The Invader of the Maxillary Sinus (original) (raw)
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11.The Invader of the Maxillary Sinus
This report aims to present the case of a 21 year old boy with oroantral communication associated with sinonasal symptom. The aetiology was the presence of ectopic third molar in the sinus. Closure of the communication and surgical removal of the tooth via Caldwell-Luc procedure resulted in resolution of the symptoms. The oroantral communication was surprisingly caused by the chronic sinusitis resulting from the presence of the tooth in the maxillary sinus.
Ectopic Eruption of a Maxillary Third Molar Tooth in the Maxillary Sinus: A Case Report
The Journal of Contemporary Dental Practice, 2005
Ectopic eruption of teeth into regions other than the oral cavity is rare although there have been reports of teeth in the nasal septum, mandibular condyle, coronoid process, palate, chin, and maxillary sinus. Occasionally, a tooth may erupt in the maxillary sinus and present with local sinonasal symptoms attributed to chronic sinusitis. We present a case of an ectopic maxillary third molar tooth that caused chronic sinusitis in the maxillary sinus. Citation Büyükkurt MC, Tozoglu S, Aras MH, Yolcu Ü. Ectopic Eruption of a Maxillary Third Molar Tooth in the Maxillary Sinus: A Case Report. J Contemp Dent Pract 2005 August;(6)3:104-110.
Ectopic molar with maxillary sinus drainage obstruction and oroantral fistula
Iranian journal of otorhinolaryngology, 2013
Ectopic tooth eruption may result owing to one of 3 processes: developmentalDisturbance, iatrogenic activity, or pathologic process, such as a tumor or a cyst. In rare cases, occlusion of the sinus ostia may predispose a patient to develop a maxillary sinus mucocele. When the maxillary sinus is invaded, symptoms usually occur late in the process. A 17 years old boy referred to department of Otolaryngology, Head and Neck Surgery of university of medical sciences, Tabriz_Iran in 2010 with chronic recurrent mucoprulent discharge from retromollar trigone , posterior to right superior alveolar ridge. CT scan revealed a dense mass resembling tooth, obstructing sinus ostium with homogenous opacity with ring enhancement, occupying whole sinus and expanding all walls. A Caldwell Luke approach in combination with endoscopy was selected. In the present patient, removal of ectopic tooth resolved the symptoms completely, the fistula obstructed and discharges discontinued. An ectopic tooth is a r...
Five Ectopic Teeth in the Maxillary Sinus: A Rare Cause of Chronic Sinusitis
Cureus, 2022
Around 10-20% of sinusitis have a dental etiology. Odontogenic sinusitis is generally caused by periodontitis, peri-implantitis, periapical pathology, or oroantral communication. Ectopic teeth are a rare cause of chronic odontogenic sinusitis. We present a rare case of chronic sinusitis caused by five ectopic teeth. A 39-year-old-female patient presented to our clinic with complaints of facial pain over the left cheek, ipsilateral nasal obstruction, ipsilateral rhinorrhea, and coughing over the last five years. Physical examination revealed a febrile patient. There was an ipsilateral purulent nasal discharge of yellow color. Inspection of the oral cavity revealed the absence of the following maxillary teeth: left first and second premolars, in addition to the left first, second, and third molars. There was also tenderness upon palpation of the left maxillary sinus. Computed tomography (CT) scan of the maxillary sinus revealed hyperdense structures in the left maxillary sinus surrounded by soft tissue, representing the missing premolar and molar teeth. The patient was treated with amoxicillin-clavulanate and corticosteroid, which partially relieved her symptoms. Our case presents an unusual case of chronic sinusitis that was found to be a consequence of five ectopic teeth in the maxillary sinus. A careful physical examination and an appropriate imaging modality are indispensable for the diagnosis of such a rare phenomenon.
Craniomaxillofacial Trauma & Reconstruction, 2016
This article presents a case report of an adult patient with chronic sinusitis related to the presence of two erupted ectopic teeth located atypically in the maxillary sinus roof/orbital floor after a long latency period associated with childhood facial trauma. This article aims to show the treatment of chronic sinusitis of odontogenic origin by surgical removal of ectopic teeth in an unusual position by direct visualization. This case report discusses the signs and symptoms of chronic sinusitis linked to the presence of ectopic elements and associated with an inflammatory cyst, the choice of complementary tests for diagnosis and surgical treatment through the Caldwell-Luc procedure. After a 2-year follow-up period, the patient presently shows clinical improvement, thus demonstrating the success of the chosen treatment.
An Ectopic Unerupted Tooth in Maxillary Sinus
Journal of Evolution of medical and Dental Sciences, 2014
We report a rare case of ectopic unerupted tooth in maxillary sinus. CASE REPORT: A 23 year old female presented with oroantral fistula distal to right upper second molar. On radiography, there was an ectopic unerupted tooth in maxillary sinus, removed via sublabial approach with sinuscope. CONCLUSION: This is a rare case of unerupted ectopic tooth in maxillary sinus that presented with oroantral fistula. Opacity in maxillary sinus may be due to unerupted ectopic tooth. Complete removal of tooth along with associated mucosal disease of sinus by Caldwell luc (sublabial) approach with sinuscope is curative.
Oral and Maxillofacial Surgery for the Clinician
Maxillary sinusitis is a debilitating condition for patients due to the proximity of this anatomical structure to the dentition, oropharynx and orbital cavity and thus of paramount consideration for the oral and maxillofacial clinician. The etiopathology, when not due to oral antral communication and thus often secondary to an upper respiratory tract infection, can be multifactorial. It is the result of a detailed clinical assessment with appropriate investigations that an accurate diagnosis attained. Management of symptoms is the first course of action and provides the greatest perceived relief for the patient. Surgical management has multidisciplinary overlap and each specialism should work in harmony in their respective fortes for an optimum outcome. This chapter provides a detailed overview of the pathophysiology, clinical presentation and management of patients presenting with suspected maxillary sinusitis in the absence of oral antral communication.
Ectopic tooth in maxillary sinus: Case series
Annals of Maxillofacial Surgery, 2013
Ectopic eruption of a tooth within the dentate region of the jaws is often noticed in clinical practice and is well documented in the literature. But the ectopic eruption into the non dentate region is rare and scantly documented. The maxillary sinus is one such a non dentate region, apart from nasal septum, mandibular condyle, coronoid process and the palate, to accommodate such ectopic eruptions of teeth. Due to its rarity and lack of consensus over its management, the incidence deserves to be added to the literature and discussed. Early surgical intervention for removal of ectopic tooth along with enucleation of the associated cyst, if any, is the treatment of choice.
Imaging Science in Dentistry, 2021
Purpose: An oroantral communication (OAC) is an abnormal space between the maxillary sinus and oral cavity. The causes, complications, treatment, and radiographic features of OAC in 2-dimensional and 3-dimensional imaging modalities are discussed. Materials and Methods: This pictorial review presents a broad spectrum of imaging findings of OAC. Representative radiographs depicting OAC were chosen from our database. PubMed was used to conduct a comprehensive literature search of OAC. Results: Characteristic features of OAC include discontinuity of the maxillary sinus floor, thickening of the maxillary sinus mucosa, or a combination of both. Two-dimensional imaging modalities are the method of choice for identifying discontinuities in the maxillary sinus floor. However, 3-dimensional imaging modalities are also essential for determining the status of soft tissue in the maxillary sinus. Conclusion: The integration of 2-dimensional and 3-dimensional imaging modalities is crucial for the correct diagnosis and comprehensive treatment of OAC. However, the diagnosis of OAC must be confirmed clinically to prevent unnecessary mental and financial burdens to patients.