Migrated Maxillary Implant Removed via Semilunar Hiatus by Transnasal Endoscope

Kitamura, Akira; Zeredo, Jorge L.

doi:10.1097/id.0b013e3181c419a8

Cited by 14 publications

(8 citation statements)

References 11 publications

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“…Methods used for foreign body removal differ according to the size and location of the foreign body (6). These include the AA, which enlarges the socket (19), the Caldwell-Luc approach, which opens the maxillary sinus from the canine fossa (19)(20)(21), and more recent methods using endoscopes (15,(22)(23)(24)(25). The AA is effective when the foreign body is in the lower part of the maxillary sinus and not perforating the mucous membrane.…”

Section: Discussionmentioning

confidence: 99%

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A large-scale study of treatment methods for foreign bodies in the maxillary sinus

et al. 2018

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Recently, reports regarding a foreign body in the maxillary sinus have considerably increased, with the majority being iatrogenic cases resulting from dental treatment. This study involves an extensive review of the Japanese literature, including 112 papers from 1978 to 2017. These papers documented total 407 cases of a foreign body in the maxillary sinus. Among the 392 cases for which treatment details were available, the Caldwell-Luc approach was used for 216, the alveolar approach for 116, extraction using nasal endoscopy for 15, and extraction using oral endoscopy for eight. Spontaneous passage occurred in 19 cases, follow-up with medication was used in 17, and "other" was noted in one. This study determined that surgical removal remains the most common method for treating both tooth roots and other foreign bodies and that the Caldwell-Luc approach is used in majority of the surgeries. No marked differences were noted among the removal methods used in relation to the foreign body type.

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Section: Discussionmentioning

confidence: 99%

“…3). Removal using endoscopy is classified into two categories: an approach from the nasal cavity or NE (24) and an approach from the oral cavity or OE (22,23,25). As the nasal approach is facilitated via the natural ostium, it is minimally invasive.…”

Section: Discussionmentioning

confidence: 99%

A large-scale study of treatment methods for foreign bodies in the maxillary sinus

et al. 2018

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“…The majority of them are related to accidental displacement and migration of dental implants to maxillary sinus (7-26). The search showed that migration has also been described in other craniofacial structures such as the ethmoid sinuses (27), sphenoid sinuses (28), orbit (24,29) and cranial fossae (30) ( Table 1Surgical techniques to rescue these implants differ depending on the criteria of the authors, related associated symptoms and location.…”

Section: Resultsmentioning

confidence: 99%

“…Such treatment has proven to be less aggressive and, moreover, it preserves the mucociliary integrity and function reducing the overall treatment and recovery time. Besides, it allows the treatment of natural maxillary ostium when needed (25,26). If the problem extends to more than one paranasal sinus, the endoscopy approach allows the simultaneous treatment of the other affected sinuses.…”

Section: Discussionmentioning

confidence: 99%

Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: A review and update

et al. 2012

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Objectives: Accidental displacement of endosseous implants into the maxillary sinus is an unusual but potential complication in implantology procedures due to the special features of the posterior aspect of the maxillary bone; there is also a possibility of migration throughout the upper paranasal sinuses and adjacent structures. The aim of this paper is to review the published literature about accidental displacement and migration of dental implants into the maxillary sinus and other adjacent structures. Study Design: A review has been done based on a search in the main on-line medical databases looking for papers about migration of dental implants published in major oral surgery, periodontal, dental implant and ear-nose-throat journals, using the keywords “implant,” “migration,” “complication,” “foreign body” and “sinus.” Results: 24 articles showing displacement or migration to maxillary, ethmoid and sphenoid sinuses, orbit and cranial fossae, with different degrees of associated symptoms, were identified. Techniques found to solve these clinical issues include Cadwell-Luc approach, transoral endoscopy approach via canine fossae and transnasal functional endoscopy surgery. Conclusion: Before removing the foreign body, a correct diagnosis should be done in order to evaluate the functional status of the ostiomeatal complex and the degree of affectation of paranasal sinuses and other involved structures, determining the size and the exact location of the foreign body. After a complete diagnosis, an indicated procedure for every case would be decided. Key words:Implant, oral surgery, foreign body, paranasal sinuses, displacement, migration.

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“…Displacement of dental implants into the maxillary sinus is not uncommonly reported in implant dentistry and may lead to serious complications, such as sinusitis, by interrupting mucociliary clearance or producing a tissue reaction [4]. Mostly, there are three ways of treating a dental implant displacement into maxillary sinus: transnasal and transoral endoscopic surgery [5], intraoral approach with anterior-lateral window access to maxillary sinus [6], and no intervention and follow-up only [7]. However, to avoid systemic problems removing the foreign body as soon as possible is suggested [8].…”

Section: Introductionmentioning

confidence: 99%

Unusual Case of Osseointegrated Dental Implant Migration into Maxillary Sinus Removed 12 Years after Insertion

Laureti

Ferrigno

Rosella

et al. 2017

Case Reports in Dentistry

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Displacement of dental implants into the maxillary sinus is not an uncommon event in implant dentistry and may lead to serious complications, such as sinusitis. To avoid systemic problems, performing the removal of the foreign body as soon as possible is suggested. Despite the fact that early implants dislocation has been reported several times, late migration into maxillary sinus has been described by just a few studies. The purpose of this study was to report a rare case of dental implant migration into maxillary sinus after 12 years of function. A 61-year-old woman came to our attention in June 2015 after being visited by an otolaryngologist and being diagnosed with sinusitis and presence of a foreign body into the right maxillary sinus. A panoramic radiograph and a CT scan showed the migration of dental implant sited in 1.6 positions into the maxillary sinus. The implant was removed following a Caldwell-Luc procedure under local anesthesia. Postoperative course was uncomplicated and the patient reported no symptoms of sinusitis after 12 months of follow-up.

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Migrated Maxillary Implant Removed via Semilunar Hiatus by Transnasal Endoscope

Abstract: Endoscopic surgery via nasal approach to remove the implant body from the semilunar hiatus is presented with the images of the Computed Tomography(CT) and the intraoperative endoscopic findings.

Cited by 14 publications

References 11 publications

A large-scale study of treatment methods for foreign bodies in the maxillary sinus

A large-scale study of treatment methods for foreign bodies in the maxillary sinus

Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: A review and update

Unusual Case of Osseointegrated Dental Implant Migration into Maxillary Sinus Removed 12 Years after Insertion

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