scholarly journals Maxillary Sinusitis as a Complication of Zygomatic Implants Placement: A Narrative Review

2022 ◽  
Vol 12 (2) ◽  
pp. 789
Author(s):  
Riccardo Nocini ◽  
Giorgio Panozzo ◽  
Alessandro Trotolo ◽  
Luca Sacchetto
Keyword(s):  
Search Strategy ◽  
Maxillary Sinusitis ◽  
Sinus Surgery ◽  
Inclusion Criteria ◽  
Field Methods ◽  
Post Operative Period ◽  
Zygomatic Implants ◽  
Selection Of ◽  
Better Than

Aims: The aim of this review is to consider maxillary sinusitis as a complication of zygomatic implants placements. Maxillary sinusitis a common complication but in the literature there are no reviews that focus only on this condition and its possible treatment. This review was carried out with to highlight the main findings of the literature on this topic and to improve knowledge in this field. Methods: The search strategy resulted in 155 papers. After selection of the inclusion criteria only 11 papers were examined. From the papers these, 12.3% patients presented maxillary sinusitis but only four studies evaluated sinusitis (both clinical and radiological evaluation). The most common treatment used by the authors were antibiotics alone or combined with functional endoscopic sinus surgery (FESS). Results: The literature shows an absence of precise and shared guidelines diagnosis and post-operative follow-up, and of the treatment of maxillary sinusitis following zygomatic implantology. It has not been determined if the surgical placement of ZIs is better than the other techniques for treatment of the onset of maxillary sinusitis in the post-operative period. Conclusion: To date there are no shared protocols for maxillary sinusitis treatment. In our experience, and according to the literature in the presence of risk factors such as age, comorbidities, smoking, nasal septal deviation or other anatomical variants, we suggested that FESS is performed at the same time as placement of zygomatic implants.

Modified Endoscopic Medial Maxillectomy for Chronic Maxillary Sinusitis

2006 ◽  
Vol 20 (3) ◽  
pp. 317-319 ◽  
Author(s):  
Bradford A. Woodworth ◽  
Ryan O. Parker ◽  
Rodney J. Schlosser
Keyword(s):  
Inflammatory Disease ◽  
Maxillary Sinusitis ◽  
Demographic Data ◽  
Nasolacrimal Duct ◽  
Sinus Surgery ◽  
Alternative Technique ◽  
Middle Meatal Antrostomy ◽  
Medial Maxillectomy ◽  
Chronic Maxillary Sinusitis

Background Recently, modified endoscopic medial maxillectomy (MEMM) has been described as an alternative technique to open maxillectomy for benign sinonasal neoplasms. However, few reports discuss the efficacy of MEMM for treatment of inflammatory disease of the maxillary sinus. We evaluate the efficacy of MEMM in treating chronic maxillary sinusitis. Methods A retrospective review of patients who underwent MEMM for refractory inflammatory disease between December 2002 and September 2004 was performed. All patients were treated with MEMM alone or as part of an endoscopic sinus surgery procedure. Standard demographic data, operative technique, and postoperative follow-up times were collected. Results Nineteen patients (average age, 57 years) underwent 24 EMMs for chronic maxillary sinusitis refractory to middle meatal antrostomy. All patients failed prior sinus surgery, including 14 Caldwell-Luc procedures. Average follow-up was 19.5 months (range, 10–27 months). One patient has persistent hyperplastic sinusitis that currently requires monthly follow-up and medical treatment. Our only complication was one nasolacrimal duct injury. Conclusion MEMM is both a safe and an effective treatment for chronic maxillary sinusitis refractory to standard medical and endoscopic surgical management.

scholarly journals Bone Regeneration and Soft Tissue Enhancement Around Zygomatic Implants: Retrospective Case Series

Materials ◽  
2020 ◽  
Vol 13 (7) ◽  
pp. 1577
Author(s):  
Miguel Peñarrocha-Diago ◽  
Juan Carlos Bernabeu-Mira ◽  
Alberto Fernández-Ruíz ◽  
Carlos Aparicio ◽  
David Peñarrocha-Oltra
Keyword(s):  
Soft Tissue ◽  
Bone Regeneration ◽  
Maxillary Sinusitis ◽  
Case Series ◽  
Bone Width ◽  
Zygomatic Implants ◽  
Palatal Bone ◽  
Zygomatic Implant ◽  
Tissue Enhancement

Purpose: To present a case series of zygomatic implants combined with bone regeneration and soft tissue enhancement techniques to reduce the risk of biological delayed complications such as maxillary sinusitis and soft tissue recession. Materials and methods: Zygomatic implants placed simultaneously with different bone regeneration techniques (buccal, palatal and buccal-palatal bone regeneration) and soft tissue enhancement techniques (pediculate and free connective tissue graft) were followed for at least 12 months. The following information was collected: patient age and sex, number of zygomatic implants, zygomatic implant success rate, zygomatic implant position according to classification of the Zygomatic Anatomy Guide Approach (ZAGA), sinus membrane perforation, type and outcome of the bone regeneration or the soft tissue enhancement technique, bone gain (width and length along the zygomatic implant) and keratinized buccal mucosa width, duration of follow-up, loading protocol (immediate or delayed) and biological complications (maxillary sinusitis and soft tissue recession). Results: Thirty-one zygomatic implants placed in 19 patients were included. All implants were successful and none of the implants presented biological complications. The bone regeneration technique was successful in 30 of 31 cases with a mean palatal bone width of 3 mm, buccal bone width of 2.65 mm, palatal bone length of 6.5 mm and buccal bone length of 8.3 mm. The success rate of soft tissue enhancement was 100% and it established at least 2 mm of keratinized buccal mucosa width in all implants. Conclusions: Within the limitations of the present study, bone regeneration and soft tissue enhancement techniques were useful to establish more favorable conditions of the peri-implant tissues around zygomatic implants. This could prevent biological complications such as maxillary sinusitis and soft tissue recessions. Prospective and randomized controlled clinical trials with longer follow-up periods are advisable.

scholarly journals The Management of Foreign Body Displacement into the Maxillary Sinus as a Complication of Maxillofacial Interventions: Systematic Review

2020 ◽  
Author(s):  
Bartosz Wojtera ◽  
Angelika Woźna ◽  
Oskar Komisarek
Keyword(s):  
Systematic Review ◽  
Foreign Body ◽  
Maxillary Sinus ◽  
Randomized Trials ◽  
Foreign Bodies ◽  
Late Complications ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Inclusion Criteria

Abstract Displacement of foreign bodies into the maxillary sinus shows an increasing tendency, especially in regard to raising amount of dental implant installation procedures. The purpose of our study was to compare the efficiency and the rate of late complications among the methods of removal of foreign bodies from maxillary sinus. We performed a systematic review following PRISMA Checklist, searching Pubmed and Google Scholar databases for studies investigating the methods of removal of foreign bodies from maxillary sinus. The inclusion criteria embraced the examined group of at least 10 cases and the follow up period of minimum 3 months. We qualified 7 papers from 531 identified in primary search. Among qualified studies functional endoscopic sinus surgery used in order to remove foreign body from maxillary sinus had no late complications, whereas they occurred in 0–5% cases of using replaceable or pedicled bone approaches and in 15–18% cases of Caldwell-Luc approach. FESS probably should become a gold standard in retrieving foreign bodies from maxillary sinus, however poor evidence requires further investigation, especially in prospective, randomized trials.

Scleral fixation of Carlevale intraocular lens: A new tool in correcting aphakia with no capsular support

2021 ◽  
pp. 112067212199297
Author(s):  
Ilias Georgalas ◽  
Dimitrios Spyropoulos ◽  
Stratos Gotzaridis ◽  
Evangelia Papakonstantinou ◽  
Stylianos Kandarakis ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Vitreous Hemorrhage ◽  
Inclusion Criteria ◽  
Scleral Fixation ◽  
Post Operative Period ◽  
Transient Rise ◽  
Pars Plana ◽  
Capsular Support ◽  
Scleral Fixated Intraocular Lens

Purpose: To report the clinical outcomes of the use of a novel specially designed scleral fixated intraocular lens, the Carlevale intraocular lens (carlevale IOL, Soleko, Italy) for the correction of aphakia in the absence of capsular support of variable etiology. Methods: This retrospective, non-comparative study included 169 eyes of 169 consecutive patients who underwent 3-port pars plana vitrectomy and scleral fixation on Carlevale IOL. Inclusion criteria were at least 6 months’ follow-up period, patients > 18 years old who underwent vitrectomy and Carlevale IOL placement for aphakia and inadequate capsular support Results: The median follow up period of 9 months (range 6–18 months). Mean post-operative BCVA at the last follow-up visit was 20/25 (0.09 ± 0.1 LogMAR), improving from a mean baseline BCVA of 20/80 (0.58 ± 0.49 LogMAR), a statistically significant change ( p = 0.0001). Regarding the post-operative complications, a transient rise in the IOP was observed in 28 patients (16.5%) and mild vitreous hemorrhage was observed in the immediate post-operative period in eight eyes (4.7%) and it spontaneously resolved within 3 weeks. All patients demonstrated good IOL position at the end of the follow-up without IOL capture. None of the patients required re-operation. Conlcusion: The present study represents the largest to date in evaluating the use of carlevale IOL in patients with aphakia and inadequate capsular support. The technique is safe and provides excellent post-operative IOL fixation without IOL capture in any of the patients studied.

scholarly journals Obesity and periodontitis: systematic review and meta-analysis

2014 ◽  
Vol 19 (6) ◽  
pp. 1763-1772 ◽  
Author(s):  
Patrícia Garcia de Moura-Grec ◽  
Juliane Avansini Marsicano ◽  
Cristiane Alves Paz de Carvalho ◽  
Silvia Helena de Carvalho Sales-Peres
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Body Mass Index ◽  
Literature Search ◽  
Search Strategy ◽  
Meta Analysis ◽  
Inclusion Criteria ◽  
Paired Samples ◽  
Literature Search Strategy ◽  
Selection Of

The scope of this study was to conduct a systematic review of the studies on the association between obesity and periodontitis. The methods applied included a literature search strategy and selection of studies using inclusion and exclusion in accordance with the criteria for characteristics of the studies and meta-analysis. The research was conducted in the PubMed, Embase and Lilacs databases through 2010. Selected papers were on studies on humans investigating whether or not obesity is a risk factor for periodontitis. Of the 822 studies identified, 31 studies met the inclusion criteria and were included in this meta-analysis. The risk of periodontitis was associated with obesity (or had a tendency for this) in 25 studies, though it was not associated in 6 studies. The meta-analysis showed a significant association with obesity and periodontitis (OR = 1.30 [95% Confidence Interval (CI), 1.25 - 1.35]) and with mean Body Mass Index (BMI) and periodontal disease (mean difference = 2.75). Obesity was associated with periodontitis, however the risk factors that aggravate these diseases should be better clarified to elucidate the direction of this association. Working with paired samples and avoiding confusion factors may contribute to homogeneity between the studies.

Transformation of Mucosal Secretory Elements in Chronic Maxillary Sinusitis after Endoscopic Sinus Surgery

1994 ◽  
Vol 103 (6) ◽  
pp. 439-443 ◽  
Author(s):  
Sheen- Yie Fang
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Maxillary Sinusitis ◽  
Goblet Cells ◽  
Sinus Surgery ◽  
Antral Mucosa ◽  
Rear Wall ◽  
Chronic Maxillary Sinusitis ◽  
Sinus Mucosa ◽  
Scanning Electron

To evaluate the secretory element transformation of maxillary sinus mucosa after endoscopic sinus surgery (ESS), I enrolled 20 patients. Five normal antral mucosae were used as controls, and 15 antral mucosae were investigated according to pathologic and secretory patterns. The post-ESS mucosa was evaluated at the 16th week, when gross recovery appeared. Specimens from the rear wall of the antrum were observed under a scanning electron microscope (x2,000). A significant decrease of goblet cells and increase of glands was illustrated in the sinusitis cases, especially the polypoid and purulent groups. In post-ESS cases, the number of goblet cells is about the same as in controls, but the number of gland openings is higher. My conclusions were that 1) the repair of the antral mucosa requires more time than gross recovery and 2) post-ESS follow-up should be longer than 16 weeks to prevent recurrence.

scholarly journals Chronic rhinosinusitis: is any indication for Caldwell-Luc approach in endoscopic sinus surgery era?

2021 ◽  
Vol 7 (2) ◽  
pp. 239
Author(s):  
Daniel Lupoi
Keyword(s):  
Surgical Treatment ◽  
Surgical Approach ◽  
Gold Standard ◽  
Endoscopic Sinus Surgery ◽  
Maxillary Sinusitis ◽  
Standard Procedure ◽  
Treatment Method ◽  
Sinus Surgery ◽  
Inclusion Criteria ◽  
Therapeutic Guidelines

<p class="abstract"><strong>Background:</strong> Caldwell-Luc procedure was the gold standard procedure for chronic maxillary sinusitis until the endoscopic sinus surgery developed more and more. The aim of this study was to show the importance of Caldwell-Luc surgical approach in endoscopic sinus surgery era.</p><p class="abstract"><strong>Methods:</strong> Prospective study between 2009 and 2019 in the ENT Department of the Clinical Hospital Sfânta Maria from Bucharest. The inclusion criteria were as follows: adult patients diagnosed clinical and paraclinical with isolated chronic maxillary rhinosinusitis in whom correctly conducted drug treatment failed and, according to current therapeutic guidelines, had indication for surgical treatment. The treatment method consisted of a surgical approach, which was classic or endoscopic, depending on the situation imposed on each patient.  </p><p class="abstract"><strong>Results:</strong> The application of the inclusion criteria in the study led in a group of 521 patients, of which 282 men (54.12%) and 239 women (45.87%). Following the accounting of the days of hospitalization and those of medical leave at discharge, a number of days of absenteeism of 13.85 days resulted in the case of patients treated classically and 8.62 days for those treated endoscopically. Also the endoscopic group had a better endoscopic and VAS score postoperatively.</p><p class="abstract"><strong>Conclusions:</strong> Surgical treatment of maxillary sinus can be minimally invasive- endoscopic, extended endoscopic or classical open surgery. Open classic surgical treatment remains the last treatment alternative, with indication for rhinosinusal recurrences or the imminence of complications. Endoscopic surgery is the “gold standard” for chronic maxillary rhinosinusitis.</p><p> </p>

Impact of interim PET on Hodgkin lymphoma treatment outcome and survival in clinical practice.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e20017-e20017
Author(s):  
Serena Zheng ◽  
Kanika Gupta ◽  
Piyush Goyal ◽  
Reiko Nakajima ◽  
Laure Michaud ◽  
...  
Keyword(s):  
Overall Survival ◽  
Clinical Practice ◽  
Hodgkin Lymphoma ◽  
Cancer Center ◽  
Inclusion Criteria ◽  
Eligibility Criteria ◽  
Interim Pet ◽  
Lymphoma Treatment ◽  
Selection Of

e20017 Background: FDG avidity above liver on interim PET (PET2) during frontline ABVD is considered a marker of impending treatment failure and an indication to switch to an intensified regimen. However, in clinical practice the utility of PET2 for treatment decisions is less clear. We describe outcomes of patients with positive PET2 who continued treatment with ABVD in the clinical setting. Methods: A retrospective study of all patients with newly diagnosed advanced-stage Hodgkin lymphoma treated with frontline ABVD at Memorial Sloan Kettering Cancer Center between 2008-2017. Eligibility criteria were set to correspond with the RATHL inclusion criteria (stage IIB - IV, or IIA bulky or ≥ 3 involved sites). We identified all PET2 reports indicating suspected residual uptake. All positive PET2 images were then reviewed by a single study radiologist. To increase reproducibility and avoid selection of borderline cases, we defined as PET2 positive only those cases with a lesion-to-liver (mean) SUV ratio ≥ 1.3. We also used a recently published stringent criterion of lesion-to-liver (max) ratio ≥ 1.4 (mPET2+). Progression-free and overall survival (PFS, OS) were calculated from the date of initial treatment until progression or death of any cause. Consolidative radiation was not considered a PFS event, and all progressions were verified by biopsy. Results: We identified 227 patients fitting RATHL inclusion criteria treated with ABVD. Median age was 34, with 25% (58) ≥ 45 years, 12% (26) had an IPS ≥ 4; 28% (64) stage II (5% II-X) and 38% (87) with extranodal involvement. 57 (25%) patients had a PET2 report indicating suspected residual lymphoma (PET2+), however, only 32 (14%) met the more stringent mPET2+ criterion. Most patients with PET2+ continued ABVD (84%, 48), and 9 switched to escBEACOPP (this subset of patients had substantially worse disease and are not the focus of this analysis). 21 (9%) patients received consolidative radiation. With a median follow-up of 47 months (42-54m), PET2+ patients who continued ABVD had a 3yPFS of 70% (58-85%, n = 48); mPET+ had a 3yPFS of 71% (55-92%, n = 24). Overall survival was excellent regardless of PET2 status (5yOS 97%). Conclusions: The outcome of PET2+ patients in this analysis was better than previously reported and the continuation of ABVD was appropriate for most patients. Use of a confirmatory biopsy is important for identifying true progressions. Patients with PET2+ had an excellent OS. Evaluation of the superiority of alternative regimens in PET2+ patients requires an ABVD comparator arm.

Midfacial Degloving Approach Facilitated with Endoscope for Nasal, Paranasal & Nasopharyngeal Pathologies

2021 ◽  
Vol 15 (6) ◽  
pp. 1262-1265
Author(s):  
T. Rashid ◽  
A. Ayoub ◽  
M. Ahmed ◽  
S. Qadir ◽  
M. Jan ◽  
...  
Keyword(s):  
Cosmetic Outcome ◽  
Sinus Surgery ◽  
Surgical Approaches ◽  
Common Complication ◽  
Surgical Team ◽  
Inclusion Criteria ◽  
Male Patients ◽  
Period Data ◽  
Midfacial Degloving

Background: Endoscopic sinus surgery is mostly conducted for the removal of the inflammatory as well as infectious diseases of sinus and malignant or benign nasal, paranasal & nasopharyngeal pathologies. The various surgical approaches that have been used range from transpalatine to a lateral rhinotomy and to mid-facial degloving. Aim: To determine the outcome of mid-facial degloving approach facilitated with endoscope for nasal, paranasal and nasopharyngeal pathologies. Methods: Forty five patients that fulfilled the inclusion criteria were enrolled in the study. All the patients were then underwent surgery by the researcher along with a surgical team under general anesthesia by using Mid-facial degloving approach. The patients were followed - up on 3 & 6 months after the surgery and underwent clinical examination and endoscopic nasal examination to assess the complications, cosmetic outcome and recurrence after the procedure during the follow-up period. Data was entered & analyzed using SPSS v. 23. Results: Mean age of the patients in the sample was 25.47±10.52 years. There were 39(86.7%) male patients and 6(13.3%) female patients. Cosmetic outcome was excellent in 31(68.9%) cases, satisfactory in 12(26.7%) while 2(4.4%) variable comments about the cosmetic effects of the procedure. Bleeding was most common complication 3(6.7%), however recurrence occurred in 3(6.7%) cases. Conclusion: It is concluded that mid-facial degloving approach is a highly successful method for removal of nasal, paranasal or nasopharyngeal pathologies. Key words: Mid-facial degloving, endoscope, nasal, paranasal, nasopharyngeal, pathologies

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.

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