Endoscopic removal of an unusual foreign body in the sphenoid sinus: an oral implant
Endoscopic removal of an unusual foreign body in the sphenoid sinus: an oral implant
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DOI：
10.1111/j.1600-0501.2007.01409.x
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发表时间：
2007-12-01
影响因子：
4.3
通讯作者：
Borloni, Roberto
中科院分区：
文献类型：
--
作者：
Felisati, Giovanni;Lozza, Paolo;Borloni, Roberto
目的：口腔种植体在上颌窦移位到蝶窦是一种非常罕见的事件。这种情况下，报告的重点是治疗这种罕见的并发症的可能性，通过内窥镜治疗通过nasal cavity.Material and Methods：一个45岁的女性患者接受了一个口腔种植体的替代左侧第一上磨牙，但在手术过程中，种植体被转移到上颌窦。由于治疗延迟，蝶窦内的植入物发生了自发性移位。结果：在内窥镜下通过鼻腔取出植入物：术后恢复顺利。结论：据提交人所知，该病例代表了关于口腔植入物迁移到蝶窦的第一份报告，并证明了内窥镜驱动手术去除异物的可靠性和安全性。因此，预防了潜在的并发症，术后发病率极低。
Aim: Migration of oral implants displaced in the maxillary sinus toward the sphenoid sinus is an extremely rare event. This case report is focused on the possibility of treating such a rare complication by means of endoscopic treatment through the nasal cavity.Material and methods: A 45-year-old female patient received one oral implant for the substitution of the left first upper molar, but during the surgical procedure the implant was displaced in the maxillary sinus. Owing to a delay in treatment, a spontaneous migration of the implant in the sphenoid sinus occurred.Results: The implant was removed endoscopically through the nasal cavity: postoperative recovery was uneventful.Conclusion: To the authors' knowledge, this case represents the first report concerning migration of an oral implant into the sphenoid sinus and demonstrates the reliability and safety of an endoscopically driven surgical removal of the foreign body, thus preventing potential complications with extremely low postoperative morbidity.