Treatment of sinusitis after sinus augmentation by endoscopic sinus surgery and medications – A case report

Abstract

Background Previous investigations have reported maxillary sinusitis up to 20% of patients after SFA. Postoperative acute maxillary sinusitis may cause implant failures. When sinusitis occurs, it is necessary to consult to an otolaryngologist for evaluation. It can be treated with medication and enucleation of bone graft materials. The treatment of sinusitis following sinus grafting procedures or the removal of dental implants displaced in the maxillary sinus by means of nasal endoscopy has been described. Aim/Hypothesis In this report we presented an acute maxillary sinusitis complication following sinus lifting in a patient with chronic maxillary sinusitis and treated by endoscopic sinus surgery and antibiotics without enucleating graft materials. Material and Methods Sinus augmentation was performed to the 52-year-old male patient. There were no aspects of sinus membrane perforation during procedure. After surgery, maxillary sinusitis was diagnosed and medications were prescribed by an otolaryngologist. Symptoms of sinusitis was remained, therefore endoscopic sinus surgery was conducted. Results Follow-up 1 years after implantation- No aspects of sinusitis Marginal bone & alveolar bone height was maintained. Conclusion and Clinical Implications Maxillary sinusitis is an inevitable complication of maxillary sinus augmentation in patients with a history of maxillary sinus disease. Present study reported that acute maxillary sinusitis caused by infection of the dental implants should be treated with a direct approach to sinus, regular irrigation and antibiotics. This patient developed a maxillary sinusitis following a sinus grafting procedure without penetration of alloplastic material into the residual part of the elevated sinus. Convent.