PMID: 16633190Apr 25, 2006Paper

Surgical treatment of amalgam fillings causing iatrogenic sinusitis

The Journal of Craniofacial Surgery
Ziane Selmani, Nureddin Ashammakhi

Abstract

Iatrogenic maxillary sinusitis is a rare disease entity that can be fatal if not managed. Thirteen patients (five men and eight women) were referred to our clinic because of chronic iatrogenic maxillary sinusitis. Eight patients presented with a left-side maxillary sinusitis, four patients presented with right-side maxillary sinusitis, and one patient presented with right-side pan sinusitis. The sinusitis was caused by the intrusion of amalgam filling during root treatment of teeth. All of the patients were treated surgically with a Caldwell-Luc approach. In 12 patients, the amalgam was removed with the infected and inflamed maxillary mucosa. In one patient, the amalgam could not be removed with the Caldwell-Luc technique because it was in the deeper part of the root of the molar tooth. Histologic examination revealed four cases of aspergillosis; three cases of papillary and polypoid sinusitis; three cases of nonspecific pseudo-polypoid sinusitis; two cases of hyperplasic polypoid sinusitis; and one case of catarrhal sinusitis. All patients were relieved of their complaints that were related to sinusitis. Radiologically, the maxillary sinuses were clean 1 month after Caldwell-Luc intervention. Iatrogenic maxillary sinusitis sho...Continue Reading

References

Jan 1, 1990·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·C De FoerJ M Vaillant
Jan 1, 1989·Archives of Oto-rhino-laryngology·F LegentM Miegeville
Apr 6, 2004·Otolaryngologic Clinics of North America·Pushkar Mehra, Haitham Murad

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Citations

Jun 30, 2009·Acta otorrinolaringológica española·Eduard Bodet AgustíVicenç Martinez Vecina
May 13, 2014·International Journal of Otolaryngology·Jerome R LechienSven Saussez
Jan 13, 2016·Iranian Red Crescent Medical Journal·Fahimeh AkhlaghiPooria Safai
Feb 28, 2015·The Journal of Craniofacial Surgery·Ying Kai HuAhmed Abdelrehem
Jan 11, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery

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