Body In Maxillary Sinus Research Articles

Blast injury with foreign body in maxillary sinus: A case report

Abstract BACKGROUND. Foreign bodies of paranasal sinuses are very rare in ENT clinical practice. CASE REPORT. We will discuss the case of a 38-year-old gentleman who showed up at our Emergency Room with loss of vision in his left eye following a blast injury. The initial physical examination identified a ruptured globe in the left eye, which caused left-eye blindness. An immediate plain X-ray revealed a metallic object lodged in the left maxillary sinus, reaching up to the left sphenoid sinus. The external approach was used to manage the patient surgically, with no intra- or postoperative complications. CONCLUSION. Inadequate managing of foreign bodies in the paranasal sinuses might result in significant morbidity. They must be removed surgically, either endoscopically or via an external method.

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

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.

Functional endoscopic sinus surgery (FESS) in unilateral sinus disease.

Unilateral sinus disease (USD) occurs in 23 % of all cases. It is believed that it is mainly associated with cancer development. Retrospective data from large rhinological centers show that the most common USD is chronic rhinosinusitis (CRS), followed by mycosis, inverted papilloma and finally cancer, but only in a small percent of cases. The analysis of USD in the group of patients who underwent FESS at the secondary referral center. The retrospective study of patients treated for USD in the Department of Otolaryngology in the Provincial Hospital in Poznan between June 2014 and June 2016. The analysis includes age, sex, the localization of lesions, histopathological and microbiological results, an extension of the surgery and treatment results. Over the analyzed period of time, 415 FESS for chronic sinusitis were performed. In this group, 83 patients underwent surgery for USD. There were 35 women and 48 men.CRS was found in 48 cases, mycosis in nine cases, 12 patients were operated for non-malignant tumors, such as inverted papilloma (9), osteoma (2) and fibrosis tumor(1); seven patients had a choanal polyp and two of them had a foreign body in maxillary sinus - a tooth root lying loose. Four patients were diagnosed with a hypoplastic maxillary sinus and one patient suffered from frontal sinus pyocele. One side endoscopic opening of all sinuses was performed in the group with CRS, endoscopic medial maxillectomy was conducted in patients with inverted papilloma, and an isolated opening of the affected sinus was performed in the cases with mycosis. USD must be always suspected of malignant degeneration until proven otherwise. Endoscopic sinus surgery with the use of angled scope allows for the removal of even very extensive lesions. In our opinion, the extent of operation is determined by the nature of pathology. While extensive surgery is recommended in patients with inverted papilloma, a limited procedure should be performed in those with isolated mycosis.

A Case of Fungal Ball Caused by Retained Glass Foreign Body in Maxillary Sinus for 30 Years

A Case of Fungal Ball Caused by Retained Glass Foreign Body in Maxillary Sinus for 30 Years

An Unusual Maxillary Sinus Foreign Body and Its Endoscopic Assisted Removal

Foreign bodies in maxillary sinuses are uncommon. But the incidence is on a rise. Herewith we present a case of foreign bodies (glass pieces) in left maxillary sinus and bilateral nasolacrimal ducts, which is managed endoscopically.

Accidental Entry of Foreign Body in Maxillary Sinus—A Case Report

Extraction of the first molar or premolar is the commonest cause of oro-antral fistula. Management involves identification of the same, removal of any foreign body from the maxillary sinus, if present, followed by appropriate flap for closer. A case is presented when a gutta percha (GP) point was accidentally dislodged into the right maxillary sinus during preliminary diagnosis of the oro-antral fistula. The surgical management of the case is described and is the appropriate treatment plan.

Foreign bodies in maxillary sinus: Causes and management

Foreign bodies in maxillary sinus, whatever their origin or nature, are unusual. However unilateral unexplained chronic rhinosinusitis should arouse clinical suscipicion. The diagnosis is based on radiological findings. The range of such foreign bodies is wide; those of dental origin such as tooth roots, burs, dental impression material, root-filling materials, dental implants, and needles take precedence over all others, but rarely, they may relate to blast injuries and penetrating objects. This special report highlights the unusual case of a pressure cooker nozzle lodged in maxillary sinus of a 28-year-old female who suffered a facial injury caused by explosion of a pressure cooker at home. The acuteness of the event and the flight of the foreign body were such that neither the casualty felt the ingress of foreign body nor was the diagnosis entertained by the surgeon who first examined her. Each blast injury therefore must be thoroughly evaluated for such possibility. While a radiological examination can clinch the diagnosis, treatment lies in endoscopic or surgical foreign body removal, with Caldwell luc procedure being a preferred technique.

Rare Case of Long Standing Foreign Body in Maxillary Sinus

ABSTRACT Foreign body in maxillary sinus is not uncommon. Case reports published worldwide have been reviewed. We present a case which was suggestive of carcinoma of maxillary sinus, but it was foreign body ‘stone’ in right maxillary sinus which was almost 30 years old. How to cite this article Katarkar A, Bhavesh M, Modh D, Shah P. Rare Case of Long Standing Foreign Body in Maxillary Sinus. Clin Rhinol An Int J 2013;6(2):110-112.

Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report

Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.

Cuerpos extraños en seno maxilar

IntroductionForeign bodies in maxillary sinus (FBMS), whatever their origin or nature, are an unusual clinical condition. Diagnosis is based on the radiological findings in a clinical context of unilateral chronic rhinosinusitis. Treatment is the surgical removal of the intrasinusal foreign body. Patients and methodsTo identify FBMS, the records of 68 patients with unilateral chronic rhinosinusitis operated on from 2000 to 2007 were reviewed. ResultsFrom 68 records reviewed, we found 11 (16 %) FBMS. Ten (91 %) of these 11 foreign bodies were thought to come from the teeth and the last 1 (9 %) had a non odontogenic origin. Eight of the 11 (73 %) patients with FBMS presented with chronic maxillary sinusitis symptoms and all patients showed radiological findings. Treatment was the surgical removal of the foreign body, in 9 (82 %) patients through endonasal approach by functional endoscopic sinus surgery (FEES) and in the other 2 (18 %) patients a mixed surgical procedure by endonasal meatotomy and oral antrotomy was required. ConclusionsChronic maxillary sinusitis showing FBMS is rare and it must be suspected with a prior history of dental procedures. The most frequent source of FBMS is material of odontogenic origin, and non-odontogenic origin secondary to an external injury in an accident or assault is much more unusual. We also review the nature of these foreign bodies, their clinical implications and treatment options.

Two atypical case reports of foreign bodies in the maxillary sinus and nasal septum

We present cases with foreign bodies in maxillary sinus and nasal septum which was due to peculiar habit of the patient of inserting sticks in between teeth. There was oroantrualfistula and nasal abcess observed. The ectopic foreign bodies were removed surgically.

Foreign bodies in maxillary sinus

IntroductionForeign bodies in maxillary sinus (FBMS), whatever their origin or nature, are an unusual clinical condition. Diagnosis is based on the radiological findings in a clinical context of unilateral chronic rhinosinusitis. Treatment is the surgical removal of the intrasinusal foreign body. Patients and methodsTo identify FBMS, the records of 68 patients with unilateral chronic rhinosinusitis operated on from 2000 to 2007 were reviewed. ResultsFrom 68 records reviewed, we found 11 FBMS (16%). Ten (91%) of these 11 foreign bodies were thought to come from the teeth and the last 1 (9%) had a non-odontogenic origin. Eight of the 11 patients with FBMS (73%) presented with chronic maxillary sinusitis symptoms and all patients showed radiological findings. Treatment was the surgical removal of the foreign body, in 9 patients (82%) through an endonasal approach by functional endoscopic sinus surgery (FEES) and in the other 2 patients (18%) a mixed surgical procedure by endonasal meatotomy and oral antrotomy was required. ConclusionsChronic maxillary sinusitis showing FBMS is rare and it must be suspected with a prior history of dental procedures. The most frequent source of FBMS is material of odontogenic origin, and non-odontogenic origin secondary to an external injury in an accident or assault is much more unusual. We also review the nature of these foreign bodies, their clinical implications and treatment options.

Safety Of Fess In Maxillary Sinus Foreign Body Removal In Children

Metallic Foreign bodies in maxillary sinus are rare. CaldwellLuc (CWL) procedure is used for their removal, but it is associated with complications like oro-antral fistula, gingivolabial fistula, dacrocystitis, and devitalized tooth. Moreover the potential problem of altered facial development as a result surgical treatment in children is well recognized. Functional endoscopic sinus surgery (FESS) has emerged as a better alternative. A case of an 8 year old male child with a metallic pellet due to gun shot injury in maxillary sinus is being presented and the effect of FESS and CWL procedure in pediatric population are discussed.

Clinical Investigation of Accidental Insertion of Foreign Bodies in Maxillary Sinus During Dental Treatment

Clinical Investigation of Accidental Insertion of Foreign Bodies in Maxillary Sinus During Dental Treatment

A Case of a Foreign Body in the Maxillary Sinus

The authors reported a case of a foreign body in the left maxillary sinus. An 8-year-old girl with swelling of the left cheek visited Mie University Hospital on December 19, 1979. Fifteen days earlier, the patient had received an accidental injury which was the puncture of the nasal vestibulum by a bit of dry grass on the playground. After removal of a small piece of dry grass, treatment was given with antibiotics for two weeks but her condition did not improve.Probe operation of the maxillary sinus with a labiogingival incision was carried out three days later. A stick of dry grass, which was 6cm in length and 8mm in diameter, was found in the maxillary sinus with a large defect in the upper part of the fossa canina. It was thought that the stick of dry grass was stuck in the anterior wall of the maxillary sinus, having entered from the nasal vestibulum through the buccal soft tissue. The shape of the grass was presumably that of a tall golden rod.

A non-metallic foreign body in maxillary sinus.

A non-metallic foreign body in maxillary sinus.

Foreign Body in Maxillary Sinus (Bullet of Air-Rifle)

Foreign Body in Maxillary Sinus (Bullet of Air-Rifle)

A Case of a Eoreign Body in Maxillary Sinus

A Case of a Eoreign Body in Maxillary Sinus