Title:
Maxillary sinusitis caused by the migration of a silastic implant used for an orbital floor reconstruction: a case report
Authors:
S. Saussez*,**, O. Filleul**, V. Mahillon*, M. Kamatchian* and G. Chantrain*
Institutions:
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium; **Laboratory of Anatomy, Faculty of Medicine and Pharmacy, University of Mons-Hainaut, 7000 Mons, Belgium
Keywords:
Unilateral chronic maxillary sinusitis; foreign body, silastic; orbital floor repair
Pages:
299 - 301
Abstract:
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 asso- ciated 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 condi- tion may increase patient morbidity by leading to inappropriate treatment.
Issue:
Vol. 6, 2010, 4th trimester


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