Abstract
The foreign body in the maxillary sinus is quite a rare incidence. It may found in the case of maxillofacial trauma causing displacement of the tooth into maxillary sinus. The metallic foreign body may happen in case of gunshot injury and bullet, or pellet may retain in the maxillary sinus. Very rarely metallic foreign body like a dental burr may get lodged into maxillary sinus during dental procedure. If it happens ENT surgeon may be called upon to deal the foreign body.In this article we will describe a case that was referred to the ENT department, Khulna Medical College Hospital for removal of a dental burr retained in maxillary sinus. The accident happened in Dental department of the same hospital. We reviewed the options for the removal of the foreign body. There are two accepted approaches open and endoscopic for management of such cases. We successfully removed the foreign body through open approach.
Highlights
Foreign body in the maxillary sinus is very rare
Very rarely metallic foreign body like a dental burr may get lodged into maxillary sinus during dental procedure
At literature search we found only four case reports of dental burr as maxillary sinus foreign body
Summary
Foreign body in the maxillary sinus is very rare. The causes of foreign bodies in maxillary sinus may be due to penetrating trauma or iatrogenic escape of tooth during extraction or escape of tooth impression material through a preexisting oroantral fistula. At literature search we found only four case reports of dental burr as maxillary sinus foreign body. Patients with this complication usually referred to ENT department. It is important to be familiar with these complications and its management.
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