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Maxillary sinusitis resulting from ostium plugging by dislodged bone graft: case report.
William L Hunter1, Jon P Bradrick, Steven M Houser
1Division of Oral and Maxillofacial Surgery, MetroHealth Medical Center, Cleveland, OH 44109, USA. whunter@metrohealth.org
Summary
Severe maxillary sinusitis occurred in a patient due to bone graft material after a sinus elevation procedure. Early CT scans and prompt surgical intervention resolved the complication.
Area of Science:
- Oral Surgery
- Otolaryngology
- Radiology
Background:
- Sinus elevation procedures are common for dental implant placement.
- Complications can arise from bone graft material and implants within the maxillary sinus.
Observation:
- A patient presented with severe maxillary sinusitis post-sinus elevation and dental implant placement.
- Symptoms persisted despite extended antibiotic treatment without targeted diagnostics.
Findings:
- CT imaging revealed a dental implant in the maxillary sinus and dislodged bone graft material obstructing the sinus ostium.
- Sinusitis affected both the maxillary and ethmoid sinuses.
Implications:
- Awareness of potential complications from foreign debris in sinus elevation procedures is crucial.
- Early CT imaging and consideration of surgical intervention are recommended over empirical antibiotic changes.
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