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Case Reports
. 2020 Aug 7:2020:6869805.
doi: 10.1155/2020/6869805. eCollection 2020.

A Successful Treatment Regimen for the Prevention of Sinusitis after Maxillary Sinus Floor Elevation Surgery in a High-Risk Case

Mikiko Suzuki-Yamazaki  1 , Keiso Takahashi  1 , Satoshi Takada  2 , Yasumasa Kato  3 , Yuh Baba  4
Affiliations
Case Reports

A Successful Treatment Regimen for the Prevention of Sinusitis after Maxillary Sinus Floor Elevation Surgery in a High-Risk Case

Mikiko Suzuki-Yamazaki et al. Case Rep Otolaryngol. .

Abstract

Maxillary sinus floor elevation (sinus lift) is a widely recognized dental-surgical approach for dental implant placement. However, for an otorhinolaryngological high-risk patient with severe anatomic-structural impairments of the maxillary sinus drainage pathway, surgical intervention is recommended before sinus lift to avoid postsinus lift maxillary sinusitis. Here, we show a case that postsinus lift maxillary sinusitis in such a high-risk patient was noninvasively prevented by the collaboration of otorhinolaryngologist and dentist. A 48-year-old Japanese male intended to undergo a sinus lift for dental implant placement by periodontist. Otorhinolaryngologist found septal deviation, concha bullosa, the presence of Haller cell, and nasal mucosal swelling by the nasal allergy, while no sinusitis and diagnosed him as a "high-risk case" for postsinus lift maxillary sinusitis. The patient was administered preoperative topical steroid and leukotriene receptor antagonist in addition to perioperative antibiotic prophylaxis so that his complication was noninvasively prevented. Thus, this case suggested that consultation from dentist to otorhinolaryngologist provides benefit to the patients who have been diagnosed as "high-risk case" for postsinus lift maxillary sinusitis.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative CT: (a) left nasal septal deviation (arrow) and swelling of right inferior turbinate (arrowheads); (b) left concha bullosa of middle turbinate (arrow); (c) the narrow of left maxillary sinus ostium owing to the left concha bullosa of middle turbinate (arrow A) and left Haller cell (arrow B). (d) Left accessory ostium of maxillary sinus (arrow in CT (left) and arrowheads in nasal endoscopic examination (right). NS, nasal septum; LM, left middle turbinate.
Figure 2
Figure 2
No maxillary sinusitis and the graft material of bilateral maxillary sinus floor was detected in postoperative panoramic radiography.
See this image and copyright information in PMC

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References

    1. Boyne P. J., James R. A. Grafting of the maxillary sinus floor with autogenous marrow and bone. Journal of Oral Surgery (American Dental Association: 1965) 1980;38(8):613–616. - PubMed
    1. Bhattacharyya N. Bilateral chronic maxillary sinusitis after the sinus-lift procedure. American Journal of Otolaryngology. 1999;20(2):133–135. doi: 10.1016/s0196-0709(99)90022-4. - DOI - PubMed
    1. Suzuki M., Takahashi K., Kato Y., Baba Y. A maxillary sinusitis after sinus lift surgery. Journal of Dentistry & Oral Disorders. 2018;4(4):p. 1100. doi: 10.26420/jdentoraldisord.2018.1100. - DOI
    1. Lee J. W., Yoo J. Y., Paek S. J., et al. Correlations between anatomic variations of maxillary sinus ostium and postoperative complication after sinus lifting. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2016;42(5):278–283. doi: 10.5125/jkaoms.2016.42.5.278. - DOI - PMC - PubMed
    1. Pignataro L., Mantovani M., Torretta S., Felisati G., Sambataro G. ENT assessment in the integrated management of candidate for (maxillary) sinus lift. Acta otorhinolaryngologica Italica: Organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale. 2008;28(3):110–119. - PMC - PubMed

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