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[Foreign bodies in maxillary sinus]
Eduard Bodet Agustí1, Ignacio Viza Puiggrós, Coia Romeu Figuerola
1Unidad de Otorrinolaringología, Hospital Nostra Senyora de Meritxell, Andorra. ebodet@hotmail.com
Foreign bodies in the maxillary sinus (FBMS) are rare, often originating from dental procedures. Surgical removal is the standard treatment for this unusual cause of chronic rhinosinusitis.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Radiology
Context:
- Foreign bodies in the maxillary sinus (FBMS) represent an uncommon clinical presentation.
- Diagnosis relies on radiological findings within the context of unilateral chronic rhinosinusitis.
- FBMS can arise from various origins, with odontogenic sources being most frequent.
Purpose:
- To investigate the incidence, origin, and management of foreign bodies within the maxillary sinus.
- To highlight the association between dental procedures and FBMS.
- To review the clinical implications and treatment strategies for FBMS.
Summary:
- A review of 68 patients with unilateral chronic rhinosinusitis identified 11 cases (16%) of FBMS.
- The majority of FBMS (91%) were of odontogenic origin, with one case (9%) being non-odontogenic.
- Surgical removal, primarily via functional endoscopic sinus surgery (FEES), was the treatment for all patients.
Impact:
- This study underscores the importance of considering FBMS in patients with chronic maxillary sinusitis, particularly those with a history of dental work.
- It provides insights into the prevalence and common sources of FBMS.
- Effective surgical management, often through minimally invasive techniques, leads to resolution of symptoms.
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