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 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.

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

2009 ◽  
Vol 56 (4) ◽  
pp. 201-206 ◽  
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.

Maxillary Sinus Atelectasis with Enophthalmos

1998 ◽  
Vol 107 (1) ◽  
pp. 34-39 ◽  
Author(s):  
James H. Boyd ◽  
Karen Yaffee ◽  
John Holds
Keyword(s):  
Bone Resorption ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Endoscopic Technique ◽  
Orbital Floor ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Middle Meatal Antrostomy ◽  
Chronic Maxillary Sinusitis ◽  
Sinus Ostium

Chronic maxillary sinusitis may present as atelectasis of the sinus with changes to surrounding structures. Several mechanisms have been proposed for this problem. Chronic obstruction of the sinus ostium, with resultant retention of secretions and osteitic bone resorption, may account for these changes. Enophthalmos is one manifestation that may require corrective treatment. Titanium micromesh reconstruction of the orbital floor, with or without onlay concha cartilage, has reliably resolved the enophthalmos. Reconstruction of the orbital floor and ventilation of the obstructed sinus ostium may be carried out relatively safely in a single operation. The standard endoscopic technique of uncinate removal and middle meatal antrostomy should be modified to prevent orbital penetration. This report reviews our series of 6 patients with this problem, as well as a comprehensive review of the literature. Recommendations for management of both the obstruction and the secondary orbital manifestations are presented.

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

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Ekaterina Diachkova ◽  
Elena Morozova ◽  
Natalia Blagushina ◽  
Svetlana Tarasenko
Keyword(s):  
Maxillary Sinusitis ◽  
Collagen Membrane ◽  
Oroantral Fistula ◽  
Surgical Closure ◽  
Dental Implantation ◽  
Dental Rehabilitation ◽  
History Of ◽  
Sinus Lifting ◽  
Buccal Flap

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.

scholarly journals Chronic Maxillary Sinusitis Caused by Denture Lining Material

2016 ◽  
Vol 10 (1) ◽  
pp. 261-267
Author(s):  
Tsutomu Sugiura ◽  
Kazuhiko Yamamoto ◽  
Chie Nakashima ◽  
Kazuhiro Murakami ◽  
Yumiko Matsusue ◽  
...  
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Second Molar ◽  
Oroantral Fistula ◽  
Good Shape ◽  
Posterior Maxilla ◽  
Lining Material ◽  
Chronic Maxillary Sinusitis ◽  
The Right

We report a case of chronic maxillary sinusitis caused by denture lining material entering through an oroantral fistula after tooth extraction. The patient was an 80-year-old female who visited us with a complaint of pus discharge from the right posterior maxilla. She had extraction of the upper right second molar and had her upper denture relined with silicone lining material. The patient noticed swelling of the right cheek and purulent rhinorrhea 20 days before her first visit to our clinic. Oral examination showed an oroantral fistula with a diameter of 3 mm in the posterior alveolar ridge of the right maxilla. Computed tomography revealed a hyperdense foreign body in the right maxillary sinus and thickening of the mucosal lining. Under diagnosis of maxillary sinusitis caused by a foreign body, endoscopic maxillary surgery was performed simultaneously with the removal of the foreign body. The foreign body removed was 12 × 6 mm in size, oval in shape, light pink in color, and compatible with silicone denture lining material. During the follow-up it was observed that the oroantral fistula closed spontaneously after the removal of the foreign body. The maxillary sinus was in a good shape without recurrence of sinusitis seven months after surgery.

scholarly journals Dentistry and otorhinolaryngology cooperative therapy of chronic maxillary sinusitis: Case series study

2019 ◽  
Vol 43 (4) ◽  
pp. 278-282
Author(s):  
Han-Chang Yu ◽  
Pil-Young Yun ◽  
Na-Hee Chang ◽  
Young-Kyun Kim
Keyword(s):  
Maxillary Sinusitis ◽  
Case Series ◽  
Case Series Study ◽  
Chronic Maxillary Sinusitis ◽  
Series Study

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 PLASMA RICO EM FIBRINA (PRF) COMO OPÇÃO DE RECOBRIMENTO APÓS ROTAÇÃO DE RETALHO PALATINO PARA TRATAMENTO DE FÍSTULA BUCOSSINUSAL

2020 ◽  
Author(s):  
Rafael Mérola Corrêa
Keyword(s):  
Clinical Case ◽  
Oral Surgery ◽  
Maxillary Sinusitis ◽  
Platelet Rich Fibrin ◽  
Mucosal Flap ◽  
Oroantral Fistula ◽  
Donor Area ◽  
Chronic Maxillary Sinusitis ◽  
Autogenous Grafts ◽  
Fibrin Membrane

ResumoO desenvolvimento de uma fístula bucossinusal, a partir de uma comunicação gerada entre a cavidade oral e o seio maxilar, pode ser favorecido por um não fechamento espontâneo ou por uma sinusite maxilar crônica já instalada. O tratamento da fístula bucossinusal depende de fatores que podem beneficiar ou dificultar o prognóstico dos casos, como a localização, causa e o tamanho do defeito gerado. Diferentes técnicas são descritas na literatura para o tratamento destes defeitos orosinusais, como retalhos locais deslizantes ou rotacionados, enxertos autógenos ou o uso da bola de gordura bucal.  O objetivo do presente trabalho é apresentar o caso clínico de uma fístula bucossinusal pós exodontia há aproximadamente 05 anos, não corrigida imediatamente, tratada através de retalho mucoso palatino rotacionado. Como coadjuvante para a cicatrização da área doadora foi utilizado membrana de fibrina rica em plaquetas. A técnica do retalho palatino mostrou-se uma opção favorável para o fechamento da fístula bucossinusal e o uso dos fatores de crescimento permitiu vascularização adequada na área doadora e no retalho rotacionado, o que favoreceu a hemostasia vascular e estimulou a recuperação dos tecidos moles adjacentes.Palavras-chave: Seio maxilar, fístula bucoantral, cirurgia bucal, fibrina rica em plaquetas.          AbstractThe development of a bucosinusal fistula from a communication generated between the oral and maxillary cavity may be favored by a spontaneous unblocked or an existing chronic maxillary sinusitis. The treatment of bucosinusal fistula depends on factors that may benefit or hinder the prognosis of cases, such as location, cause and size of the defect used. Different techniques are described in the literature for the treatment of these oral defects, such as sliding or rotating local flaps, autogenous grafts or the use of the buccal fat ball. The aim of the present study is to present the clinical case of a post-extraction bucosinusal fistula approximately 05 years ago, not immediately corrected, treated through a rotated palatal mucosal flap. As an adjunct to the healing of the donor area, a platelet-rich fibrin membrane was used. The palatal flap technique proved to be a favorable option for the closure of the bucosinusal fistula and the use of growth factors allowed adequate vascularization in the donor area and in the rotated flap, which favored vascular hemostasis and stimulated the recovery of adjacent soft tissues.Key-words: Maxillary sinus, oroantral fistula, oral surgery, platelet-rich fibrin  

PLASMA RICO EM FIBRINA (PRF) COMO OPÇÃO DE RECOBRIMENTO APÓS ROTAÇÃO DE RETALHO PALATINO PARA TRATAMENTO DE FÍSTULA BUCOSSINUSAL

2020 ◽  
Author(s):  
Rafael Mérola Corrêa
Keyword(s):  
Clinical Case ◽  
Oral Surgery ◽  
Maxillary Sinusitis ◽  
Platelet Rich Fibrin ◽  
Mucosal Flap ◽  
Oroantral Fistula ◽  
Donor Area ◽  
Chronic Maxillary Sinusitis ◽  
Autogenous Grafts ◽  
Fibrin Membrane

ResumoO desenvolvimento de uma fístula bucossinusal, a partir de uma comunicação gerada entre a cavidade oral e o seio maxilar, pode ser favorecido por um não fechamento espontâneo ou por uma sinusite maxilar crônica já instalada. O tratamento da fístula bucossinusal depende de fatores que podem beneficiar ou dificultar o prognóstico dos casos, como a localização, causa e o tamanho do defeito gerado. Diferentes técnicas são descritas na literatura para o tratamento destes defeitos orosinusais, como retalhos locais deslizantes ou rotacionados, enxertos autógenos ou o uso da bola de gordura bucal.  O objetivo do presente trabalho é apresentar o caso clínico de uma fístula bucossinusal pós exodontia há aproximadamente 05 anos, não corrigida imediatamente, tratada através de retalho mucoso palatino rotacionado. Como coadjuvante para a cicatrização da área doadora foi utilizado membrana de fibrina rica em plaquetas. A técnica do retalho palatino mostrou-se uma opção favorável para o fechamento da fístula bucossinusal e o uso dos fatores de crescimento permitiu vascularização adequada na área doadora e no retalho rotacionado, o que favoreceu a hemostasia vascular e estimulou a recuperação dos tecidos moles adjacentes.Palavras-chave: Seio maxilar, fístula bucoantral, cirurgia bucal, fibrina rica em plaquetas.          AbstractThe development of a bucosinusal fistula from a communication generated between the oral and maxillary cavity may be favored by a spontaneous unblocked or an existing chronic maxillary sinusitis. The treatment of bucosinusal fistula depends on factors that may benefit or hinder the prognosis of cases, such as location, cause and size of the defect used. Different techniques are described in the literature for the treatment of these oral defects, such as sliding or rotating local flaps, autogenous grafts or the use of the buccal fat ball. The aim of the present study is to present the clinical case of a post-extraction bucosinusal fistula approximately 05 years ago, not immediately corrected, treated through a rotated palatal mucosal flap. As an adjunct to the healing of the donor area, a platelet-rich fibrin membrane was used. The palatal flap technique proved to be a favorable option for the closure of the bucosinusal fistula and the use of growth factors allowed adequate vascularization in the donor area and in the rotated flap, which favored vascular hemostasis and stimulated the recovery of adjacent soft tissues.Key-words: Maxillary sinus, oroantral fistula, oral surgery, platelet-rich fibrin  

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