scholarly journals Foreign body of endodontic origin in the maxillary sinus

2021 ◽  
Vol 11 (43) ◽  
pp. 111-117
Author(s):  
Mihai Preda ◽  
Codrut Sarafoleanu

Abstract Displacement of foreign bodies into the maxillary sinus is still a rare pathology, but the incidence is increasing continuously with the development of dental procedures. Most cases of foreign bodies are associated with dental procedures. These can be of varying natures, such as dental implants, fractured teeth roots, endodontic materials and tools, dental burs, dental impression materials or dental fillings materials. Less frequent are the foreign bodies of non-dental origin, which are related to facial injuries in accidents or assaults. The diagnosis is based on careful clinical and radiological examinations. Foreign bodies should be diagnosed and treated on time in order to prevent complications, mainly acute or chronic rhinosinusitis. In this article, we review the main characteristics regarding the incidence, etiology, diagnosis and treatment options – endoscopic and an external approach for the removal of a displaced foreign body into the maxillary sinus. Also, we present our personal experience and treatment options, highlighting the importance of pre-operative evaluation, proper imaging assessment, adequate access and visibility and adequate surgical technique, in order to prevent later sinonasal infectious complications.

Author(s):  
S.A. Karpishchenko ◽  
◽  
D.A. Usmanova ◽  
E.V. Bolozneva ◽  
E.S. Karpishchenko ◽  
...  

Maxillary sinus foreign bodies are interrelated with different types of treatment of pathologies of teeth of the maxilla. Foreign bodies can be presented by pins, sillers, impression materials, teeth, dental implants etc. Features of anatomical development of maxilla, degree of pneumatization of it and many other factors promote hit of the foreign body to the maxillary sinus. Detection of the foreign body in the maxillary sinus during the operation sometimes can become a serious technical difficulty and needs a surgeon to be a man of experience. Important part of success of the surgery is selection of access to the maxillary sinus based on the 3D computed tomography data. We represent a clinical case of treatment the patient with the maxillary sinus foreign body after two non-resultative surgeries. After the implantation of dental implant, patient appealed for medical treatment, complaining on the discomfort, passing pain at the right buccal region and secrete from the right part of nose. We know from the anamnesis, that the patient was operated through the anterior maxillary wall under the general anesthesia for two times. The foreign body was removed only during the third surgery, that was done under the local anesthesia under the control of the rigid endoscopes. The patient was conversed to the out-patient treatment at the day of the surgery. The efficacy of the endoscopic endonasal approach to the maxillary sinus through the inferior nasal meatus in case of maxillary sinus foreign body was approved.


Author(s):  
Nurul Alya Binti Azwan ◽  
Ram Kumar Sharma Shanmugam ◽  
Kong Yin Teng

<p class="abstract">Foreign body in paranasal sinus is rare. Very few cases have been reported of lodgement of foreign body in paranasal sinuses. Garces and Norris reported that 70% of these foreign bodies usually appeared after maxillofacial traumas and 30% appeared during or after dental procedures of maxilla. Foreign bodies are less common in the frontal sinus as compared to maxillary sinus. This is a case of foreign body in frontal sinus in an eighteen-year-old gentleman after a road traffic accident.</p>


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Yunus Feyyat Şahin ◽  
Togay Muderris ◽  
Sami Bercin ◽  
Ergun Sevil ◽  
Muzaffer Kırıs

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.


1990 ◽  
Vol 104 (9) ◽  
pp. 718-719 ◽  
Author(s):  
A. C. Gupta ◽  
D. P. Murthy ◽  
M. L. Pulotu

AbstractA broken end of the spear presenting as a foreign body in the nasopharynx and right maxillary sinus in a 19-year-old Papua New Guinean is described. The types of foreign bodies and their mechanisms of introduction into this site are summarized.


Author(s):  
Cristóvão Marcondes de Castro RODRIGUES ◽  
Izabella SOL ◽  
Daniela MENESES-SANTOS ◽  
Larissa Gonçalves Cunha RIOS ◽  
Jonas Dantas BATISTA ◽  
...  

ABSTRACT Foreign bodies in the paranasal sinuses after critical accidents are rare occurrences that have sporadically been reported worldwide. Firearm projectiles, daggers, knives, glass fragments, stones, teeth, and wood can get lodged in the soft and hard tissues of the face. The management and prognosis in these cases depend on the composition and location of the foreign body as well as on the presence or absence of infection. Although there are reports involving the soft tissues of the face, the ethmoid, sphenoid, frontal, and maxillary sinuses are the most frequently involved sites. The main manifestation of this condition is sinusitis arising from infection and/or inflammation caused by the foreign body, which is a contaminated object. We report a case of removal of a firearm projectile located in the maxillary sinus of a 34-year-old patient under local anesthesia.


2021 ◽  
Vol 31 (2) ◽  
pp. 96-100
Author(s):  
Cicero Newton Lemos Felicio Agostinho ◽  
Thais Dias dos Santos ◽  
Leonardo Viana Araújo

The maxillary sinus is a pneumatized anatomical structure located bilaterally in the anterior region of the maxilla. The occurrence of displacement of foreign bodies in the maxillary sinus is not a common condition and when present, it is associated with car accidents, fire arm accidents, psychiatric disorders and iatrogenies in surgical procedures. The removal of the foreign body is carried out in order to prevent infections, and the permanence of the foreign body may offer immediate or chronic damage. Access to the maxillary sinus is most commonly performed using the Caldwell-Luc access technique. Thus, the objective of the study is to report a clinical case of surgical removal of a maxillary third molar from the interior of the maxillary sinus using the caldwell-luc access technique, with the aid of a surgical guide in order to conduct a safer and less invasive surgery.


Author(s):  
Nicolle Martin Christofe ◽  
Sérgio Paolillo Júnior ◽  
Luiz Felipe De Mello Pereira Leitão ◽  
Fernanda Monteiro Orellana ◽  
Luis Gustavo Morato de Toledo ◽  
...  

Introdução: A auto inserção de corpo estranho na uretra é uma prática pouco habitual, porém é importante o diagnóstico e manejo terapêutico correto, visto a alta potencialidade de tornar-se uma urgência urológica e de apresentar complicações. Objetivo: Apresentação rara de 2 casos de auto inserção de corpo estranho na uretra. Relato de caso: São relatados dois casos clínicos em que as condutas foram individualizadas após exames de imagem. Conclusão: Rara urgência urológica, sem padronização de conduta, cujos desfechos fornecem ferramentas e opções de tratamento na vida prática do cirurgião. Palavras Chave: Uretra, Corpos estranhos, Procedimentos cirúrgicos urológicosABSTRACT Introduction: Self-insertion of a foreign body in the urethra is an unusual practice, however, diagnosis and correct management of the condition are important, given the high potential of becoming a urological emergency and presenting complications. Objective: Rare presentation of 2 cases of self-insertion of foreign body in the urethra Case report: Two clinical cases are reported in which the procedures were individualized after imaging exams. Conclusion: Rare urological urgency, without standardization of conduct, whose outcomes provide tools and treatment options in the surgeon’s practical life. Keywords: Urethra, Foreign bodies, Urologic surgical procedures Introdução A auto inserç


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Nafil Arimbrathodi ◽  
Waqar Aslam ◽  
Abhishek Menon ◽  
Ali Ahmad Al Saadi

Instrument fracture during procedure is not uncommon for dental surgeons, especially in root canal surgeries, usually inside the root canals. In rare instances, high-speed rotary instruments can be fractured and can be dislodged in key anatomical areas of face. In our case report, a high-speed dental burr most probably penetrated the root and was seen in the left maxillary sinus during a likely routine dental procedure. The work-up and endoscopic surgical management of the case is described. Practitioners should be in great care during dental procedures and endodontic treatment to avoid unexpected complications by introducing foreign bodies into maxillary sinus. Any patient presenting with recurrent unilateral facial pain or unilateral sinus symptoms with/without previous history of sinusitis should raise the suspect of a foreign body in the paranasal sinus regardless of any previous history of dental procedure.


Author(s):  
Wijaya Juwarna ◽  
Delfitri Munir

<p>Foreign body of the sphenoid sinus is a rare condition and most of the documented cases are shrapnel wounds. The most cases of sinuses foreign bodies are in maxillary and frontal sinus. Very few cases have been reported of lodgment of foreign body in paranasal sinuses. Garces and Norris reported that 70% of these foreign bodies usually appeared after maxillofacial traumas and 30% appeared during or after dental procedures of maxilla.  A bullet impacted in the sphenoid sinus case in nineteen-year-old man was reported involving the anterior skull base. The bullet was safely removed with the trans-nasal endoscopic approach preserving the structures around the sphenoid sinus. Proximity of the sphenoid sinus to vital structures such as the optic nerve and internal carotid artery may render life-threatening complications. Adequate knowledge of the anatomical variations with regard to the sphenoid sinus and good preoperative planning are essential to ensure safe removal of foreign bodies, thereby avoiding catastrophic complications.</p>


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