Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report

During the surgical removal of maxillary molars, tooth or fragment displacement into the maxillary sinus may occur. The presence of foreign bodies inside these cavities leads to complications such as mucoceles, cellulitis, oroantral fistulae and maxillary sinusitis, to prevent the arise and worsenin...

ver descrição completa

Detalhes bibliográficos
Autores: Santos, José Wittor de Macêdo, Oliveira, Emily Ricelly da Silva, Chaves Neto, Humberto Pereira, Ramos, Fernanda Soares, Fonseca Neto, Braz da, Gomes, Edynelson da Silva, Germano, Adriano Rocha
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Recursos:Universidade Federal de Itajubá (UNIFEI)
Repositorio:Research, Society and Development
Idioma:inglés
OAI Identifier:oai:ojs.pkp.sfu.ca:article/12353
Acesso em linha:https://rsdjournal.org/index.php/rsd/article/view/12353
Access Level:acceso abierto
Palavra-chave:Seio maxilar
Terceiro molar
Sinusite maxilar
Cirurgia maxilofacial.
Seno maxilar
Tercer Molar
Sinusitis maxilar
Cirurgía bucal.
Maxillary sinus
Third molar
Maxillary sinusitis
Maxillofacial surgery.
Descrição
Resumo:During the surgical removal of maxillary molars, tooth or fragment displacement into the maxillary sinus may occur. The presence of foreign bodies inside these cavities leads to complications such as mucoceles, cellulitis, oroantral fistulae and maxillary sinusitis, to prevent the arise and worsening of complications, these events must be addressed in an early stage. This article aims to report the removal of a tooth root from the maxillary sinus, through the modified Caldwell-Luc (CLM) approach and describe the current indications for the Caldwell Luc technique. It reports an upper third molar surgery in which a patient had the distal root of the left superior third molar displaced into the maxillary sinus, later showing signs of sinus opacification and loss of patency of the maxillary ostium obstructed by the root. After antibiotic treatment, the root was recovered through the CLM technique by local anesthesia, without complications. Foreign bodies in the maxillary sinuses must be urgently addressed, avoiding the development of infectious conditions, the CLM approach is the choice approach to manage these complications by a simple and safe way.