Cascio Filippo, Basile Gianpaolo Antonio, Debes Felippu Alexandre Wady, Debes Felippu Andrè Wady, Trimarchi Fabio, Militi David, Portaro Simona, Bramanti Alessia
Department of Otorhinolaryngology, Papardo Hospital, Messina, Italy.
Department of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, Italy.
Heliyon. 2020 May 27;6(5):e03977. doi: 10.1016/j.heliyon.2020.e03977. eCollection 2020 May.
Maxillary sinusitis can represent a rare complication of dental implants of endodontic materials impinging in the maxillary sinuses. The effects of anatomical variants of paranasal sinuses on pathophysiological and clinical manifestations of dental sinusitis are poorly understood. Herein, we present a case of dislocation of a dental implant in the ethmoidal sinus in a 63-years old man with bilateral accessory maxillary orifice. This anatomical variation, by providing an additional way for the drainage of mucus in the maxillary sinus, could have allowed the dislocation of the implant in the ethmoidal sinus without causing mucus stagnation and consequent sinusitis, leading to a unusual clinical presentation. .
上颌窦炎可能是牙种植体中牙髓材料侵入上颌窦的一种罕见并发症。鼻窦解剖变异对牙源性鼻窦炎病理生理和临床表现的影响尚不清楚。在此,我们报告一例63岁双侧上颌副孔男性患者,其筛窦内牙种植体脱位。这种解剖变异为上颌窦黏液引流提供了额外途径,可能使得种植体脱位至筛窦而不导致黏液潴留及随之而来的鼻窦炎,从而导致了不寻常的临床表现。