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Conflicts between histologic and clinical/radiologic findings in functional endoscopic sinus surgery for managing maxillary sinusitis following sinus augmentation: A case report

Authors
 Hyun-Chang Lim  ;  Jeong-Hwa Kim  ;  Seong-Ho Choi  ;  Jeoung-A Yu  ;  Dong-Woon Lee 
Citation
 INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS, Vol.34(5) : 1247-1253, 2019-09 
Journal Title
INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS
ISSN
 0882-2786 
Issue Date
2019-09
MeSH
Bone Substitutes* ; Humans ; Maxillary Sinus ; Maxillary Sinusitis* ; Wound Healing
Keywords
case report ; dental implant ; endoscopic sinus surgery ; sinus augmentation ; sinusitis
Abstract
The aim of this case report was to present 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.
Full Text
http://www.quintpub.com/journals/omi/abstract.php?iss2_id=1633&article_id=19516#.YvyX_C7P2Uk
DOI
10.11607/jomi.7502
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Seong Ho(최성호) ORCID logo https://orcid.org/0000-0001-6704-6124
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189160
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