Iatrogenically Induced Foreign Body of the Maxillary Sinus and its Surgical Management

Krishnan, Sriram; Sharma, Rakesh

doi:10.1097/scs.0b013e31828f2a5a

Cited by 5 publications

(13 citation statements)

References 4 publications

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“…The clinical course and indications for removal of the periorbital foreign body depend on a variety of factors, such as its position (near vital structures), chemical structure (many metals and plastic materials may be inert, whereas wood is associated with a higher incidence of complications), potentially infectious nature, or clinical findings (displacement or damage to vital anatomical structures and ophthalmological evaluation findings) [ 4 , 8 ]. In some periorbital trauma the foreign body is dislocated in the maxillary sinus; many authors suggested its removal to prevent future infections [ 9 , 10 ]. However, infection is not a certain outcome since sinuses have been observed to be healthy despite the inclusion of foreign materials [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Violence-related periorbital trauma with a retained foreign body: a case report

et al. 2016

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BackgroundOrbital fracture usually occurs as a result of blunt orbital and facial trauma and may involve ocular injuries. International studies on orbital floor fracture show several differences in epidemiology, diagnostic criteria, surgical treatment modalities, and complication rates; therefore, any comparison should be made with caution. Here we describe an unusual case involving a 19-year-old man with violence-related periorbital trauma, wherein a foreign body (a plastic pen cap) traversed the median wall of the maxillary sinus and penetrated the lower turbinate.Case presentationA 19-year-old Caucasian man was referred to our department with localized pain and swelling in the left suborbital region following a physical fight in May 2014. A clinical examination revealed no abnormalities in his eyeballs or eye movement, palpation of the orbital contour revealed no fractures, and ophthalmological evaluation showed no evidence of diplopia. A computed tomography scan revealed fractures in the left orbital floor, periorbital tissue herniation without muscular entrapment and left maxillary hemosinus were observed. A hypodense soft tissue mass was lodged in the left orbital floor, which extended to the median wall of the maxillary sinus and penetrated the left lower turbinate. Surgical exploration of the foreign body was conducted, revealing the foreign body to be a pen cap.ConclusionsHistory or clinical examination alone may be inadequate to raise the suspicion of a retained periorbital foreign body in a situation of orbital region trauma. Computed tomography is important for the evaluation of periorbital injuries, especially because it could reveal the presence of a foreign body. Periorbital foreign bodies can be observed distinctly on computed tomography, which remains the most sensitive study and should be the first imaging modality in such cases.

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Section: Discussionmentioning

confidence: 99%

Violence-related periorbital trauma with a retained foreign body: a case report

et al. 2016

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“…All these publications are Level 4 and therefore have a low level of scientific evidence (Tab. I) [1,2,7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Corpus Research Methodologymentioning

confidence: 99%

“…Oral bacterial flora is introduced into the sinuses, which is in principle, a germless cavity, via the antral floor perforation during avulsion. The presence of a foreign body irritates the sinus mucosa or blocks the ostium, sometimes causing an inflammatory reaction over time [20]. The latter leads to a partial or total interruption of mucociliary clearance and reduces the permeability of the ostium.…”

Section: Complicationsmentioning

confidence: 99%

“…In addition, inflammation or infection of the maxillary sinus can develop and reach the ethmoid and frontal sinuses, and therefore, the SE will drain them in the same session if necessary. While some authors still advocate the conventional surgical approach [10,20,24], others prefer to use a more conservative endoscopic surgical approach today [2,7,11]. Documentary research shows that endoscopic nasal surgery has seen an increase in recent years.…”

Section: Managementmentioning

confidence: 99%

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Teeth roots displacement in the maxillary sinus: characteristics and management

Seigneur¹,

Cloître²,

Malard

et al. 2020

J Oral Med Oral Surg

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Introduction: Teeth displacement in the maxillary sinus is one of the most frequently described peri-extraction complications in oral surgery. Roots or whole teeth accidentally displaced during an avulsion process are the most common cause of foreign bodies in the maxillary sinus. It exposes the patient to more or less serious complications that can go as far as development of pneumonia or septic thrombosis of the cavernous sinus in rare cases. Several therapeutic solutions can be proposed to manage this complication, ranging from therapeutic abstention to the removal of the dental component using various techniques. Corpus: The pedagogical objectives of this article are to explain the main characteristics of this complication as well as its treatment. Through a systematic review of the literature according to the PRISMA methodology, the risk factors, prevention, diagnosis, complications, and management of teeth displacement will be discussed. A treatment decision tree will be proposed to guide practitioners in the management of a tooth or dental root displaced into the sinus. Conclusion: This article summarizes the importance of pre-extraction radiographic examinations for preventive purposes and their analysis to guide the practitioner in the choice of an appropriate surgical technique. Furthermore, the surgical management in almost all cases must be carried out early to prevent later infectious complications.

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“…These can be of varying natures such as dental implants, fractured teeth roots, endodontic materials and tools 10,11 , dental burs 12 , dental impression materials 13 , dental fillings materials (e.g. amalgam) 14,15 . Less frequent are the foreign bodies of non-dental origin, which are related to facial injuries such as those from car accidents or assaults.…”

Section: Incidence and Etiopathogenesismentioning

confidence: 99%

Foreign body of endodontic origin in the maxillary sinus

Preda

Sarafoleanu

2021

Romanian Journal of Rhinology

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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.

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Iatrogenically Induced Foreign Body of the Maxillary Sinus and its Surgical Management

Cited by 5 publications

References 4 publications

Violence-related periorbital trauma with a retained foreign body: a case report

Violence-related periorbital trauma with a retained foreign body: a case report

Teeth roots displacement in the maxillary sinus: characteristics and management

Foreign body of endodontic origin in the maxillary sinus

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