Chronic sinusitis blocked the maxillary sinus caused by displaced root along 10 years

Abstract

Introduction: The maxillary sinus was first found by ancient Egyptians and has been well studied because of its unique structure compared to other paranasal sinuses due to its relation anatomically with the teeth [1]. It has been suggested that any case of maxillary sinusitis with unknown cause needs to be assessed dentally. Thus, that justifies requesting facial radio-graphic imaging to exclude any foreign body displacement into the sinus [3]. The current updates showed between 30% to 40% of chronic maxillary rhinosinusitis caused by dental origin Case Report: A 40-year-old housemaid was referred by an ENT doctor after he noticed in her CT a suspected root in the right sinus associated with chronic sinusitis. The reason for her initial presence at the ENT clinic was generalized pain extended around the right cheek area and difficulty breathing noticed from the right nostril. The Caldwell Luc approach creates a small hole with a small round bur to create a minimal square shape on the lateral wall of the maxillary sinus. Curved artery forceps, and good lightening, the exact location of the displaced root specified and delivered out of the sinus successfully. An antrostomy was performed to enhance the airflow from the right nostril. Discussion: The recent review articles highlighted the importance of assessing and reviewing the maxillary dentition when requesting a head and neck CT or MRI [6]. Even if they are not causing symptoms, surgical removal is necessary for foreign objects in the paranasal sinuses. This treatment plan was chosen due to the potential tissue reactions caused by the foreign object [7]. The standardized diagnostic process and Caldwell-Luc method for extracting a displaced root from the maxillary sinus is a secure, uncomplicated, and quick technique with few complications [8]. Conclusion: It is essential to define the reason for the chronic sinusitis. In case the sinusitis and its associated symptoms develop due to a dental origin, removing the cause surgically is highly crucial to stop the progression of the disease. Caldwell-well luc approach under general anesthesia was efficient and practical without any complication or difficulty during the surgery.