Lateral Antrotomy as a Surgical Approach for Maxillary Sinus: A Modified Technique With Free Bone Flap Repositioning and Fixation With a Titanium Plate

Scolozzi, Paolo; Martinez, A.; Lombardi, Tommaso; Jaques, Bertrand

doi:10.1016/j.joms.2008.09.016

Cited by 10 publications

(13 citation statements)

References 12 publications

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“…All of the patients were treated by lateral antrotomy with bone flap repositioning and fixation with a titanium plate, according to the technique previously described by Scolozzi et al 27 The final diagnosis of FB was made by microscopic examination, which confirmed the presence of Aspergillus hyphae in all biopsy specimens. The microbiologic cultures were negative in all the cases.…”

Section: Methodsmentioning

confidence: 99%

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Scolozzi

Perez

Verdeja

et al. 2016

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Objective. To evaluate the association between sinus bone graft and the development of fungus ball (FB) of the maxillary sinus. Study Design. The charts of all patients seen for surgical treatment of maxillary sinus FB following sinus bone grafting between 2006 and 2014 were reviewed. The charts of 49 participants were selected from our internal registry for comparison as controls. The association between FB and age, gender, smoking habits, associated co-morbidities, and bone grafting material was evaluated. FB of the maxillary sinus was estimated by using an odds ratio with a Yates' correction. P values were computed using Fisher's exact test, and the statistical significance was set at a P value < .05. Results. All 13 cases (100%) with FB of the maxillary sinus had received anorganic bovine bone as the bone substitute (P ¼ .0001). There were significantly more women in the case group than in the control group (84.6% in the cases vs 40.8% in the controls; P ¼ .01).Conclusions. This study demonstrated a significant association between a specific deproteinized bovine bone substitute use as sinus bone graft material and subsequent development of FB of the maxillary sinus. (Oral Surg Oral Med Oral Pathol Oral Radiol 2016;121:e143-e147) Fungus ball (FB) represents the most common form of noninvasive extramucosal fungal infection involving the paranasal sinuses and is encountered in almost 28.5% of patients suffering from chronic maxillary sinusitis. 1-3 Aspergillus fumigatus is, by far, the most frequent causative agent found in Europe, and the root canal overfilling with the passage of zinc oxide endodontic sealers into the maxillary sinus is the most commonly recognized risk factor for the development of FB in up to 84% of patients. [1][2][3][4][5][6] Although this form of sinusitis typically affects healthy adults and has a striking female predominance, several pathologic conditions, such as diabetes, immunodeficiency diseases, and immunosuppressive and chronic corticosteroid and antibiotic treatments have been pointed out as potential predisposing factors favoring the colonization and subsequent overgrowth of the fungal hyphae. [1][2][3] Since its first report in 1980 by Boyne and James, grafting of the maxillary sinus floor has rapidly become the most common surgical procedure used to increase the subantral alveolar bone height of the posterior maxilla for subsequent dental implant placement. 7 Although reported as a predictable and reliable procedure, sinus bone graft has, nevertheless, been associated with several intra-and postoperative complications, such as sinus membrane perforation, maxillary sinusitis, wound dehiscence with graft exposure, and graft infection. In most cases, complications resolve with no need for further surgery and with no substantial impact on implant survival; however, in some cases, complications may lead to complete loss of the graft material, thus compromising the subsequent implant-supported dental restoration. [8][9][10][11][12][13][14][15][16][17] Although the literature co...

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Section: Methodsmentioning

confidence: 99%

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Scolozzi

Perez

Verdeja

et al. 2016

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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“…1a, b). In November 2008, the patient underwent under general anaesthesia, the removal of the bullet by a lateral antrotomy with repositioning and fixation of the bone flap with an AO 1.3 mm straight plate and three monocortical screws according to the technique described by Scolozzi et al [8] ( Fig. 1c) The inflamed sinus mucosa was sent for histopathological examination, which revealed a chronic sinusitis together with foci of squamous metaplasia (Fig.…”

Section: Patientmentioning

confidence: 99%

“…2a). On October 31, the patient underwent, under general anaesthesia, the removal of the metallic foreign body by a lateral antrotomy with repositioning and fixation of the bone flap with an AO 1.0 mm straight plate and three monocortical screws according to the technique described by Scolozzi et al [8] The metallic fragment measured 1 cm 9 1 cm 9 1 cm (Fig. 2b).…”

Section: Patientmentioning

confidence: 99%

“…Maxillary sinus foreign bodies are occasionally encountered in ENT and maxillofacial practice [1][2][3][4][5][6][7][8][9][10][11]. Teeth, dental roots, endodontic material, dental amalgam fillings, and dental implants are the most frequent foreign bodies reported in the literature [1][2][3][4][5][6][7][8][9][10][11]. High-velocity missile or atypical non-missile foreign bodies are rarely found in civilian traumas [2,4,7].…”

Section: Introductionmentioning

confidence: 99%

“…High-velocity missile or atypical non-missile foreign bodies are rarely found in civilian traumas [2,4,7]. Removal of foreign bodies, irrespective of the type of material, is the recommended treatment, especially to avoid potential complications such as acute and/or chronic sinusitis, chemical or mechanical irritations and even malignancies that could develop over the long term [1,8,12]. Although the classical Caldwell-Luc approach has been the most commonly used technique for removal of maxillary sinus foreign bodies for decades, this technique has been progressively replaced by endoscopic procedures and by ''bone lid'' flap techniques [8,13].…”

Section: Introductionmentioning

confidence: 99%

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Removal of unusual, large high-velocity metallic maxillary sinus foreign bodies by a modified free bone flap technique

Scolozzi

Momjian

Lombardi³

2009

Eur Arch Otorhinolaryngol

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Metallic foreign bodies are rarely found in the maxillary sinus, and usually they have a dental origin.Potential complications related to foreign bodies include recurrent sinusitis, rhinolith formation, cutaneous fistula,chemical poisoning, facial neuralgic pain and even malignancies.Two main surgical approaches are currently used for the removal of foreign bodies in the maxillary sinus: the bone flap and the endoscopic sinus techniques. We are reporting two unusual cases of large high-velocity foreign bodies removed by a modified maxillary lateral antrotomy,with free bone flap repositioning and fixation with a titanium miniplate.

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Combined endoscopic and intra-oral approach for chronic maxillary sinusitis of dental origin—a prospective clinical study

Kende

Mathai

Landge

et al. 2019

Oral Maxillofac Surg

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Lateral Antrotomy as a Surgical Approach for Maxillary Sinus: A Modified Technique With Free Bone Flap Repositioning and Fixation With a Titanium Plate

Cited by 10 publications

References 12 publications

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Removal of unusual, large high-velocity metallic maxillary sinus foreign bodies by a modified free bone flap technique

Combined endoscopic and intra-oral approach for chronic maxillary sinusitis of dental origin—a prospective clinical study

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