СПОСОБ УДАЛЕНИЯ ИНОРОДНОГО ТЕЛА ВЕРХНЕЧЕЛЮСТНОЙ ПАЗУХИ

Abstract

Maxillary sinus foreign bodies are interrelated with different types of treatment of pathologies of teeth of the maxilla. Foreign bodies can be presented by pins, sillers, impression materials, teeth, dental implants etc. Features of anatomical development of maxilla, degree of pneumatization of it and many other factors promote hit of the foreign body to the maxillary sinus. Detection of the foreign body in the maxillary sinus during the operation sometimes can become a serious technical difficulty and needs a surgeon to be a man of experience. Important part of success of the surgery is selection of access to the maxillary sinus based on the 3D computed tomography data. We represent a clinical case of treatment the patient with the maxillary sinus foreign body after two non-resultative surgeries. After the implantation of dental implant, patient appealed for medical treatment, complaining on the discomfort, passing pain at the right buccal region and secrete from the right part of nose. We know from the anamnesis, that the patient was operated through the anterior maxillary wall under the general anesthesia for two times. The foreign body was removed only during the third surgery, that was done under the local anesthesia under the control of the rigid endoscopes. The patient was conversed to the out-patient treatment at the day of the surgery. The efficacy of the endoscopic endonasal approach to the maxillary sinus through the inferior nasal meatus in case of maxillary sinus foreign body was approved.