scholarly journals Conservative technique for the removal of implants displaced into maxillary sinus

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 69-75
Author(s):  
Andreia Moleta ◽  
Luise Machado Brasil ◽  
Edmar Rafael de Oliveira ◽  
Suyany Gabriely Weiss ◽  
Driele Gontarz ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Case Reports ◽  
Treatment Plan ◽  
Surgical Removal ◽  
Left Maxillary Sinus ◽  
The Right

Displaced dental implants into the maxillary sinus are relatively rare. Treatment consists of implant surgical removal. Objective: To present two case reports of the removal of implants displaced into maxillary sinus by a conservative technique. Case report: Report 1: A 44-year-old female sought for treatment complaining about headaches and recurrent sinusitis. In the anamnesis she reported she had been undergone placement of nine maxillary implants, fifteen years ago, with total loss of those elements. At the imaging exams it was possible to observe two displaced implants into the bilateral maxillary sinus, besides radiopaque image on the left maxillary sinus, compatible with maxillary sinusitis. Based on this data, the proposed treatment plan was the removal of the displaced implants through Caldwell Luc approach and sinusotomy in the left side, under general anesthesia. The patient has a follow-up of 6 months without complaints. Report 2: A 42-year-old male was referred to the Surgery and Maxillofacial Traumatology Department for implant removal from the right maxillary sinus. Patient underwent implant installation in the area around 9 months ago. In the computarized tomography it was possible to diagnose the implant migration into the right maxillary sinus. the proposed treatment plan was the removal of the displaced implant via Caldwell Luc Access by repositioning the bony window and sinusotomy. Results: Patient has been with no complaints at 30 days after surgery. Conclusion: The technique has been shown to be effective in treating the condition.

scholarly journals Maxillary sinus aspergillosis: A case report of the timely failure to treatment

2019 ◽  
Author(s):  
Asma Beyki ◽  
Mahmud Zardast ◽  
Zahra Nasrollahi
Keyword(s):  
Case Report ◽  
Invasive Aspergillosis ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Tooth Extraction ◽  
Histopathological Examination ◽  
Maxillary Sinusitis ◽  
Eye Pain ◽  
Lower Jaw ◽  
The Right

Invasive aspergillosis of the paranasal sinuses is a rare and often misdiagnosed disease. This study reported a case of max- illary aspergillosis with a complete  headache and eye pain after tooth extraction with a large abscess in the relative jaw. Tenderness in the right temporal, lower jaw numbness and right eye proptosis was found. Histopathological examination was the suggestion of maxillary sinusitis with a fungal ball of aspergillus.

scholarly journals Huge true aneurysm of the facial artery treated with internal trapping and surgical excision: a case report

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Kiyoko Nakagawa ◽  
Takuji Yasuda ◽  
Natsuko Kobayashi ◽  
Kazuhiko Urabe
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Surgical Excision ◽  
Facial Artery ◽  
True Aneurysm ◽  
The Right

Abstract A report of true aneurysms is extremely rare. There are only five previous case reports of true aneurysm of the facial artery. In the previously reported cases, there was no case that underwent trapping and surgical excision. In this case report, we describe the procedure of internal trapping before the surgical excision of a huge true aneurysm of the right facial artery for a 79-year-old woman. There was no recurrence of the aneurysm during a 6-month follow-up period.

Direct Laminate Veneers with Resin Composites: Two Case Reports with Five-Year Follow-ups

2010 ◽  
Vol 11 (4) ◽  
pp. 56-62 ◽  
Author(s):  
Yusuf Ziya Bayindir ◽  
Yahya Orcun Zorba ◽  
Cagatay Barutcugil
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Composite Laminate ◽  
Case Reports ◽  
Treatment Plan ◽  
Resin Composites ◽  
Enamel Hypoplasia ◽  
Anterior Teeth ◽  
Laminate Veneers

Abstract Aim The aim of this report is to present five-year follow-ups of two different applications for the use of direct laminate resin-based composite veneers to improve esthetics. Background Defects in the maxillary anterior teeth, such as enamel hypoplasia and peg lateral, can present esthetic challenges. Furthermore, a treatment plan that can be completed in a single appointment is highly desirable. This case report presents two different clinical cases involving the use of direct laminate resin-based composite veneers with five-year follow-ups. Case Report Case 1: A 17-year-old female patient was referred for treatment of her anterior teeth, which were unesthetically altered due to enamel hypoplasia and dental caries. A treatment plan was developed that included restoring the affected teeth with direct resin-based composite laminate veneers to improve the patient's appearance. The six maxillary anterior teeth were prepared for and restored with direct resinbased composite laminate veneers. At the fiveyear follow-up, the patient was satisfied with the restorations both esthetically and functionally. Case 2: A 15-year-old female patient also was referred for treatment to improve the appearance of her maxillary anterior teeth. A treatment plan was developed with two objectives: (1) to restore the undersized supernumerary crown in the area of the maxillary right lateral incisor and (2) to close the anterior diastemas. The facial surfaces were conservatively prepared and resin-based composite was applied with the aid of transparent crown forms. After completion of the treatment, the patient was recalled at six-month intervals. At the five-year follow-up appointment, the restorations were intact, no adverse effects were noted, and the resultant appearance was highly satisfactory for the patient. Summary The use of direct resin-based composite laminate veneers and adhesive bonding systems has been shown to provide an esthetic alternative to metal-ceramic or all-ceramic crowns for the rehabilitation of anterior teeth. This treatment option offers another advantage, namely a lower cost compared to an indirect technique. Other more complex and costly treatment options in the future are not ruled out. Clinical Significance In the present two cases, the initial and five-year follow-up results support the use of direct resin-based composite laminate veneers with minimal altering of healthy tooth structure. Such results should encourage clinicians to seek a cost-effective technique such as direct resin restorations to improve a patient's esthetic appearance in a single appointment. Citation Zorba YO, Bayindir YZ, Barutcugil C. Direct Laminate Veneers with Resin Composites: Two Case Reports with Five-Year Follow-ups. J Contemp Dent Pract [Internet]. 2010 July; 11(4):056-062. Available from: http://www. thejcdp.com/journal/view/volume11-issue4-zorba

Esthesioneuroblastoma (ENB): A case report

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 15546-15546
Author(s):  
E. Troncoso ◽  
S. Bonicatto ◽  
A. Mainella ◽  
A. Barbero ◽  
M. Lavezzaro ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Soft Palate ◽  
Sensory System ◽  
Clinical Manifestations ◽  
Response To Therapy ◽  
Nasal Fossa ◽  
History Of ◽  
Left Maxillary Sinus ◽  
The Right

15546 Background: ENB is a rare embrionary tumor derived from neuroblasts of the olfactory sensory system. Polypoid mass with epistaxis or nasal obstruction are the most common clinical manifestations of this tumor. It’s invasive and it frequently causes regional and distant metastasis. ENB requires a multimodality therapy. The objective of this study is to describe the form of presentation, diagnosis, treatment and evolution of this tumor on a female patient (pt), as a casuistic contribution. Methods and Case Report: A 61 year old woman with a four month history of epistaxis, nasal pain and anosmia. CT shows nasal mass invading the entire nasal cavity and upper maxillary. Pt underwent nasal resection and reconstruction with frontal flaps. Anatomopathology: ENB invading the bone. Cromogranin (+), sinaptofisin (+), CK (−), NSE (−). Three months later: lesion on the right wing nasal and a mass in the soft palate. MRI: mass on the floor of the nasal fossa that involve the left maxillary sinus and the bone palate. Kadish stage C. We treated her with three cycles of chemotherapy using cisplatin 30 mg/sqM d 1–3 iv and etoposide 100 mg/sqM d 1–3 iv. After that, remission was observed in the wing nasal lesion but the the soft palate mass shows progression. MRI: mass in nasal fossa that destroys the left maxillary sinus and causes lysis of the upper maxillary and orbital floor. Pt was treated with radiotherapy (6000 cGy) showing complete remission of the nasal lession and partial response on the soft palate, verified by physical examination and RMI. Four months after the end of radiotherapy, she continues under control and maintains the response to therapy without evidence of progression. Conclusion: ENB is an unfrequent tumor without any standard treatment. In our case, the combination of surgery, CH and RT has been effective for local control of the disease with good tolerance and acceptable quality of life. No significant financial relationships to disclose.

scholarly journals Pleomorphic Adenoma of Neck: Case Report

2021 ◽  
pp. 54-58
Author(s):  
Deepankar Shukla ◽  
Nitin Bhola
Keyword(s):  
Case Report ◽  
Pleomorphic Adenoma ◽  
Treatment Plan ◽  
Salivary Gland Tumor ◽  
Surgical Removal ◽  
Tumour Mass ◽  
Gland Tumor ◽  
Pleomorphic Adenomas ◽  
The Face ◽  
The Right

Pleomorphic adenomas are benign tumour of the salivary glands that mostly affect the parotid gland. The tumor's "pleomorphic" form can be explained by its epithelial and connective tissue origins. Females between the ages of 30 and 50 are more likely to get the tumour. The tumour usually presents as asymptomatic swelling that progresses slowly. The majority of treatment is surgical removal of the tumour mass, with special attention paid to preserving the facial nerve. This is a case report of a 42-year-old female patient who had a pleomorphic adenoma of the submandibular gland. On the right side of the face, the patient had a slowly growing asymptomatic swelling. Pleomorphic adenoma is the commonest salivary gland tumor characterized by  diverse  histomorphological  features.  Early diagnosis and treatment plan entails thorough history taking, clinical examination, coupled with radiographic and histopathological findings.

scholarly journals Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Yunus Feyyat Şahin ◽  
Togay Muderris ◽  
Sami Bercin ◽  
Ergun Sevil ◽  
Muzaffer Kırıs
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Maxillary Sinusitis ◽  
Surgical Removal ◽  
Oroantral Fistula ◽  
Unusual Foreign Body ◽  
Dental Procedures ◽  
Chronic Maxillary Sinusitis ◽  
Left Maxillary Sinus

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.

scholarly journals Rhino-maxillary aspergillosis in an immunocompetent patient. Case report.

2019 ◽  
Vol 6 (2) ◽  
pp. 50-54
Author(s):  
Sergio Moya ◽  
Mily Yañez ◽  
Cristóbal Palma
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Antifungal Therapy ◽  
Maxillary Sinusitis ◽  
Poor Response ◽  
Immunocompetent Patient ◽  
Nasal Discharge ◽  
Tissue Destruction ◽  
Non Invasive ◽  
The Right

Introduction: Aspergillosis is the second most frequent opportunistic fungal infection of the paranasal sinuses. It primarily affects the maxillary sinus and occurs mainly in immunocompromised individuals. Infection is caused by inhalation of spores or by an oro-sinusal communication. Aspergillosis is classified into an invasive and non-invasive form or Aspergilloma, which usually affects immunocompetent patients. Violaceous lesions, ulcers, necrosis and tissue destruction can be manifested clinically. Patients may experience pain, paresthesias, increases in the volume of purulent or bloody nasal discharge and congestion. Case report: A 62-year-old female patient, immunocompetent, with a condition evolving for about six years. Condition began after a dental extraction, and consisted of absence of scarring and recurrent episodes of symptomatology suggestive of maxillary sinusitis with poor response to antibiotics. The patient was referred to the maxillofacial care unit, presenting an increase of volume in the right genial region, pain and paraesthesia of infraorbital region. The CT scan showed the presence of a radiopaque foreign body in the right maxillary sinus. A surgical procedure was carried out using the Caldwell-Luc technique and biopsy; the case was diagnosed with Aspergillosis. The patient was treated without antifungal therapy because she had a good immune status. Conclusion: Aspergilloma is the most common form of Aspergillosis in immunocompetent individuals. It is usually diagnosed late, as its clinical picture is similar to bacterial sinusitis. In most cases, patients respond well to surgical treatment, and systemic antifungal therapy is not necessary.

scholarly journals Interdisciplinary planning as a landmark for treatment: Case report with a 2-years follow-up

2018 ◽  
Vol 23 (6) ◽  
pp. 41.e1-41.e12
Author(s):  
Roberto Perasso ◽  
Monica Imelio ◽  
Renato Alcidi
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Deep Bite ◽  
Significant Correction ◽  
Natural Teeth ◽  
Points Of View ◽  
Abstract Case ◽  
The Right

Abstract Case report: young adult woman with esthetic complaints regarding her smile and frontal teeth aspect. At first glance, the problem seemed to be only the shape of the lateral upper incisors and a small diastema between the central incisors. The diagnosis shared between the orthodontist and the prosthetist led us to consider some other important aspects, such as the deep bite, the teeth inclination and the lips support. All these findings led us to consider that the right way to improve the esthetics of the patient’s smile was to plan an orthodontic treatment. This would serve not only for the distribution of the spaces, but mostly it would improve all other problems, before the restoration of the upper lateral teeth with two ceramic veneers. Results: the treatment plan achieved the right distribution of spaces for upper lateral incisors, significant correction of the incisors inclination with important reduction of overbite and better lip support, upper laterals restorations with ceramic feldspathic veneers, obtaining a good integration with natural teeth satisfying patient complaint. Conclusion: in cases which involve interdisciplinary approach, the fundamental step comes from the beginning, when only an initial diagnosis shared among the team of specialists can define the patient problems from different points of view. In this way, we can better understand the competency fields and plan the right treatment and time sequence.

scholarly journals Giant antrochoanal polyp: Case report and literature review

2014 ◽  
Vol 67 (11-12) ◽  
pp. 410-412 ◽  
Author(s):  
Karol Canji ◽  
Slobodan Mitrovic
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Common Symptom ◽  
Antrochoanal Polyp ◽  
Nasal Pyramid ◽  
The Right ◽  
Sinus Ostium ◽  
Sinus Mucosa ◽  
Endotracheal Anesthesia

Introduction. Antrochoanal polyp is a benign tumor of the maxillary sinus mucosa passing through the sinus ostium into the nasal cavity. Nasal obstruction is the most common symptom in all patients. Case Report. The authors present a case of a 28-year old female who was admitted to hospital with breathing difficulty, unilateral nasal secretion, headache and deformity of the nasal pyramid. Computerized tomography examination of the nose and paranasal sinuses indicated a possibility of giant antrochoanal polyp. The antrochoanal polyp was extirpated completely using forceps, under general endotracheal anesthesia. The length of the giant polyp was 16 cm. A follow-up examination of the nose and the right maxillary sinus was performed using a rigid endoscope, but no remains of the polyp were found. Conclusion. The authors believe that this is probably the first or a very rare published case of complete extirpation of a giant antrochoanal polyp of this size.

scholarly journals Endoscopic trans nasal excision of pterygopalatine fossa schwannoma: case report and review of literature

2020 ◽  
Vol 6 (11) ◽  
pp. 2127
Author(s):  
Blessy B. Prabha ◽  
Vijay Rangachari
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Histopathological Examination ◽  
Pterygopalatine Fossa ◽  
Complete Excision ◽  
Endoscopic Techniques ◽  
Surgical Access ◽  
Left Maxillary Sinus ◽  
Difficult Area

<p class="abstract">The pterygopalatine fossa is a difficult area for surgical access and lesions in this area traditionally advocated open external trans maxillary approaches. With endoscopic techniques, it is possible to not only access and explore this area but also plan complete excision of lesions in the pterygopalatine fossa. We present a case report of a 26-year-old lady with complaints of pain in the area of the left cheek for 6 months. She had no other co-morbidities. On clinical examination, no abnormality was detected.  Radiological examination with magnetic resonance imaging showed a lesion possibly a schwannoma in the left pterygopalatine fossa behind the left maxillary sinus. Complete excision was achieved using trans nasal endoscopic technique through the left maxillary sinus. Histopathological examination confirmed the diagnosis of schwannoma.  Post-operative period was uneventful and she was free from any pain and neurological symptoms on subsequent follow up. Schwannomas in the pterygopalatine fossa are rare entities. Endoscopic techniques are safe and effective in accessing the pterygopalatine fossa for excision of lesions situated in this area. This technique obviates the need for external facial incisions or intra oral incisions and helps in good surgical outcomes and quick healing and recovery.   </p>

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