An asymptomatic foreign body in a maxillary sinus ostium.A 68-year-old woman was referred to us with recurring right sinusitis sinusitis Inflammation of the sinuses. Acute sinusitis, usually due to infections such as the common cold, causes localized pain and tenderness, nasal obstruction and discharge, and malaise. and right facial discomfort that had responded poorly to long-term medical treatment. Computed tomography (CT) of the sinuses detected chronic tight maxillary max·il·lar·y adj. Of or relating to a jaw or jawbone, especially the upper one. n. A maxillar; a jawbone. maxillary (mak´siler´ē), adj and ethmoid ethmoid /eth·moid/ (eth´moid) 1. sievelike; cribriform. 2. the ethmoid bone; see Table of Bones. .ethmoi´dal eth·moid or eth·moi·dal adj. sinusitis in addition to a metallic foreign body in the left maxillary sinus. The foreign body appeared to be in the area of the natural ostium ostium /os·ti·um/ (os´te-um) pl. os´tia [L.] an opening or orifice.os´tial ostium abdomina´le tu´bae uteri´nae of the left maxillary sinus (figure, A). The patient had no history of left facial discomfort or left sinus symptoms. Of note was the history of the patient's extensive dental work, which included the placement of dental implants 12 years earlier. The patient underwent right functional endoscopic sinus surgery functional endoscopic sinus surgery Functional endonasal endoscopic sinus surgery ENT A procedure that removes diseased nasal cavity and paranasal sinus tissue and restores mucociliary clearance Applications Chronic and/or recurrent sinusitis in Pts who fail for drainage purposes. At the same time, endoscopic exploration of the left maxillary sinus was carried out by first identifying the left uncinate process (figure, B) and then by removing the left uncinate process via a retrograde approach (1) with a microdebrider (figure, C). The foreign body was found to be embedded in the natural ostium of the left maxillary sinus. The natural ostium was enlarged posteriorly and inferiorly, which allowed us to remove the foreign body. It appeared to be a post used for dental reconstruction (figure, D). The patient had an uneventful postoperative course. In the maxillary sinus, mucociliary clearance is always directed toward the natural ostium. (2) It is interesting to note that the foreign body in this patient had traveled and lodged in the natural ostium. Its presence was asymptomatic, however, because it did not completely obstruct the natural ostium. Maxillary sinus infections have frequently been described as being caused by dental problems. (3) Some of these problems occur when a foreign body of dental origin causes an obstruction of the natural ostium of the maxillary sinus. The finding of an asymptomatic metallic dental foreign body embedded in a maxillary sinus for many years is not a common occurrence. [FIGURE OMITTED] References (1.) Christmas DA, Yanagisawa E, Joe JK Transnasal endoscopic identification of the natural ostium of the maxillary sinus: A retrograde approach. Ear Nose Throat J 1998:77:454-5. (2.) Hilding AC. Experimental sinus surgery: Effects of operation windows on normal sinuses. Ann Otol Rhinol Laryngol 1941; 50:379-392. (3.) Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula fistula (fĭs`ch lə), abnormal, usually ulcerous channellike formation between two internal organs or between an internal organ and the skin. Ear Nose Throat J 1991:70:488-90. From the Department of Otolaryngology, University of South Florida College of Medicine As of Fall 2006, there were 477 students in the M.D. program; 78 students in the M.S. and 83 students in the Ph.D. program in the School of Basic Biomedical Sciences; and 55 students in the DPT program in the School of Physical Therapy. . Tampa, and Halifax Medical Center Halifax Medical Center (HMC) is a 764-bed hospital located in Daytona Beach, Florida. HMC is the largest hospital serving Volusia and Flagler counties and provides the area's only trauma center, pediatric emergency department, neonatal intensive care unit and pediatric intensive , Daytona Beach, Fla. (Dr. Christmas and Dr. Mirante); and the Section of Otolaryngology, Hospital of St. Raphael, New Haven, Conn., the Section of Otolaryngology. Yale University School of Medicine, New Haven, and the Southern New England Ear, Nose, and Throat and Facial Plastic Surgery Group, New Haven (Dr. Yanagisawa). after having four implants placed, two of them failed and pulled.one was placed in different place. <br> dentist used faulty plastic temporaries to work as a temp prothesis for three implants until they heal.<br>the temps were constructed in one piece, and i only had one tooth on my upper with attachments to the three healing implants.<br>they must have broken at least 25 times.!!!!<br>to make a long story short...... AFTER AN IMPARTIAL DENTIST TOOK A PANAREX AND DISCOVERED WHITE OBJECT.<br>$10,000 later with sinus surgery to remove what is 99%, a plastic temp that migrated through a hole he left in my gum after removal of implant. HE IS TELLING ME HE HAD NOTHING TO DO WITH IT, 5/8" LONG X 1/4 WIDE. HE WILL NOT HELP WITH ANY MEDICAL BILLS. WHAT SHOULD I DO? BUT WHAT IS MY RECOURSE? HE TURNED OUT TO HAVE MISREPRESENTED THE ENTIRE TREATMENT PLAN.<br>PLEASE ADVISE. THANK YOU |
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