B-ENT

Maxillary sinusitis caused by the migration of a silastic implant used for an orbital floor reconstruction: a case report

1.

Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium

2.

Laboratory of Anatomy, Faculty of Medicine and Pharmacy, University of Mons-Hainaut, 7000 Mons, Belgium

B-ENT 2010; 6: 299-301
Read: 479 Downloads: 366 Published: 16 February 2020

Maxillary sinusitis caused by the migration of a silastic implant used for an orbital floor reconstruction: a case report. Objective: The authors report on a patient whose unilateral chronic maxillary sinusitis was caused by the migration of a silastic implant used for orbital floor repair.

Case report: A 32-year-old woman presented with a three-year history of right-sided maxillary discomfort that was associated with a purulent discharge. Her medical history included chronic allergic rhinitis and the placement of a silastic implant after a right orbital floor fracture at the age of 14. The silastic implant was then removed endoscopically in a right maxillary sinus meatotomy. The symptoms improved within three weeks after surgery.

Conclusion: Orbital implant migration is a rare cause of chronic unilateral sinusitis, and it must be suspected on the basis of a careful anamnesis, appropriate clinical examination, and sinus computed tomography. Misdiagnosing such a condition may increase patient morbidity by leading to inappropriate treatment.

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EISSN 2684-4907