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Treatment of dental implant-related maxillary sinusitis with functional endoscopic sinus surgery in combination with an intra-oral approach

Identifieur interne : 005105 ( Ncbi/Merge ); précédent : 005104; suivant : 005106

Treatment of dental implant-related maxillary sinusitis with functional endoscopic sinus surgery in combination with an intra-oral approach

Auteurs : Ki-Young Nam [Corée du Sud] ; Jong-Bae Kim [Corée du Sud]

Source :

RBID : PMC:4028795

Abstract

The present report describes the case of a patient who underwent maxillary sinusitis right after dental implant installation with sinus lifting. Computed tomography scan revealed a dental implant (#16) was protruded inside the right maxillary sinus and confirmed the obstruction of ostium. A symptom remission was gained with the dual approaches combined by functional endoscopic sinus surgery and an intra-oral approach. Fully recovered function and healing of sinus were identified after 10 months follow-up. We report the case of sinusitis caused by protrusion of implants with sinus floor lift procedures and propose that practitioners should be aware of the possible its complications and management.


Url:
DOI: 10.5125/jkaoms.2014.40.2.87
PubMed: 24868506
PubMed Central: 4028795

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PMC:4028795

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<name sortKey="Nam, Ki Young" sort="Nam, Ki Young" uniqKey="Nam K" first="Ki-Young" last="Nam">Ki-Young Nam</name>
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<nlm:aff id="A1">Department of Dentistry, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.</nlm:aff>
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<p>The present report describes the case of a patient who underwent maxillary sinusitis right after dental implant installation with sinus lifting. Computed tomography scan revealed a dental implant (#16) was protruded inside the right maxillary sinus and confirmed the obstruction of ostium. A symptom remission was gained with the dual approaches combined by functional endoscopic sinus surgery and an intra-oral approach. Fully recovered function and healing of sinus were identified after 10 months follow-up. We report the case of sinusitis caused by protrusion of implants with sinus floor lift procedures and propose that practitioners should be aware of the possible its complications and management.</p>
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<journal-id journal-id-type="nlm-ta">J Korean Assoc Oral Maxillofac Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Korean Assoc Oral Maxillofac Surg</journal-id>
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<subject>Case Report</subject>
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<article-title>Treatment of dental implant-related maxillary sinusitis with functional endoscopic sinus surgery in combination with an intra-oral approach</article-title>
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<name>
<surname>Nam</surname>
<given-names>Ki-Young</given-names>
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<surname>Kim</surname>
<given-names>Jong-Bae</given-names>
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<aff id="A1">Department of Dentistry, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.</aff>
<author-notes>
<corresp>Corresponding author: Ki-Young Nam. Department of Dentistry, Keimyung University Dongsan Medical Center, 56, Dalseong-ro, Jung-gu, Daegu 700-712, Korea. TEL: +82-53-250-7805, FAX: +82-53-250-7802,
<email>nkyp@dsmc.or.kr</email>
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<pub-date pub-type="ppub">
<month>4</month>
<year>2014</year>
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<pub-date pub-type="epub">
<day>28</day>
<month>4</month>
<year>2014</year>
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<volume>40</volume>
<issue>2</issue>
<fpage>87</fpage>
<lpage>90</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>2</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>14</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>4</month>
<year>2014</year>
</date>
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<permissions>
<copyright-statement>Copyright © 2014 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
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<abstract>
<p>The present report describes the case of a patient who underwent maxillary sinusitis right after dental implant installation with sinus lifting. Computed tomography scan revealed a dental implant (#16) was protruded inside the right maxillary sinus and confirmed the obstruction of ostium. A symptom remission was gained with the dual approaches combined by functional endoscopic sinus surgery and an intra-oral approach. Fully recovered function and healing of sinus were identified after 10 months follow-up. We report the case of sinusitis caused by protrusion of implants with sinus floor lift procedures and propose that practitioners should be aware of the possible its complications and management.</p>
</abstract>
<kwd-group>
<kwd>Maxillary sinusitis</kwd>
<kwd>Dental implants</kwd>
<kwd>Endoscopy</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<p>Panoramic view taken 5 days after right maxilla sinus bone grafting and #16 implantation revealed dental implant protrusion into the right maxillary sinus.</p>
</caption>
<graphic xlink:href="jkaoms-40-87-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<p>Paranasal sinuses computed tomography revealed mucosal thickening and opacification with air bubbles in the right maxillary sinus and the protrusion of an implant fixture into the sinus, along with a bony fragment (arrow).</p>
</caption>
<graphic xlink:href="jkaoms-40-87-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Fig. 3</label>
<caption>
<p>Water's view computed tomography revealed increased density and haziness in the right maxillary sinus.</p>
</caption>
<graphic xlink:href="jkaoms-40-87-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float">
<label>Fig. 4</label>
<caption>
<p>Endoscopic view, after uncenectomy and maxillary sinus ostium enlargement.</p>
</caption>
<graphic xlink:href="jkaoms-40-87-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float">
<label>Fig. 5</label>
<caption>
<p>An intra-oral approach allowed for the removal of the mobile dental implant and closure of the oro-antra fistula.</p>
</caption>
<graphic xlink:href="jkaoms-40-87-g005"></graphic>
</fig>
<fig id="F6" orientation="portrait" position="float">
<label>Fig. 6</label>
<caption>
<p>Computed tomography revealed that opacification of the right maxillary sinus was decreased 1 week postoperatively. Mucosal thickening of the sinus wall had also decreased.</p>
</caption>
<graphic xlink:href="jkaoms-40-87-g006"></graphic>
</fig>
<fig id="F7" orientation="portrait" position="float">
<label>Fig. 7</label>
<caption>
<p>Transverse dental computed tomography scanning revealed complete recovery of the right maxillary sinus with normal mucosal thickness 10 months after surgery.</p>
</caption>
<graphic xlink:href="jkaoms-40-87-g007"></graphic>
</fig>
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