery ◽

Rare Condition ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Orbital Floor ◽

Orbital Trauma ◽

Silent Sinus Syndrome ◽

Slow Development ◽

The Right

Introduction. Silent sinus syndrome is a rare condition, characterized by spontaneous and progressive enophthalmos and hypoglobus associated with atelectasis of the maxillary sinus and downward displacement of the orbital floor. Patients with this syndrome present with ophthalmological complaints, without any nasal or sinus symptoms. Silent sinus syndrome has a painless course and slow development. It seems to be a consequence of maxillary sinus hypoventilation due to obstruction of the ostiomeatal unit. The CT scan findings are typical and definitely confirm the diagnosis of silent sinus syndrome. Case report. We present the case of a 35-year-old woman, with no history of orbital trauma or surgery. She had slight righthemifacial pressure with no sinonasal symptoms. The patient had no double vision nor other ophthalmological symptoms. The diagnosis of silent sinus syndrome was based on the gradual onset of enophthalmos and hypoglobus, in the absence of orbital trauma (including surgery) or prior symptoms of sinus disease. On paranasal CT scans there was a complete opacification and atelectasis of the right maxillary sinus with downward bowing of the orbital floor. The patient was treated with functional endoscopic sinus surgery, with no orbital repair. Conclusion. Silent sinus syndrome presents with orbithopaties but is in fact a rhinologic disease, so all ophthalmologists, rhinologists and radiologists should know about it. The treatment of choice for silent sinus syndrome is functional endoscopic sinus surgery, which should be performed with extra care, by an experienced rhinosurgeon.

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Effect of Functional Endoscopic Sinus Surgery on the Maxillary Sinus Mucosa

Otolaryngology ◽

10.1016/j.otohns.2004.06.563 ◽

2004 ◽

Vol 131 (2) ◽

pp. P269-P269

Author(s):

Wilma T Anselmo Lima ◽

Fabiana Cardoso Pereira Valera ◽

Ricardo Cassiano Demarco ◽

Valder Rodrigues de Mello

Keyword(s):

Maxillary Sinus ◽

Endoscopic Sinus Surgery ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Sinus Mucosa

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Does Endoscopic Sinus Surgery (ESS) Retrieve Mucociliary Clearance of Maxillary Sinus: Prospective Study at a Tertiary Care Hospital

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-019-01666-2 ◽

2019 ◽

Vol 71 (S3) ◽

pp. 2210-2213

Author(s):

Anil Kumar S. Harugop ◽

B. Deepthi ◽

Suhasini Hanumaiah ◽

S. Puneeth Nayak ◽

N. R. Ankale ◽

...

Keyword(s):

Prospective Study ◽

Maxillary Sinus ◽

Endoscopic Sinus Surgery ◽

Mucociliary Clearance ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Sinus Surgery ◽

Care Hospital

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

Journal of Allergy and Clinical Immunology ◽

10.1016/s0091-6749(97)81043-3 ◽

1997 ◽

Vol 99 (1) ◽

pp. 48-52 ◽

Cited By ~ 1

Author(s):

K IKEDA ◽

T OSHIMA ◽

M FURUKAWA ◽

Y KATORI ◽

A SHIMOMURA ◽

...

Keyword(s):

Maxillary Sinus ◽

Endoscopic Sinus Surgery ◽

Mucociliary Clearance ◽

Sinus Surgery

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Surgical Treatment of Chronic Rhinosinusitis after Sinus lift

American Journal of Rhinology and Allergy ◽

10.2500/ajra.2017.31.4451 ◽

2017 ◽

Vol 31 (4) ◽

pp. 271-275 ◽

Cited By ~ 16

Author(s):

Nicole Tin-Lok Jiam ◽

Andrew N. Goldberg ◽

Andrew H. Murr ◽

Steven D. Pletcher

Keyword(s):

Dental Implants ◽

Chronic Rhinosinusitis ◽

Endoscopic Sinus Surgery ◽

Functional Endoscopic Sinus Surgery ◽

Implant Removal ◽

Sinus Surgery ◽

Sinus Lift ◽

Presenting Symptoms ◽

Dental Implantation ◽

Imaging Results

Background The sinus lift (or sinus augmentation) is a common procedure to improve maxillary bone stock before dental implantation. Chronic rhinosinusitis (CRS) is a potential complication of this procedure and may be refractory to medical treatment. Functional endoscopic sinus surgery has previously been used to address CRS, however, results of previous studies indicated that implant removal is required. There are limited follow-up data available. Objective The purpose of this study was to characterize the long-term outcomes and efficacy of endoscopic sinus surgery for refractory CRS after sinus lift, including the ability to salvage dental implants. Methods This was a retrospective case series that described nine patients who, between June 2011 and September 2016, underwent endoscopic sinus surgery for CRS after a sinus lift procedure. The presenting symptoms of the patients, medical management, imaging results, operative procedures, and outcomes were reviewed. Results The majority of patients developed symptoms (mucopurulent nasal drainage, facial pain and/or pressure, nasal congestion, and foul smell) within 3 months of implant placement and were treated with at least three courses of antibiotics before referral to an otolaryngologist. All the patients underwent wide endoscopic maxillary antrostomy, with no surgical complications or postoperative reports of infection. There was a statistically significant improvement in 22-item Sino-Nasal Outcome Test scores (t(8) = -2.908; p = 0.02) and discharge, inflammation, and polyps/edema endoscopic scores ([z = -2.539; p = 0.011) between pre- and postsurgical treatment. Four patients had their dental implants removed before presentation. Among the five patients who presented with intact dental implants, none required removal before or after functional endoscopic sinus surgery. Conclusion Functional endoscopic sinus surgery was a reasonable and efficacious treatment option for patients who presented with paranasal sinus disease after a sinus lift. Dental implant removal may not be a requirement for successful treatment of CRS associated with sinus lift procedures.

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