34 Self-inflicted Foreign Bodies in the Maxillary Sinus

Lima, Márcio Meira; Moreira, Camila Alencar; Silva, Viviane Carvalho da; Freitas, Marcos Rabelo de

doi:10.1016/s1808-8694(15)30162-2

Cited by 13 publications

(18 citation statements)

References 4 publications

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“…The displacement of the foreign iatrogenic bodies into the maxillary sinus cavity can be favoured by different internal or external factors [3,4,7]: a. Internal factors which diminish the osseous layer between alveolar process and maxillary sinus floor: extensive pneumatisation of maxillary sinus; local inflammatory processes that can determine osteolysis and bone remodelling;…”

Section: Discussionmentioning

confidence: 99%

“…P aranasal sinus foreign bodies (FB) are lately more and more frequent. The most commonly involved sinus is the maxillary sinus (75%) [1,2], and most of these are introduced iatrogenic (60%) [3].…”

mentioning

confidence: 99%

“…The range of the iatrogenic FB, as described in the literature, is very wide, including fragments of tooth roots, dental canal fillings, or different types of implants [2,3]. The main complication, which can occur after the insertion of an FB into the maxillary sinusis, is sinusitis.…”

mentioning

confidence: 99%

“…Depending on the size, location and type of complication produced, the removal of the FB can be achieved using endoscopic endonasal surgery (golden standard for most of the ENT surgeons) [5], by external oral approach or using a combined technique [3,6].…”

mentioning

confidence: 99%

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Iatrogenic foreign bodies in the maxillary synus: between malpraxis and medico-legal consequences

Manea¹,

Sarafoleanu²

2015

RJLM

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Objectives: Due to the continuous development of invasive dental procedures, presently we encounter a permanent growing of medical complications, like protrusion of foreign bodies into the maxillary sinus during therapeutic maneuvers on the superior dental arch. Plus that we can find neglected foreign bodies in the maxillary sinuses after ENT surgical procedures. With this clinical study we evaluated the most frequent etiology of the iatrogenic foreign bodies of the maxillary sinus, the improper surgical maneuvers that can lead to protrusion of foreign bodies, and the complications produced by these. Material and methods: We performed a prospective clinical study on 49 consecutive patients with various types of foreign bodies of the maxillary sinus admitted in our Department between January 2010-January 2013. In all cases we performed craniofacial CT scans and dental panoramic radiography. The removal of the foreign bodies was performed surgically. Results: Most common foreign bodies encountered were dental implants (19 patients, representing 38.77%), followed by amalgam fragments (14 patients, 28.57%), Guttapercha points (5 patients, 10.20%), pieces of gauze used for nasal or sinusal packing (4 patients, 8.16%), tooth fragments (3 patients, 6.12%), dental burr (2 patients, 4.08%), Kerr needles (2 patients, 4.08%). The complications encountered were: acute or chronic rhinosinusitis (37 patients 75.51%), with 11 cases of fungal colonization proved at histopathological exam, and the rest of 26 rhinosinusitis patients with bacterial infection, 12 cases of oro-antral fistula (24.29%), 1 case of orbital abscess, 1 case of malar abscess. Conclusion: Most of the cases of iatrogenic foreign bodies in the maxillary sinus are due to inadequate dental treatments. Dental implants and root canal fillings materials are the most frequent iatrogenic FB inserted into the maxillary sinus. Untreated, they can produce inflammatory-infective sinus pathology, like bacterial or fungal sinusitis, or even abscesses of the surrounding structures.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Iatrogenic foreign bodies in the maxillary synus: between malpraxis and medico-legal consequences

Manea¹,

Sarafoleanu²

2015

RJLM

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“…There have been cases of foreign body which have been introduced willingly into the maxillary sinus [3]. The foreign bodies can be of varying natures such as dental fillings, broken fragments of tooth and bones, pieces of glass, stones, gunshot pellets etc.…”

Section: Introductionmentioning

confidence: 99%