Conflicts between histologic and clinical/radiologic findings in functional endoscopic sinus surgery for managing maxillary sinusitis following sinus augmentation: A case report
| Autor: | Hyun Chang Lim, Dong-Woon Lee, Seong-Ho Choi, Jeoung-A Yu, Jeong-Hwa Kim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Maxillary sinus medicine.medical_treatment Prosthesis Osseointegration 03 medical and health sciences 0302 clinical medicine 0502 economics and business Biopsy medicine Humans Sinusitis Sinus (anatomy) Wound Healing Debridement medicine.diagnostic_test business.industry 05 social sciences 030206 dentistry General Medicine Functional endoscopic sinus surgery Maxillary Sinus medicine.disease Maxillary Sinusitis Surgery medicine.anatomical_structure Bone Substitutes 050211 marketing Oral Surgery business |
| Zdroj: | The International journal of oralmaxillofacial implants. 34(5) |
| ISSN: | 1942-4434 |
| Popis: | The aim of this case report is to report clinical, radiologic, and histologic healing outcomes following functional endoscopic sinus surgery (FESS) to manage maxillary sinusitis after lateral sinus augmentation. Three patients who underwent lateral sinus augmentation developed maxillary sinusitis after 3 to 4 weeks. Pharmacologic interventions were performed, but the patients' symptoms did not resolve. The patients were referred to an otorhinolaryngologist and underwent FESS without the removal of bone substitute material or implants. The patients' symptoms disappeared completely after FESS. The implants were osseointegrated successfully and have functioned well to date (between 4 months and 7 years after definitive prosthesis delivery). No pathologic change was noted clinically or radiologically after FESS. However, biopsy specimens demonstrated some new bone formation with varying degrees of fibrotic change and tissue density, which is not compatible with the clinical and radiologic observations. FESS without intraoral debridement may be sufficient to resolve maxillary sinusitis after lateral sinus augmentation; this may not lead to favorable histologic healing in the augmented sinus. |
| Databáze: | OpenAIRE |
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