Removal of Displaced Metallic Foreign Bodies From Maxillary Sinus: Two Cases

Abstract

Displacement of a foreign body in maxillary sinuses is a common complication in dentistry. However, metallic foreign bodies except dental implants are rarely found in the maxillary sinus. Displaced foreign bodies can cause serious complications and disturb the mucociliary function and this causes potential complications, mainly acute or chronic maxillary sinusitis. This article reported metallic objects penetrating maxillary sinuses of two patients including a membrane fixation screw and a dental burr, as well as their removal with Caldwell-Luc technique. Foreign bodies should be detected and removed on time in order to prevent complications. Otherwise, in advanced stages, the affected area should be reached with Caldwell-Luc operation or endoscopic approaches.

Association between Periodontitis and Chronic Rhinosinusitis Involving Maxillary Sinus Measured by Lund Mackay Staging System

“…The etiology of this phenomenon is multifactorial and ranges from infection caused by microbacteria to iatrogenic origins [ 2 , 3 , 4 ]. During dental procedures, any foreign body dislocation into the maxillary sinuses might cause iatrogenic sinusitis [ 5 , 6 , 7 ]. The pathogenesis of the CRS is not very clear, and it is anticipated that mucociliary clearance, abnormalities in the epithelial barrier function, microbiome dysbiosis, and bacterial biofilms might cause this phenomenon [ 8 ].…”