Chronic Maxillary Sinusitis of Dental Origin: Is External Surgical Approach Mandatory?

Abstract

Endoscopic approach to chronic maxillary sinusitis of dental origin is a new, reliable method associated with less morbidity and lower incidence of complications.

Endoscopic transnasal removal of migrated dental implants

“…2,3,7,8,11 A combined approach, trans nasal and trans-oral was also described. 9 Various other studies refer to the use of endoscopy for removal of other foreign bodies including amalgam and teeth roots amongst others. [9][10][11] A single article com pares the complications of this alternative to the classic Caldwell-Luc procedure.…”

“…9 Various other studies refer to the use of endoscopy for removal of other foreign bodies including amalgam and teeth roots amongst others. [9][10][11] A single article com pares the complications of this alternative to the classic Caldwell-Luc procedure. 12 The sublabial (labial vestibular) inci sion results in signifi cant postoperative discomfort.…”

Endoscopic Surgery of Maxillary Sinuses in Oral Surgery and Implantology

“…In contrast to rhino-sinusitis, most cases of OMS are still treated by a Caldwell-Luc type of surgery. However, several studies were published, reporting results of FESS for treatment of chronic odontogenic sinusitis (Lopatin et al, 2002;Costa et al, 2007;Andric et al, 2010;Albu & Baciut, 2010;Hajiioannou et al, 2010), which will be discussed in details later in this chapter.…”

“…Recently, several authors reported results of FESS for treatment of chronic odontogenic sinusitis (Lopatin et al, 2002;Costa et al, 2007;Andric et al, 2010;Albu & Baciut, 2010;Hajiioannou et al, 2010). Although there were some technical differences, all studies have reported essentially the same surgical procedure, comprising middle meatal antrostomy, access to the maxillary sinus through enlarged natural sinus ostium and endonasal approach for removal of intra-antral foreign bodies, such are root tips and dental implants.…”

“…The most important results of these studies are summarized in table 1. Lopatin (Lopatin et al, 2002) was the first who reported 70 cases of odontogenic sinusitis treated by endoscopic sinus surgery. Apart from 39 cases with OAF, he presented 10 cases with odontogenic cysts and 6 with fungal balls in the sinuses.…”