Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report

Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas...

Full description

Saved in:
Bibliographic Details
Main Authors: Yunus Feyyat Şahin, Togay Muderris, Sami Bercin, Ergun Sevil, Muzaffer Kırıs
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2012/903714
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850220837111595008
author Yunus Feyyat Şahin
Togay Muderris
Sami Bercin
Ergun Sevil
Muzaffer Kırıs
author_facet Yunus Feyyat Şahin
Togay Muderris
Sami Bercin
Ergun Sevil
Muzaffer Kırıs
author_sort Yunus Feyyat Şahin
collection DOAJ
description Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.
format Article
id doaj-art-7b923ee06ca44d51bb1a6477dc3b6799
institution OA Journals
issn 2090-6765
2090-6773
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-7b923ee06ca44d51bb1a6477dc3b67992025-08-20T02:06:54ZengWileyCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/903714903714Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case ReportYunus Feyyat Şahin0Togay Muderris1Sami Bercin2Ergun Sevil3Muzaffer Kırıs4Division of Otolaryngology, Batman Şifa Hospital, 72070 Batman, TurkeyDepartment of Otolaryngology, Head and Neck Surgery, Ataturk Education and Research Hospital, Bilkent, 06800 Ankara, TurkeyDepartment of Otolaryngology, Head and Neck Surgery, Ataturk Education and Research Hospital, Bilkent, 06800 Ankara, TurkeyDepartment of Otolaryngology, Head and Neck Surgery, Ataturk Education and Research Hospital, Bilkent, 06800 Ankara, TurkeyDepartment of Otolaryngology, Head and Neck Surgery, Ataturk Education and Research Hospital, Bilkent, 06800 Ankara, TurkeyForeign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.http://dx.doi.org/10.1155/2012/903714
spellingShingle Yunus Feyyat Şahin
Togay Muderris
Sami Bercin
Ergun Sevil
Muzaffer Kırıs
Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report
Case Reports in Otolaryngology
title Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report
title_full Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report
title_fullStr Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report
title_full_unstemmed Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report
title_short Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report
title_sort chronic maxillary sinusitis associated with an unusual foreign body a case report
url http://dx.doi.org/10.1155/2012/903714
work_keys_str_mv AT yunusfeyyatsahin chronicmaxillarysinusitisassociatedwithanunusualforeignbodyacasereport
AT togaymuderris chronicmaxillarysinusitisassociatedwithanunusualforeignbodyacasereport
AT samibercin chronicmaxillarysinusitisassociatedwithanunusualforeignbodyacasereport
AT ergunsevil chronicmaxillarysinusitisassociatedwithanunusualforeignbodyacasereport
AT muzafferkırıs chronicmaxillarysinusitisassociatedwithanunusualforeignbodyacasereport