Li Shichang, Xing Zhimin, Yu Lisheng
Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Beijing, China.
J Int Med Res. 2020 Aug;48(8):300060520948736. doi: 10.1177/0300060520948736.
The accidental migration (i.e., displacement) of dental implants into the maxillary sinus is a relatively common complication in dental clinical practice. Here, we report the extremely rare nasal cavity migration of a dental implant in a 23-year-old man. Considering the superficial location of the dental implant and the absence of oronasal fistula formation, we attempted to remove the implant via endoscopy, nasal bayonet forceps, curved hooks, and suction in an ambulatory surgery setting with the patient under local anesthesia. Importantly, we were able to extract the implant with only minor complications. The patient received medication for 2 weeks and exhibited uneventful healing. Our findings may be useful for physicians and dentists who encounter similar situations in clinical practice.
牙种植体意外移入上颌窦是牙科临床实践中较为常见的并发症。在此，我们报告一例23岁男性牙种植体罕见地移入鼻腔的病例。鉴于牙种植体位置表浅且未形成口鼻瘘，我们尝试在局部麻醉下于门诊手术中通过内镜、鼻科弯钳、弯钩及吸引器取出种植体。重要的是，我们仅出现了轻微并发症就成功取出了种植体。患者接受了两周的药物治疗，愈合顺利。我们的发现可能对临床实践中遇到类似情况的医生和牙医有所帮助。
