Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Report Volume 7 Issue 2

Case Report - Management of Pansinusitis with Periorbital Cellulitis Complicating External Sinus Lifting Procedure

Nasser Al Alami

Specialist Oral and Maxillofacial, Surgery in Department of Oral and maxillofacial surgery EHS, UAE

*Corresponding Author: Nasser Al Alami, Specialist Oral and Maxillofacial, Surgery in Department of Oral and maxillofacial surgery EHS, UAE.

Received: January 03, 2023; Published: January 20, 2023

Abstract

Perforation of the maxillary sinus membrane is a common complication during sinus lifting procedures (10-40%). Maxillary sinusitis might result and displacement of the graft material may be a contributing factor. Antibiotic Regimes with removal of the implants perforating the sinus have been used for management of sinusitis with immediate or late replacement of the dental implants. Patient with recurrent severe maxillary, ethmoid and frontal sinusitis attended our center complaining from periorbital cellulitis. She visited multiple ENT clinics for several months with limited improvement on antibiotics and nasal decongestants but the infection was severe and recurrent. CT scan revealed titanium membrane displacement into the maxillary sinus. Drainage was done intraorally and removal of the titanium membrane. She had history of External sinus lifting procedure right side 9 years ago for placement of 3 implants to replace upper posterior teeth. Patient insisted not to remove the implants being stable and essential for her chewing. She accepted any treatment not involving removal of dental implants without warranty on the result. After curettage of infected bone graft and granulation tissue, sinus membrane was elevated and PRF used to fill the space above the implant apices. The infection resolved completely within 10 days. Follow up of the patient for more than 60 months did not show any recurrence. CT Scan taken after one year shows formation of bony partition between the implants and the maxillary sinus.

Keywords: Pansinusitis; Periorbital Cellulitis; Sinus

References

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  2. Diss A., et al. “Osteotome sinus floor elevation using Choukroun’s platelet-rich fibrin as grafting material: A 1-year prospective pilot study with microthreaded implants”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 105 (2008): 572-579.
  3. Choi BH., et al. “The use of autologous fibrin glue for closing sinus membrane perforations during sinus lifts”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 101 (2006): 150-154.
  4. Ziv Mazor. “Sinus floor augmentation with simultaneous implant placement using Choukroun platelet rich fibrin as the sole grafting material: a radiologic and histologic study at 6 months”. Journal of Periodontology 80 (2009): 2056-2064.
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Citation

Citation: Nasser Al Alami. “Case Report - Management of Pansinusitis with Periorbital Cellulitis Complicating External Sinus Lifting Procedure".Acta Scientific Dental Sciences 7.2 (2023): 159-163.

Copyright

Copyright: © 2023 Nasser Al Alami. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

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