An unusual case of unilateral sinus disease may reveal the presence of a retained foreign body

Gelardi, Matteo; Candia, N De; Trecca, Eleonora M C; Cassano, Michele; Quaranta, Nicola

doi:10.1016/j.ijscr.2020.10.074

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…FBs of the maxillary sinus may arise either from penetrating trauma or medical procedures. [ 2 5 9 10 20 21 22 23 24 ] In most of the cases (91%),[ 25 ] the FBs are of dental iatrogenic origin. [ 5 ] Type of FB in the maxillary sinuses included dental implants, root fragments, impression materials, restorative material as amalgam, gutta percha material or endodontic sealer and Aspergillus .…”

Section: Discussionmentioning

confidence: 99%

“…[ 16 ] CBCT can also be a valuable diagnostic tool in investigation of the etiology of an acute or chronic maxillary sinusitis or may reveal FB in the sinus in asymptomatic patients. [ 10 15 34 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 5 6 7 ] FBs frequently found into the maxillary sinus include fractured roots, whole intact teeth, gutta percha points, dental impression materials, filling materials, or even dental implants. [ 6 8 9 10 ] A great proportion of FB into the maxillary sinus comprise roots/fragments from the upper posterior teeth. In the last decades, an increasing number of publications have reported on dental implants displaced into the maxillary sinus.…”

Section: Introductionmentioning

confidence: 99%

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Foreign Bodies of Dental Iatrogenic Origin Displaced in the Maxillary Sinus - A Safety and Efficacy Analysis of a Retrospective Study

Kyrgidis

Tilaveridis

Stefanidou

et al. 2022

Annals of Maxillofacial Surgery

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Introduction: Foreign bodies (FB) of the paranasal sinuses are an uncommon clinical entities with the maxillary sinuses being those most frequently affected. According to the literature, 60% of paranasal sinus FB are of iatrogenic origin, while 25% are of traumatic origin. This article aims to present an iatrogenic origin series of cases of FB displaced or projecting into the maxillary sinus. Materials and Methods: In this retrospective study, the presence of the foreign body was revealed with radiologic methods and confirmed during the operation with macroscopic or later with histopathologic examination. All cases were treated with osteoplasty with vascularised pedicled bone flap or through minimally invasive intraoral procedure. Results: A total of 27 patients were included in our study, 14 men and 13 women. The age range was 18–65 years with mean age of 46.14 (standard deviation = 10.35) years. Foreign body was displaced fragments of teeth in 11 patients (40.27%), complete teeth in four patients (14.81%), dental implants in five patients (18.51%), dental impression material in 2 cases (7,40%), gutta percha cone in two patients (7.40%), endodontic sealer associated with aspergillosis in two patients (7.40%), and dental burr in one patient (3.7%). The time between dental foreign body displacement and the surgical intervention for its removal was critical for the occurrence of sinusitis. All operated patients remained asymptomatic during a follow-up of at least 1 year. Discussion: Prompt intervention for removal of FB eliminates the risk for chronic inflammation of the affected maxillary sinus and reduces the odds for sequelae.

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