Fixation tack penetration into the maxillary sinus: A case report of a guided bone regeneration procedure complication
Identifieur interne : 001B23 ( Pmc/Curation ); précédent : 001B22; suivant : 001B24Fixation tack penetration into the maxillary sinus: A case report of a guided bone regeneration procedure complication
Auteurs : Kevin Harrison [États-Unis] ; Irma Iskandar [États-Unis] ; Hua-Hong Chien [États-Unis]Source :
- The American Journal of Case Reports [ 1941-5923 ] ; 2013.
Abstract
Guided bone regeneration (GBR) is an established and predictable procedure used to obtain adequate alveolar bone for the placement of dental implants. Anatomical challenges, such as the proximity of the maxillary sinus, may lead to complications during a GBR procedure. The purpose of this report is to present a unique and hitherto unreported complication of a GBR procedure, i.e., the penetration of a titanium fixation tack into the maxillary sinus.
A unique GBR is presented, where a titanium tack penetrated the maxillary sinus with subsequent migration and loss. Attempts to locate the tack visually during the procedure were unsuccessful. The GBR procedure was aborted and dental radiographs were immediately obtained. The patient was completely asymptomatic during the healing period. Eight weeks later a cone beam computed tomography revealed a non-inflamed sinus with no pathology evident. However, the tack could not be visualized. An otolaryngology consultation was requested and the ensuing sinus endoscopy did not reveal any evidence of the penetrated tack. It is thought that the loose tack migrated completely out of the sinus through the nasal passage.
The use of a pre-operative cone beam computed tomography (CBCT) would have allowed the clinician to assess the exact thickness of the lateral wall of the maxillary sinus and better determine the ideal placement location and/or the feasibility of using a fixation tack in the posterior upper jaw.
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DOI: 10.12659/AJCR.883785
PubMed: 23569561
PubMed Central: 3619038
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Fixation tack penetration into the maxillary sinus: A case report of a guided bone regeneration procedure complication</title><author><name sortKey="Harrison, Kevin" sort="Harrison, Kevin" uniqKey="Harrison K" first="Kevin" last="Harrison">Kevin Harrison</name><affiliation wicri:level="1"><nlm:aff id="af1-amjcaserep-14-43">Private Practice limited to Periodontics and Implant Dentistry, Albuquerque, NM, U.S.A.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Private Practice limited to Periodontics and Implant Dentistry, Albuquerque, NM</wicri:regionArea></affiliation></author><author><name sortKey="Iskandar, Irma" sort="Iskandar, Irma" uniqKey="Iskandar I" first="Irma" last="Iskandar">Irma Iskandar</name><affiliation wicri:level="1"><nlm:aff id="af2-amjcaserep-14-43">Private Practice limited to Periodontics and Implant Dentistry, Longview, WA, U.S.A.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Private Practice limited to Periodontics and Implant Dentistry, Longview, WA</wicri:regionArea></affiliation></author><author><name sortKey="Chien, Hua Hong" sort="Chien, Hua Hong" uniqKey="Chien H" first="Hua-Hong" last="Chien">Hua-Hong Chien</name><affiliation wicri:level="1"><nlm:aff id="af3-amjcaserep-14-43">Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH, U.S.A.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23569561</idno><idno type="pmc">3619038</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619038</idno><idno type="RBID">PMC:3619038</idno><idno type="doi">10.12659/AJCR.883785</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001B23</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B23</idno><idno type="wicri:Area/Pmc/Curation">001B23</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001B23</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Fixation tack penetration into the maxillary sinus: A case report of a guided bone regeneration procedure complication</title><author><name sortKey="Harrison, Kevin" sort="Harrison, Kevin" uniqKey="Harrison K" first="Kevin" last="Harrison">Kevin Harrison</name><affiliation wicri:level="1"><nlm:aff id="af1-amjcaserep-14-43">Private Practice limited to Periodontics and Implant Dentistry, Albuquerque, NM, U.S.A.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Private Practice limited to Periodontics and Implant Dentistry, Albuquerque, NM</wicri:regionArea></affiliation></author><author><name sortKey="Iskandar, Irma" sort="Iskandar, Irma" uniqKey="Iskandar I" first="Irma" last="Iskandar">Irma Iskandar</name><affiliation wicri:level="1"><nlm:aff id="af2-amjcaserep-14-43">Private Practice limited to Periodontics and Implant Dentistry, Longview, WA, U.S.A.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Private Practice limited to Periodontics and Implant Dentistry, Longview, WA</wicri:regionArea></affiliation></author><author><name sortKey="Chien, Hua Hong" sort="Chien, Hua Hong" uniqKey="Chien H" first="Hua-Hong" last="Chien">Hua-Hong Chien</name><affiliation wicri:level="1"><nlm:aff id="af3-amjcaserep-14-43">Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH, U.S.A.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH</wicri:regionArea></affiliation></author></analytic><series><title level="j">The American Journal of Case Reports</title><idno type="eISSN">1941-5923</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Background:</title><p>Guided bone regeneration (GBR) is an established and predictable procedure used to obtain adequate alveolar bone for the placement of dental implants. Anatomical challenges, such as the proximity of the maxillary sinus, may lead to complications during a GBR procedure. The purpose of this report is to present a unique and hitherto unreported complication of a GBR procedure, i.e., the penetration of a titanium fixation tack into the maxillary sinus.</p></sec><sec><title>Case Report:</title><p>A unique GBR is presented, where a titanium tack penetrated the maxillary sinus with subsequent migration and loss. Attempts to locate the tack visually during the procedure were unsuccessful. The GBR procedure was aborted and dental radiographs were immediately obtained. The patient was completely asymptomatic during the healing period. Eight weeks later a cone beam computed tomography revealed a non-inflamed sinus with no pathology evident. However, the tack could not be visualized. An otolaryngology consultation was requested and the ensuing sinus endoscopy did not reveal any evidence of the penetrated tack. It is thought that the loose tack migrated completely out of the sinus through the nasal passage.</p></sec><sec><title>Conclusions:</title><p>The use of a pre-operative cone beam computed tomography (CBCT) would have allowed the clinician to assess the exact thickness of the lateral wall of the maxillary sinus and better determine the ideal placement location and/or the feasibility of using a fixation tack in the posterior upper jaw.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Devlin, H" uniqKey="Devlin H">H Devlin</name></author><author><name sortKey="Ferguson, Mw" uniqKey="Ferguson M">MW Ferguson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sharan, A" uniqKey="Sharan A">A Sharan</name></author><author><name sortKey="Madjar, D" uniqKey="Madjar D">D Madjar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aghaloo, Tl" uniqKey="Aghaloo T">TL 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">Am J Case Rep</journal-id><journal-id journal-id-type="publisher-id">amjcaserep</journal-id><journal-title-group><journal-title>The American Journal of Case Reports</journal-title></journal-title-group><issn pub-type="epub">1941-5923</issn><publisher><publisher-name>International Scientific Literature, Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23569561</article-id><article-id pub-id-type="pmc">3619038</article-id><article-id pub-id-type="doi">10.12659/AJCR.883785</article-id><article-id pub-id-type="publisher-id">883785</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Fixation tack penetration into the maxillary sinus: A case report of a guided bone regeneration procedure complication</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Harrison</surname><given-names>Kevin</given-names></name><xref ref-type="aff" rid="af1-amjcaserep-14-43"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn5-amjcaserep-14-43"><sup>E</sup></xref><xref ref-type="author-notes" rid="fn6-amjcaserep-14-43"><sup>F</sup></xref></contrib><contrib contrib-type="author"><name><surname>Iskandar</surname><given-names>Irma</given-names></name><xref ref-type="aff" rid="af2-amjcaserep-14-43"><sup>2</sup></xref><xref ref-type="author-notes" rid="fn1-amjcaserep-14-43"><sup>A</sup></xref><xref ref-type="author-notes" rid="fn2-amjcaserep-14-43"><sup>B</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chien</surname><given-names>Hua-Hong</given-names></name><xref ref-type="corresp" rid="c1-amjcaserep-14-43"></xref><xref ref-type="aff" rid="af3-amjcaserep-14-43"><sup>3</sup></xref><xref ref-type="author-notes" rid="fn4-amjcaserep-14-43"><sup>D</sup></xref><xref ref-type="author-notes" rid="fn5-amjcaserep-14-43"><sup>E</sup></xref><xref ref-type="author-notes" rid="fn7-amjcaserep-14-43"><sup>G</sup></xref></contrib></contrib-group><aff id="af1-amjcaserep-14-43"><label>1</label>Private Practice limited to Periodontics and Implant Dentistry, Albuquerque, NM, U.S.A.</aff><aff id="af2-amjcaserep-14-43"><label>2</label>Private Practice limited to Periodontics and Implant Dentistry, Longview, WA, U.S.A.</aff><aff id="af3-amjcaserep-14-43"><label>3</label>Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH, U.S.A.</aff><author-notes><corresp id="c1-amjcaserep-14-43">Author’s address: Hua-Hong Chien, Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH 43210, U.S.A., e-mail: <email>chien.60@osu.edu</email></corresp><fn><p><bold>Authors’ Contribution:</bold></p></fn><fn id="fn1-amjcaserep-14-43"><label>A</label><p>Study Design</p></fn><fn id="fn2-amjcaserep-14-43"><label>B</label><p>Data Collection</p></fn><fn id="fn3-amjcaserep-14-43"><label>C</label><p>Statistical Analysis</p></fn><fn id="fn4-amjcaserep-14-43"><label>D</label><p>Data Interpretation</p></fn><fn id="fn5-amjcaserep-14-43"><label>E</label><p>Manuscript Preparation</p></fn><fn id="fn6-amjcaserep-14-43"><label>F</label><p>Literature Search</p></fn><fn id="fn7-amjcaserep-14-43"><label>G</label><p>Funds Collection</p></fn></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>18</day><month>2</month><year>2013</year></pub-date><volume>14</volume><fpage>43</fpage><lpage>47</lpage><history><date date-type="received"><day>16</day><month>12</month><year>2012</year></date><date date-type="accepted"><day>08</day><month>2</month><year>2013</year></date></history><permissions><copyright-statement>© Am J Case Rep, 2013</copyright-statement><copyright-year>2013</copyright-year><license><license-p>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License</license-p></license></permissions><abstract><title>Summary</title><sec><title>Background:</title><p>Guided bone regeneration (GBR) is an established and predictable procedure used to obtain adequate alveolar bone for the placement of dental implants. Anatomical challenges, such as the proximity of the maxillary sinus, may lead to complications during a GBR procedure. The purpose of this report is to present a unique and hitherto unreported complication of a GBR procedure, i.e., the penetration of a titanium fixation tack into the maxillary sinus.</p></sec><sec><title>Case Report:</title><p>A unique GBR is presented, where a titanium tack penetrated the maxillary sinus with subsequent migration and loss. Attempts to locate the tack visually during the procedure were unsuccessful. The GBR procedure was aborted and dental radiographs were immediately obtained. The patient was completely asymptomatic during the healing period. Eight weeks later a cone beam computed tomography revealed a non-inflamed sinus with no pathology evident. However, the tack could not be visualized. An otolaryngology consultation was requested and the ensuing sinus endoscopy did not reveal any evidence of the penetrated tack. It is thought that the loose tack migrated completely out of the sinus through the nasal passage.</p></sec><sec><title>Conclusions:</title><p>The use of a pre-operative cone beam computed tomography (CBCT) would have allowed the clinician to assess the exact thickness of the lateral wall of the maxillary sinus and better determine the ideal placement location and/or the feasibility of using a fixation tack in the posterior upper jaw.</p></sec></abstract><kwd-group><kwd>maxillary sinus</kwd><kwd>complication</kwd><kwd>guided bone regeneration</kwd><kwd>titanium tack</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-amjcaserep-14-43" position="float"><label>Figure 1.</label><caption><p>Pre-operative panoramic radiograph: Note a titanium zygomatic plate that was previously placed and unrelated to this case report.</p></caption><graphic xlink:href="amjcaserep-14-43-g001"></graphic></fig><fig id="f2-amjcaserep-14-43" position="float"><label>Figure 2.</label><caption><p>Post-operative panoramic radiograph immediately after tack displacement. The displaced tack is indicated by black arrow, while the non-displaced tack is indicated by a white arrow. Note the right maxillary canine area, where socket preservation was performed following extraction of the canine root.</p></caption><graphic xlink:href="amjcaserep-14-43-g002"></graphic></fig><fig id="f3-amjcaserep-14-43" position="float"><label>Figure 3.</label><caption><p>Post-operative (8-week) CBCT. (<bold>A</bold>) Axial view of CBCT demonstrating view of interest. (<bold>B</bold>) Panoramic view of CBCT: non-displaced tack (white arrow). Tack superiorly to sinus is a titanium zygomatic plate previously placed and unrelated to this case report. (<bold>C–E</bold>) Coronal views demonstrating the non-displaced tack (white arrow in blue box) and a clear, open ostium (white arrow in red box). The displaced tack was not seen on these CBCT images.</p></caption><graphic xlink:href="amjcaserep-14-43-g003"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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