Foreign body in the maxillary sinus. Surgical closure using the palatal pocket technique

Authors

  • OS Corominas Servicio de Odontología del Hospital Privado Universitario de Córdoba. Facultad de Odontología. Cátedra de Cirugía III

Keywords:

oroantral communication, foreign body, palatal periosteal flap

Abstract

Objective: to present a case report of a patient with a bucosinusal communication and its surgical resolution through the palatal pocket technique. Method: The patient came to the office reporting pain and passage of substances from the oral cavity to the nose. During inspection, a prosthetic reconstruction was observed, and in the multislice CT scan, the right maxillary sinus showed a lane to the alveolus of the second upper premolar. An irregular and diffuse foreign body was seen inside the maxillary sinus. Pre-surgical preparation: washes were performed through the fistula. Under general anesthesia, surgery was performed for the removal of the foreign body and plastic closure of the communication, using the palatal pocket technique. Results and conclusion: This technique ensured a tight closure of the communication and prevented reopening of the lesion. This was confirmed during postoperative controls

References

1. Corominas Villafañe O, di Gionantonio CA, Gotusso AT. A technique for vestibuloplasty. (Application of screwfixed acrylic plate) (author's transl). Rev Fac Odontol Univ Nac (Cordoba) 1978;10(1):7-15.

2. Güven O. A clinical study on oraoantral fistulae. J Cranio-Maxillofacial Surg 1998;26:267-71.

3. Sahin YF, Muderris T, Bercin S, Sevil E, Kırıs M. Chronic maxillary sinusitis associated with an unusual foreign body: a case report. Case Rep Otolaryngol 2012;2012:903714. doi: 10.1155/2012/903714.

4. Deniz Y1, Zengin AZ, Karli R. An unusual foreign body in the maxillary sinus: Dental impression material. Niger J Clin Pract 2016;19(2):298-300.

5. Rodrigues MTV, Munhoz EA, Cardoso CL, Freitas CA, Damante JH. Chronic maxillary sinusitis associated with dental impression material. Med Oral Patol Oral Cir Bucal 2009;14 (4):E163-6.

6. Bodet Agustí E, Viza Puiggrós I, Romeu Figuerola C, Martinez Vecina V. Cuerpos extraños en seno maxilar. Acta Otorrinolaringol Esp 2009; 60(3):190-3.

7. Khandelwal P, Hajira N. Management of Oro-antral Communication and Fistula: Various Surgical Options. World J Plast Surg 2017;6(1):3-8.

8. Batra H, Jindal G, Kaur S. Evaluation of different treatment modalities for closure of oro-antral communications and formulation of a rational approach. J Maxillofac Oral Surg 2010;9(1):13-8.

9. Yalçın S, Oncü B, Emes Y, Atalay B, Aktaş I. Surgical treatment of oroantral fistulas: a clinical study of 23 cases. J Oral Maxillofac Surg 2011;69(2):333-9

10. Sandhya G, Reddy PB, Kumar KA, Sridhar Reddy B, Prasad N, Kiran G. Surgical Management of Oro-Antral Communications Using Resorbable GTR Membrane and FDMB Sandwich Technique: A Clinical Study. J Maxillofac Oral Surg 2013;12(3):254-9.

11. Blal K, et al. A pedicled palatal periosteal flap for the closure of oro-antral fistula, Int J Oral Maxillofac Surg 2020;49(8):1087-91.

Published

2021-08-03