Methods of maxillary sinus foreign bodies removal

Karpishchenko, S.A.; Vereshchagina, O.E.; Bolozneva, E.V.; Karpishchenko, E.S.

doi:10.17116/otorino20208505178

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Происхождение его различно. В стоматологии инородное тело представлено материалами, такими как пломбировочный материал, оттискная масса, фрагменты зубов, дентальные имплантаты [3]. Попадать в полость пазухи могут различными путями: при удалении зуба, эндодонтическом лечении, установке дентального имплантата, при наличии ороантрального сообщения с верхнечелюстной пазухой.…”

Section: актуальность темыunclassified

A modern approach to planning and surgical removal of a foreign body from a maxillary sinus: a clinical case

et al. 2022

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Relevance. If a foreign body is present in a maxillary sinus, it should be surgically removed. Endoscopic and radical surgery are the main methods. Clinician’s subjective feelings determine the surgical access, which can cause complications. Therefore, the search for new methods of planning and visualizing the operation stages remains relevant.Materials and methods. Before the operation, the patient had a cone-beam computed tomography in a marker holder frame. The 3D slicer program allowed the segmentation of the foreign body and surrounding anatomical features. A marker, fixed on the patient's head, allowed transmitting information to the augmented reality glasses during the operation.Results. The surgery was performed under local anesthesia in an outpatient facility. The diameter of the antrotomy hole was 5 mm. No postoperative complications were recorded.Conclusion. The proposed technique provides significant visual control and minimal trauma to the sinus during surgery.

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Section: актуальность темыunclassified

A modern approach to planning and surgical removal of a foreign body from a maxillary sinus: a clinical case

et al. 2022

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“…60% of paranasal sinus FBs are of iatrogenic, while 25% are of traumatic origin. [ 1 2 3 4 ] Those of iatrogenic origin usually result from dental practice and are rarely related to ENT surgical interventions. [ 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.…”

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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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Odontogenic foreign bodies of the maxillary sinus

Бойко¹,

Balycheva²,

Yaskovets³

2022

General Physician

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The anatomical proximity of the roots of molars and premolars to the floor of the maxillary sinus creates the risk for the formation of odontogenic sinusitis, which is often initiated by foreign bodies entering the sinus during dental procedures. Odontegenic foreign bodies (FB) of the maxillary sinus are usually represented by fragments of tooth roots, filling material, plastic material used in sinus lifting, dental implants, dental burs, pins and needles. FB causes the development of an inflammatory process in the sinus due to the penetration of highly virulent microbiota of the oral cavity or the formation of a fungal body. In rare cases, small FB can be evacuated into the nasal cavity as a result of the movement of the cilia of the ciliated epithelium. Most odontogenic FB are radiopaque and are detected by computed tomography (CT) of the paranasal sinuses. CT data allows to accurately localize FB and choose a treatment tactics.

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Methods of maxillary sinus foreign bodies removal

Cited by 4 publications

References 5 publications

A modern approach to planning and surgical removal of a foreign body from a maxillary sinus: a clinical case

A modern approach to planning and surgical removal of a foreign body from a maxillary sinus: a clinical case

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

Odontogenic foreign bodies of the maxillary sinus

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