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Kyrgidis A, Tilaveridis I, Stefanidou A, Tilaveridis S, Tilaveridou S, Zouloumis L. Foreign bodies of dental iatrogenic origin displaced in the maxillary sinus - A safety and efficacy analysis of a retrospective study. Ann Maxillofac Surg 2022; 12:33-38. [PMID: 36199448 PMCID: PMC9527830 DOI: 10.4103/ams.ams_190_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 01/20/2022] [Accepted: 02/04/2022] [Indexed: 12/04/2022] Open
Abstract
Introduction: Foreign bodies (FB) of the paranasal sinuses are an uncommon clinical entities with the maxillary sinuses being those most frequently affected. According to the literature, 60% of paranasal sinus FB are of iatrogenic origin, while 25% are of traumatic origin. This article aims to present an iatrogenic origin series of cases of FB displaced or projecting into the maxillary sinus. Materials and Methods: In this retrospective study, the presence of the foreign body was revealed with radiologic methods and confirmed during the operation with macroscopic or later with histopathologic examination. All cases were treated with osteoplasty with vascularised pedicled bone flap or through minimally invasive intraoral procedure. Results: A total of 27 patients were included in our study, 14 men and 13 women. The age range was 18–65 years with mean age of 46.14 (standard deviation = 10.35) years. Foreign body was displaced fragments of teeth in 11 patients (40.27%), complete teeth in four patients (14.81%), dental implants in five patients (18.51%), dental impression material in 2 cases (7,40%), gutta percha cone in two patients (7.40%), endodontic sealer associated with aspergillosis in two patients (7.40%), and dental burr in one patient (3.7%). The time between dental foreign body displacement and the surgical intervention for its removal was critical for the occurrence of sinusitis. All operated patients remained asymptomatic during a follow-up of at least 1 year. Discussion: Prompt intervention for removal of FB eliminates the risk for chronic inflammation of the affected maxillary sinus and reduces the odds for sequelae.
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Hara Y, Shiratsuchi H, Tamagawa T, Koshi R, Miya C, Nagasaki M, Ohyama T, Oka S, Sakashita H, Kaneko T. A large-scale study of treatment methods for foreign bodies in the maxillary sinus. J Oral Sci 2019; 60:321-328. [PMID: 30249933 DOI: 10.2334/josnusd.18-0109] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
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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Affiliation(s)
- Yaeko Hara
- Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry
| | - Hiroshi Shiratsuchi
- Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry
| | - Takaaki Tamagawa
- Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry
| | - Ryosuke Koshi
- Department of Periodontology, Nihon University School of Dentistry
| | - Chihiro Miya
- Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry
| | - Maki Nagasaki
- Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry
| | - Tetsuo Ohyama
- Department of Partial Denture Prosthodontics, Nihon University School of Dentistry
| | - Shunichi Oka
- Department of Dental Anesthesiology, Nihon University School of Dentistry
| | - Hideaki Sakashita
- Second Division of Oral and Maxillofacial Surgery, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry
| | - Tadayoshi Kaneko
- Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry
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Brescia G, Fusetti S, Apolloni F, Marioni G, Saia G. Displaced Dental Materials in the Maxillary Sinus: An Original Series. Analysis and Definition of a Surgical Decision-Making Process. Ann Otol Rhinol Laryngol 2018; 128:177-183. [PMID: 30461291 DOI: 10.1177/0003489418812898] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVES Displacement of dental materials into the maxillary sinus occurs in daily dental practice; dental implants have become a new common foreign body (FB), as implantation has become routine. The main goal of the present study was to analyze an original series of patients consecutively treated for maxillary sinus FBs. A secondary goal was to propose a decision-making flowchart on the basis of the authors' experience and a critical analysis of literature to select the most appropriate surgical approach. METHODS Eleven consecutive patients evaluated for maxillary sinus FBs consisting of dental material were considered. RESULTS For removal of the FBs, a nasal endoscopic approach was preferred in 5 cases, a nasal combined approach in 2 cases, an oronasal combined approach in 2 cases, and a lateral window approach in 2 cases. In 2 of 11 cases, complications were reported. A decision-making flowchart to select the best surgical approach is reported. CONCLUSIONS The correct choice and application of FB removal techniques allow minimization of unfavorable outcomes and creation of an appropriate environment for new dental treatment. Prospective, large series-based studies will be necessary to confirm the safety and clinical efficacy of the proposed decision-making flowchart.
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Affiliation(s)
- Giuseppe Brescia
- Department of Neuroscience DNS, Otolaryngology Section, University of Padova, Padova, Italy
| | - Stefano Fusetti
- Department of Neuroscience DNS, Maxillofacial Surgery Unit, University of Padova, Padova, Italy
| | - Federico Apolloni
- Department of Neuroscience DNS, Maxillofacial Surgery Unit, University of Padova, Padova, Italy
| | - Gino Marioni
- Department of Neuroscience DNS, Otolaryngology Section, University of Padova, Padova, Italy
| | - Giorgia Saia
- Department of Neuroscience DNS, Maxillofacial Surgery Unit, University of Padova, Padova, Italy
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Odontogenic sinusitis maxillaris: A retrospective study of 121 cases with surgical intervention. J Craniomaxillofac Surg 2017; 45:520-525. [DOI: 10.1016/j.jcms.2017.01.023] [Citation(s) in RCA: 51] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2016] [Revised: 12/17/2016] [Accepted: 01/23/2017] [Indexed: 01/27/2023] Open
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Sugiura T, Yamamoto K, Nakashima C, Murakami K, Matsusue Y, Horita S, Sakagami G, Kirita T. Chronic Maxillary Sinusitis Caused by Denture Lining Material. Open Dent J 2016; 10:261-7. [PMID: 27386012 PMCID: PMC4911754 DOI: 10.2174/1874210601610010261] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 04/27/2016] [Accepted: 05/03/2016] [Indexed: 11/22/2022] Open
Abstract
We report a case of chronic maxillary sinusitis caused by denture lining material entering through an oroantral fistula after tooth extraction. The patient was an 80-year-old female who visited us with a complaint of pus discharge from the right posterior maxilla. She had extraction of the upper right second molar and had her upper denture relined with silicone lining material. The patient noticed swelling of the right cheek and purulent rhinorrhea 20 days before her first visit to our clinic. Oral examination showed an oroantral fistula with a diameter of 3 mm in the posterior alveolar ridge of the right maxilla. Computed tomography revealed a hyperdense foreign body in the right maxillary sinus and thickening of the mucosal lining. Under diagnosis of maxillary sinusitis caused by a foreign body, endoscopic maxillary surgery was performed simultaneously with the removal of the foreign body. The foreign body removed was 12 × 6 mm in size, oval in shape, light pink in color, and compatible with silicone denture lining material. During the follow-up it was observed that the oroantral fistula closed spontaneously after the removal of the foreign body. The maxillary sinus was in a good shape without recurrence of sinusitis seven months after surgery.
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Affiliation(s)
- Tsutomu Sugiura
- Department of Oral and Maxillofacial Surgery, Narakasuga Hospital, Nara, Japan; Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan
| | - Kazuhiko Yamamoto
- Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan
| | - Chie Nakashima
- Department of Oral and Maxillofacial Surgery, Narakasuga Hospital, Nara, Japan; Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan
| | - Kazuhiro Murakami
- Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan
| | - Yumiko Matsusue
- Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan
| | - Satoshi Horita
- Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan
| | - Go Sakagami
- Department of Otolaryngology, Nara City Hospital, Nara, Japan
| | - Tadaaki Kirita
- Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan
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Assessment of migrated foreign bodies in the maxillae by x-ray fluorescence spectrometry. J Craniofac Surg 2014; 25:e233-5. [PMID: 24777003 DOI: 10.1097/scs.0000000000000515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Two cases of foreign bodies that were incidentally observed on orthopantomographs are reported in this study. The foreign bodies were analyzed using an x-ray fluorescence spectrometer to identify what the migrated foreign bodies were and what migration pathways they had taken. The removed metallic foreign bodies from the maxillae of 2 patients, who were referred to the Department of Dentistry and Oral Surgery of the University of Fukui Hospital, were analyzed using an x-ray fluorescence spectrometer in the Department of Dental and Biomedical Materials Science, Nagasaki University. The major component of foreign body in patient 1 was silver, and that in case 2 was iron. On the basis of the imaging results and the patients' clinical history, the foreign bodies were considered to be caused by iatrogenic migration. Understanding the existence of foreign bodies and their migration pathway into the jaw bone can thus make clinicians more aware of such migrations and can thereby contribute to reducing iatrogenic accidents.
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Shao L, Qin X, Ma Y. Removal of maxillary sinus metallic foreign body like a hand sewing needle by magnetic iron. Int J Clin Pediatr Dent 2014; 7:61-4. [PMID: 25206242 PMCID: PMC4144050 DOI: 10.5005/jp-journals-10005-1237] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2013] [Accepted: 11/20/2013] [Indexed: 11/23/2022] Open
Abstract
Metallic foreign bodies are rarely found in the maxillary sinus, and usually they have a dental origin. Two main surgical app-roaches are currently used for the removal of foreign bodies in the maxillary sinus: the bone flap and the endoscopic sinus tech-niques. However, the treatment is not only surgical removal. We are reporting one case of foreign body like a hand sewing needle entered into the maxillary sinus through an unusual route- carious deciduous molar tooth. It was diagnosed by three-dimensional images from cone-beam computed tomography (CBCT) and removed by a simple procedure, with magnetic iron, thereby avoiding the risk of damage to a large portion of the alveolar bone near the maxillary sinus. How to cite this article: Shao L, Qin X, Ma Y. Removal of Maxillary Sinus Metallic Foreign Body Like a Hand Sewing Needle by Magnetic Iron. Int J Clin Pediatr Dent 2014;7(1):61-64.
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Affiliation(s)
- Linqin Shao
- Chairman, Department of Pediatric Dentistry, Jinan Stomatologic Hospital, Shandong Province, China
| | - Xiurong Qin
- Assistant Professor, Department of Pediatric Dentistry, Jinan Stomatologic Hospital, Shandong Province, China
| | - Yingwei Ma
- Associate Professor, Department of Stomatology, Jinan Central Hospital Affliated to Shandong University, Shandong, China
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Nazar R, Cabrera N, Martelo G, Machiavello C, Naser A. Unusual Sinonasal Foreign Body: Presentation of Three Cases. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2014. [DOI: 10.1016/j.otoeng.2013.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Nazar R, Cabrera N, Martelo G, Machiavello C, Naser A. Unusual sinonasal foreign body: presentation of three cases. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2014; 65:109-13. [PMID: 24495948 DOI: 10.1016/j.otorri.2013.11.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2013] [Revised: 11/18/2013] [Accepted: 11/28/2013] [Indexed: 10/25/2022]
Abstract
Sinonasal foreign bodies are rare clinical entities. Their presence in the sinuses can originate complications, so their removal is always indicated. We present 3 cases of sinonasal foreign body, indicating their symptoms, imaging findings and surgical removal. Each patient was assessed with computerized tomography of the sinuses, rigid endoscopy, and then surgical removal. We confirmed the presence of the foreign bodies in all 3 cases and then performed a successful surgical removal by transnasal endoscopy. Sinonasal foreign bodies are infrequent entities that require surgical removal to prevent complications, with transnasal endoscopic surgery being the most commonly used surgical approach.
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Affiliation(s)
- Rodolfo Nazar
- Servicio de Otorrinolaringología, Hospital Clínico Universidad de Chile, Santiago, Chile.
| | - Natalia Cabrera
- Servicio de Otorrinolaringología, Hospital Clínico Universidad de Chile, Santiago, Chile
| | - Grettel Martelo
- Servicio de Otorrinolaringología, Hospital Clínico Universidad de Chile, Santiago, Chile
| | - Cecilia Machiavello
- Servicio de Otorrinolaringología, Hospital Clínico Universidad de Chile, Santiago, Chile
| | - Alfredo Naser
- Servicio de Otorrinolaringología, Hospital Clínico Universidad de Chile, Santiago, Chile
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Shahbazian M, Jacobs R. Diagnostic value of 2D and 3D imaging in odontogenic maxillary sinusitis: a review of literature. J Oral Rehabil 2011; 39:294-300. [PMID: 21985462 DOI: 10.1111/j.1365-2842.2011.02262.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This review aims to explore whether 3D imaging offers an added value in diagnosis of odontogenic sinusitis. Odontogenic maxillary sinusitis accounts for approximately 10-12% of maxillary sinusitis cases. Proper diagnosis of odontogenic sinusitis is based on a thorough dental and medical examination and crucial to ensure therapeutic efficacy. To establish the odontogenic cause of maxillary sinusitis, 2D and 3D imaging modalities may be considered, each presenting distinct advantages and drawbacks. The available research indicates that 2D imaging modalities may often mask the origin of odontogenic maxillary sinusitis. This limitation is particularly evident in the maxillary molar region, stressing the need for 3D cross-sectional imaging. The advent of low-dose cone beam computed tomography in dentistry may be particularly useful when odontogenic maxillary sinusitis is not responsive to therapy. Yet, it seems that more research is needed to validate its use in odontogenic maxillary sinusitis.
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Affiliation(s)
- M Shahbazian
- Oral Imaging Center, Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
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