Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case Report
Paranasal sinuses affected by foreign bodies are uncommon clinical situations. Foreign body displacement into facial sinuses is a potential iatrogenic complication, that may cause an oroantral fistula, sinusitis, cellulitis, and subdural emphysema. The maxillary sinus is usually the most affected by...
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JCDR Research and Publications Private Limited
2023-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/17593/60397_CE[Ra1]_F(KR)_PF1(DA_SS)_PN(SS).pdf |
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| author | Marcelo Dias Moreira De Assis Costa Étore Goulart Chagas Ludmila Cássia Lopes Pinheiro Lia Dietrich Luiz Renato Paranhos |
| author_facet | Marcelo Dias Moreira De Assis Costa Étore Goulart Chagas Ludmila Cássia Lopes Pinheiro Lia Dietrich Luiz Renato Paranhos |
| author_sort | Marcelo Dias Moreira De Assis Costa |
| collection | DOAJ |
| description | Paranasal sinuses affected by foreign bodies are uncommon clinical situations. Foreign body displacement into facial sinuses is a potential iatrogenic complication, that may cause an oroantral fistula, sinusitis, cellulitis, and subdural emphysema. The maxillary sinus is usually the most affected by tooth displacements, due to its proximity. A dental fragment in the maxillary sinus may cause Odontogenic Maxillary Sinusitis (OMS). The present case report presents a case from the diagnosis to treatment of OMS originated by a fragment of tooth root displacement into the sinus during a previous dental extraction. A female patient, 13-year-old, had characteristic signs of sinusitis, reporting rhinorrhoea, headache, eye pain, and pain on the left side of the face. The clinical examination showed pain on palpation in the buccal region of the upper left first molar, which was absent. The Cone Beam Computed Tomography (CBCT) showed a foreign body inside the maxillary sinus, complete opacification, and bone defect on the sinus floor. Given the final diagnosis of OMS, the treatment selected was the combination of antibiotic therapy and fragment removal from the sinus. The diagnosis, planning, and correct use of surgical techniques described in the literature are essential for preventing iatrogenesis and actively ensuring patient health. In this sense, patients need to be informed about any complication, which should be written in the medical records along with resolution measures. |
| first_indexed | 2024-04-09T21:54:49Z |
| format | Article |
| id | doaj.art-f9c6c569f2814c41a753c1efe92c850b |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-09T21:54:49Z |
| publishDate | 2023-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-f9c6c569f2814c41a753c1efe92c850b2023-03-24T09:45:50ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-03-01173ZD07ZD0910.7860/JCDR/2023/60397.17593Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case ReportMarcelo Dias Moreira De Assis Costa0Étore Goulart Chagas1Ludmila Cássia Lopes Pinheiro2Lia Dietrich3Luiz Renato Paranhos4PhD student, Department of Oral and Maxillofacial Surgery and Dental Implants, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.Undergraduate Student, Department of School of Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.Undergraduate Student, Department of School of Dentistry, Faculdade Patos de Minas, Patos de Minas, Minas Gerais, Brazil.PhD, Adjunt Professor, Department of School of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil.PhD, Associate Professor, Department of Community and Preventive Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.Paranasal sinuses affected by foreign bodies are uncommon clinical situations. Foreign body displacement into facial sinuses is a potential iatrogenic complication, that may cause an oroantral fistula, sinusitis, cellulitis, and subdural emphysema. The maxillary sinus is usually the most affected by tooth displacements, due to its proximity. A dental fragment in the maxillary sinus may cause Odontogenic Maxillary Sinusitis (OMS). The present case report presents a case from the diagnosis to treatment of OMS originated by a fragment of tooth root displacement into the sinus during a previous dental extraction. A female patient, 13-year-old, had characteristic signs of sinusitis, reporting rhinorrhoea, headache, eye pain, and pain on the left side of the face. The clinical examination showed pain on palpation in the buccal region of the upper left first molar, which was absent. The Cone Beam Computed Tomography (CBCT) showed a foreign body inside the maxillary sinus, complete opacification, and bone defect on the sinus floor. Given the final diagnosis of OMS, the treatment selected was the combination of antibiotic therapy and fragment removal from the sinus. The diagnosis, planning, and correct use of surgical techniques described in the literature are essential for preventing iatrogenesis and actively ensuring patient health. In this sense, patients need to be informed about any complication, which should be written in the medical records along with resolution measures.https://jcdr.net/articles/PDF/17593/60397_CE[Ra1]_F(KR)_PF1(DA_SS)_PN(SS).pdfcaldwell-luc techniquefull-thickness flapiatrogenic diseasepostoperative complications |
| spellingShingle | Marcelo Dias Moreira De Assis Costa Étore Goulart Chagas Ludmila Cássia Lopes Pinheiro Lia Dietrich Luiz Renato Paranhos Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case Report Journal of Clinical and Diagnostic Research caldwell-luc technique full-thickness flap iatrogenic disease postoperative complications |
| title | Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case Report |
| title_full | Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case Report |
| title_fullStr | Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case Report |
| title_full_unstemmed | Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case Report |
| title_short | Surgical Approach to Odontogenic Maxillary Sinusitis Caused by Tooth Root Displacement into the Maxillary Sinus: A Case Report |
| title_sort | surgical approach to odontogenic maxillary sinusitis caused by tooth root displacement into the maxillary sinus a case report |
| topic | caldwell-luc technique full-thickness flap iatrogenic disease postoperative complications |
| url | https://jcdr.net/articles/PDF/17593/60397_CE[Ra1]_F(KR)_PF1(DA_SS)_PN(SS).pdf |
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