Title:
Do asymptomatic foreign bodies in the maxillary sinus always need to be removed?
Authors:
F. Selvi*, M. Enoz**, I. Yazgin**, S. Cakarer* and C. Keskin*
Institutions:
*Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, Turkey; **Maresal Cakmak Military Hospital, Department of Otolaryngology and Head and Neck Surgery, Erzurum, Turkey
Keywords:
Foreign body; maxillary sinus; chronic iatrogenic sinusitis; amalgam; computed tomography
Pages:
243 - 247
Abstract:
Do asymptomatic foreign bodies in the maxillary sinus always need to be removed? Foreign bodies may be displaced into the maxillary sinus as a result of trauma or during dental interventions. They commonly cause chronic sinusitis and/or fungal infections. This paper presents the case of a foreign body lodged in the right maxillary sinus ostium of a 31-year-old female patient. The foreign body was observed incidentally during radiological examination. After careful clinical and radiological examination, it was concluded that the foreign body was a piece of amalgam dis- placed into the maxillary sinus during a traumatic extraction. It is an uncommon finding to observe an asymptomatic dental foreign body in a position so close to the natural ostium of the maxillary sinus for so many years without any oro-antral fistula formation and/or sinusitis attacks. We describe the non-surgical approach to the case and the need for surgical management will be questioned. The importance of consultation between otolaryngologists and oral and maxillofacial surgeons will also be emphasised.
Issue:
Vol. 4, 2008, 4th trimester


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Do asymptomatic foreign bodies in the maxillary sinus always need to be removed?