The Management of Foreign Body Displacement into the Maxillary Sinus as a Complication of Maxillofacial Interventions: Systematic Review

Abstract

Displacement of foreign bodies into the maxillary sinus shows an increasing tendency, especially in regard to raising amount of dental implant installation procedures. The purpose of our study was to compare the efficiency and the rate of late complications among the methods of removal of foreign bodies from maxillary sinus. We performed a systematic review following PRISMA Checklist, searching Pubmed and Google Scholar databases for studies investigating the methods of removal of foreign bodies from maxillary sinus. The inclusion criteria embraced the examined group of at least 10 cases and the follow up period of minimum 3 months. We qualified 7 papers from 531 identified in primary search. Among qualified studies functional endoscopic sinus surgery used in order to remove foreign body from maxillary sinus had no late complications, whereas they occurred in 0–5% cases of using replaceable or pedicled bone approaches and in 15–18% cases of Caldwell-Luc approach. FESS probably should become a gold standard in retrieving foreign bodies from maxillary sinus, however poor evidence requires further investigation, especially in prospective, randomized trials.

Odontogenic maxillary sinusitis associated with foreign body displacement after tooth extraction: report of an unusual case

“…In addition to sinusitis, other sequelae such as mucous cyst, FB granuloma and, in more severe cases, pneumonia or lung abscess due to pneumatic aspiration, reasons why preventive FB removal is widely recommended [9]. Standardized management methods for removing objects displaced to MS are scarce in the literature, which makes it difficult to assess the effectiveness of different therapeutic approaches [10]. Factors such as FB size and location influence the appropriate choice [11].…”

“…It is suggested that functional endoscopic sinus surgery be considered the gold standard for the treatment of FB in MS [8]. However, the inability of most dental professionals to perform this procedure [10] and the need for ample visualization of the cavity are disadvantages of this technique [12]. These aspects are not observed when Caldwell-Luc surgical access technique is employed, which offers ample space for the removal of FBs of different sizes and positions [12], which is why this technique was used in this report.…”

Metallic Dental Burr as an Iatrogenic Foreign Body in Maxillary Sinus - A Case Report

“…Iatrogenic foreign body migration into maxillary sinus remains relatively rare complication, though exact morbidity seems to be underestimated and still rising. 10…”

Foreign body of endodontic origin in the maxillary sinus

“…Among the different methods, there are two treatment modalities proposed both to remove the foreign body and to treat the associated complications (if these exists): the transnasal approach with functional endoscopic sinus surgery (FESS) and an intraoral approach, through the anterior maxillary wall. In selected cases, these two modalities can be combined [3][4][5] . The purpose of this paper is to raise awareness upon the increasing incidence of the maxillary sinus foreign bodies with endodontic origin by summarising the diagnosing and treatment methods and presenting some cases of foreign bodies displaced into the maxillary sinus, surgically treated in our Department.…”