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Iatrogenic Invasion of Maxillary Sinus in Oral Surgery

Received: 30 December 2015     Published: 30 December 2015
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Abstract

Iatrogenic diseases affecting the maxillary sinus may be consequent to both technical errors operator both represent something "inevitable", linked to the particular situation of anatomical contiguity between pathologic finding to be removed and the sinus. They can result from multiple occurrences: Extraction of dental elements erupted of the posterior maxilla, most frequently in the case of multi-rooted elements with roots long and diverse; Surgical extraction of impacted teeth, especially the third molars, second premolars and, more rarely, canines; Dislocation in the roots of the maxillary sinus, dental elements or parts of fractured instruments (in this case the event is always tied to a technical error); Enucleation of periapical lesions or cysts whose walls are adherent to the sinus mucosa; Removal of benign growths such as odontomas or other odontogenic tumors and odontogenic not directly related to the sinus mucosa; Preparation of implant sites in the posterior maxilla, due to incorrect assessment of the space available between the alveolar margin and sinus floor. Meta-analytical, observational and retrospective study obtained from a literature review of 10 articles. Its primary etiological factor is dental extraction and preparation of dental implant sites. The lesions iatrogenic sinus occurred during oral surgery or implant surgery can be provided and certainly reduced. The way forward is that of a careful planning designed to reduce the risk of accidents during surgery.

Published in American Journal of Clinical and Experimental Medicine (Volume 3, Issue 6)
DOI 10.11648/j.ajcem.20150306.21
Page(s) 383-385
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Maxillary Sinus, Oral Surgery, Dental Implant

References
[1] Ahovuo-Saloranta A, Rautakorpi UM, Borisenko OV, Liira H, Williams JW Jr, Mäkelä M. WITHDRAWN: Antibiotics for acute maxillary sinusitis in adults. Cochrane Database Syst Rev. 2015 Oct 16; 10: CD000243.
[2] Saibene AM, Vassena C, Pipolo C, Trimboli M, De Vecchi E, Felisati G, Drago L. Odontogenic and rhinogenic chronic sinusitis: a modern microbiological comparison. Int Forum Allergy Rhinol. 2015 Sep 8. doi: 10.1002/alr.21629.
[3] Troeltzsch M, Pache C, Troeltzsch M, Kaeppler G, Ehrenfeld M, Otto S, Probst F. Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: A review of 174 cases. J Craniomaxillofac Surg. 2015 Oct; 43(8): 1522-9. doi: 10.1016/j.jcms.2015.07.021.
[4] Guerra-Pereira I, Vaz P, Faria-Almeida R, Braga AC, Felino A. CT maxillary sinus evaluation--A retrospective cohort study. Med Oral Patol Oral Cir Bucal. 2015 Jul 1; 20(4): e419-26.
[5] Yan J, Zhao Y. [The research progress of maxillary sinusitis surgery]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Feb; 29(3): 287-90.
[6] Ference EH, Smith SS, Conley D, Chandra RK. Surgical anatomy and variations of the infraorbital nerve. Laryngoscope. 2015 Jun; 125(6): 1296-300. doi: 10.1002/lary. 25089.
[7] Tomomatsu N, Uzawa N, Aragaki T, Harada K. Aperture width of the osteomeatal complex as a predictor of successful treatment of odontogenic maxillary sinusitis. Int J Oral Maxillofac Surg. 2014 Nov; 43(11): 1386-90. doi: 10.1016/j. ijom. 2014.06.007.
[8] Hu Z, Sun D, Zhou Q, Wang Y, Gu J, Han Y. [Radiographic study of maxillary sinus associated with molars in adult]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Dec; 28(23): 1863-5.
[9] Saibene AM, Vassena C, Pipolo C, Trimboli M, De Vecchi E, Felisati G, Drago L. Odontogenic and rhinogenic chronic sinusitis: a modern microbiological comparison. Int Forum Allergy Rhinol. 2015 Sep 8.
[10] Feng L, Li H, E LL, Li CJ, Ding Y. Pathological changes in the maxillary sinus mucosae of patients with recurrent odontogenic maxillary sinusitis. Pak J Med Sci. 2014 Sep; 30(5): 972-5.
[11] Franco-Carr o B1, Barona-Dorado C, Martínez-González MJ, Rubio-Alonso LJ, Martínez-González JM. Meta-analytic study on the frequency and treatment of oral antral communications. Med Oral Patol Oral Cir Bucal. 2011 Aug 1; 16(5): e682-7.
[12] Franco-Carro B, Barona-Dorado C, Martínez-González MJ, Rubio-Alon- so LJ, Martínez-González JM. Meta-analytic study on the frequency and treatment of oral antral communications. Med Oral Patol Oral Cir Bucal. 2011 Aug 1; 16 (5): e682-7.
Cite This Article
  • APA Style

    Antonio Crispino, Leonzio Fortunato, Luigi Lidonnici, Roberto Del Giudice. (2015). Iatrogenic Invasion of Maxillary Sinus in Oral Surgery. American Journal of Clinical and Experimental Medicine, 3(6), 383-385. https://doi.org/10.11648/j.ajcem.20150306.21

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    ACS Style

    Antonio Crispino; Leonzio Fortunato; Luigi Lidonnici; Roberto Del Giudice. Iatrogenic Invasion of Maxillary Sinus in Oral Surgery. Am. J. Clin. Exp. Med. 2015, 3(6), 383-385. doi: 10.11648/j.ajcem.20150306.21

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    AMA Style

    Antonio Crispino, Leonzio Fortunato, Luigi Lidonnici, Roberto Del Giudice. Iatrogenic Invasion of Maxillary Sinus in Oral Surgery. Am J Clin Exp Med. 2015;3(6):383-385. doi: 10.11648/j.ajcem.20150306.21

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  • @article{10.11648/j.ajcem.20150306.21,
      author = {Antonio Crispino and Leonzio Fortunato and Luigi Lidonnici and Roberto Del Giudice},
      title = {Iatrogenic Invasion of Maxillary Sinus in Oral Surgery},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {3},
      number = {6},
      pages = {383-385},
      doi = {10.11648/j.ajcem.20150306.21},
      url = {https://doi.org/10.11648/j.ajcem.20150306.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20150306.21},
      abstract = {Iatrogenic diseases affecting the maxillary sinus may be consequent to both technical errors operator both represent something "inevitable", linked to the particular situation of anatomical contiguity between pathologic finding to be removed and the sinus. They can result from multiple occurrences: Extraction of dental elements erupted of the posterior maxilla, most frequently in the case of multi-rooted elements with roots long and diverse; Surgical extraction of impacted teeth, especially the third molars, second premolars and, more rarely, canines; Dislocation in the roots of the maxillary sinus, dental elements or parts of fractured instruments (in this case the event is always tied to a technical error); Enucleation of periapical lesions or cysts whose walls are adherent to the sinus mucosa; Removal of benign growths such as odontomas or other odontogenic tumors and odontogenic not directly related to the sinus mucosa; Preparation of implant sites in the posterior maxilla, due to incorrect assessment of the space available between the alveolar margin and sinus floor. Meta-analytical, observational and retrospective study obtained from a literature review of 10 articles. Its primary etiological factor is dental extraction and preparation of dental implant sites. The lesions iatrogenic sinus occurred during oral surgery or implant surgery can be provided and certainly reduced. The way forward is that of a careful planning designed to reduce the risk of accidents during surgery.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Iatrogenic Invasion of Maxillary Sinus in Oral Surgery
    AU  - Antonio Crispino
    AU  - Leonzio Fortunato
    AU  - Luigi Lidonnici
    AU  - Roberto Del Giudice
    Y1  - 2015/12/30
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajcem.20150306.21
    DO  - 10.11648/j.ajcem.20150306.21
    T2  - American Journal of Clinical and Experimental Medicine
    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
    SP  - 383
    EP  - 385
    PB  - Science Publishing Group
    SN  - 2330-8133
    UR  - https://doi.org/10.11648/j.ajcem.20150306.21
    AB  - Iatrogenic diseases affecting the maxillary sinus may be consequent to both technical errors operator both represent something "inevitable", linked to the particular situation of anatomical contiguity between pathologic finding to be removed and the sinus. They can result from multiple occurrences: Extraction of dental elements erupted of the posterior maxilla, most frequently in the case of multi-rooted elements with roots long and diverse; Surgical extraction of impacted teeth, especially the third molars, second premolars and, more rarely, canines; Dislocation in the roots of the maxillary sinus, dental elements or parts of fractured instruments (in this case the event is always tied to a technical error); Enucleation of periapical lesions or cysts whose walls are adherent to the sinus mucosa; Removal of benign growths such as odontomas or other odontogenic tumors and odontogenic not directly related to the sinus mucosa; Preparation of implant sites in the posterior maxilla, due to incorrect assessment of the space available between the alveolar margin and sinus floor. Meta-analytical, observational and retrospective study obtained from a literature review of 10 articles. Its primary etiological factor is dental extraction and preparation of dental implant sites. The lesions iatrogenic sinus occurred during oral surgery or implant surgery can be provided and certainly reduced. The way forward is that of a careful planning designed to reduce the risk of accidents during surgery.
    VL  - 3
    IS  - 6
    ER  - 

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Author Information
  • Department of Dentistry, University of Catanzaro “Magna Graecia”, Catanzaro, Italy

  • Department of Dentistry, University of Catanzaro “Magna Graecia”, Catanzaro, Italy

  • Department of Dentistry, University of Catanzaro “Magna Graecia”, Catanzaro, Italy

  • Department of Dentistry, University of Catanzaro “Magna Graecia”, Catanzaro, Italy

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