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[Dental foreign body sinusitis].

F Thévoz1, A Arza, B Jaques

  • 1Clinique ORL, Division de chirurgie maxillo-faciale, CHUV, Lausanne. fthevoz@hola.hospvd.ch

Schweizerische Medizinische Wochenschrift
|January 6, 2001
PubMed
Summary

Dental foreign bodies causing chronic maxillary sinusitis are rare, with only 2% of cases identified. Many intra-sinusal foreign bodies do not lead to symptoms, suggesting overestimation of this condition.

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery

Context:

  • Unilateral chronic maxillary sinusitis is often linked to dental issues.
  • Identifying the precise cause of sinusitis is crucial for effective treatment.

Purpose:

  • To determine the frequency of maxillary sinusitis caused by dental foreign bodies.
  • To characterize these foreign bodies and their clinical presentation.

Summary:

  • A retrospective review of 197 maxillary sinusitis cases identified 17 suspected foreign bodies of dental origin.
  • Only 2% of all maxillary sinusitis cases were attributed to dental foreign bodies, with another 1% due to dental remnants.
  • A significant number of intra-sinusal foreign bodies did not result in patient symptoms.

Impact:

  • This study suggests that dental foreign bodies as a cause of chronic maxillary sinusitis are rare and potentially overestimated.
  • Findings highlight the need for careful diagnosis to differentiate between asymptomatic foreign bodies and true causative agents.
  • Surgical intervention (oral antrotomy/endonasal meatotomy) is the standard treatment for symptomatic cases.

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