Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body

The floor of the maxillary sinus is partly formed by the alveolar process of the maxilla, and this anatomical relationship forms an interface for collaboration between rhinologists, maxillofacial and dental surgeons, and dentists. Odontogenic maxillary sinusitis (ODMS) occurs secondary to infectious...

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Main Authors: Saikrishna Ananthapadmanabhan, Anthony Noor, Niranjan Sritharan
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/1730656
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author Saikrishna Ananthapadmanabhan
Anthony Noor
Niranjan Sritharan
author_facet Saikrishna Ananthapadmanabhan
Anthony Noor
Niranjan Sritharan
author_sort Saikrishna Ananthapadmanabhan
collection DOAJ
description The floor of the maxillary sinus is partly formed by the alveolar process of the maxilla, and this anatomical relationship forms an interface for collaboration between rhinologists, maxillofacial and dental surgeons, and dentists. Odontogenic maxillary sinusitis (ODMS) occurs secondary to infectious processes of the maxillary molar and premolar teeth or following complications from dental procedures. Extruded dental foreign bodies within the sinus can cause chronic mucosal irritation leading to mucociliary dysfunction and sinogenic symptoms. Anteriorly placed foreign bodies are difficult to access via the conventional endoscopic maxillary antrostomy. Endoscopic approaches to access the anterior maxillary sinus involve extended resection of the medial maxillary wall, potentially with the removal of the inferior turbinate and nasolacrimal duct mobilisation. The prelacrimal window approach (PLWA) is a favourable modification that provides excellent visualisation of the maxillary sinus with minimal tissue resection and displacement. We describe the case of an extruded distobuccal 27 tooth root into the anterior maxillary sinus, presenting with acute sinusitis. The patient was successfully managed via a PLWA. This case represents the importance of recognition of ODMS with early referral to otorhinolaryngologists.
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spelling doaj-art-e6df7c499c8a471f8d3b88df864cb71a2025-08-20T03:26:03ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/1730656Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign BodySaikrishna Ananthapadmanabhan0Anthony Noor1Niranjan Sritharan2Department of OtolaryngologyDepartment of OtolaryngologyDepartment of OtolaryngologyThe floor of the maxillary sinus is partly formed by the alveolar process of the maxilla, and this anatomical relationship forms an interface for collaboration between rhinologists, maxillofacial and dental surgeons, and dentists. Odontogenic maxillary sinusitis (ODMS) occurs secondary to infectious processes of the maxillary molar and premolar teeth or following complications from dental procedures. Extruded dental foreign bodies within the sinus can cause chronic mucosal irritation leading to mucociliary dysfunction and sinogenic symptoms. Anteriorly placed foreign bodies are difficult to access via the conventional endoscopic maxillary antrostomy. Endoscopic approaches to access the anterior maxillary sinus involve extended resection of the medial maxillary wall, potentially with the removal of the inferior turbinate and nasolacrimal duct mobilisation. The prelacrimal window approach (PLWA) is a favourable modification that provides excellent visualisation of the maxillary sinus with minimal tissue resection and displacement. We describe the case of an extruded distobuccal 27 tooth root into the anterior maxillary sinus, presenting with acute sinusitis. The patient was successfully managed via a PLWA. This case represents the importance of recognition of ODMS with early referral to otorhinolaryngologists.http://dx.doi.org/10.1155/2022/1730656
spellingShingle Saikrishna Ananthapadmanabhan
Anthony Noor
Niranjan Sritharan
Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body
Case Reports in Dentistry
title Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body
title_full Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body
title_fullStr Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body
title_full_unstemmed Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body
title_short Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body
title_sort prelacrimal window approach in the management of odontogenic maxillary sinusitis from dental foreign body
url http://dx.doi.org/10.1155/2022/1730656
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