Endoscopic removal of an unusual foreign body in the sphenoid sinus: an oral implant
Giovanni Felisati,
Paolo Lozza,
Matteo Chiapasco,
Roberto Borloni,
Giovanni Felisati
Department of Medicine, Surgery and Dentistry, Unit of Otorhinolaryngology, University of Milan, San Paolo Hospital, Milan, Italy
Search for more papers by this authorPaolo Lozza
Department of Medicine, Surgery and Dentistry, Unit of Otorhinolaryngology, University of Milan, San Paolo Hospital, Milan, Italy
Search for more papers by this authorMatteo Chiapasco
Unit of Oral Surgery, Dental Clinic, Department of Medicine, Surgery, and Dentistry, University of Milan, San Paolo Hospital, Milan, Italy
Search for more papers by this authorGiovanni Felisati,
Paolo Lozza,
Matteo Chiapasco,
Roberto Borloni,
Giovanni Felisati
Department of Medicine, Surgery and Dentistry, Unit of Otorhinolaryngology, University of Milan, San Paolo Hospital, Milan, Italy
Search for more papers by this authorPaolo Lozza
Department of Medicine, Surgery and Dentistry, Unit of Otorhinolaryngology, University of Milan, San Paolo Hospital, Milan, Italy
Search for more papers by this authorMatteo Chiapasco
Unit of Oral Surgery, Dental Clinic, Department of Medicine, Surgery, and Dentistry, University of Milan, San Paolo Hospital, Milan, Italy
Search for more papers by this authorCorrespondance to:
Dr Matteo Chiapasco
Clinica OdontoiatricaDipartimento di MedicinaChirurgia e OdontoiatriaUniversità degli Studi di Milanovia Beldiletto 1/320132 MilanoItaly Tel.: +39 0250319000Fax: +39 0250319040e-mail: [email protected]
Abstract
Aim: Migration of oral implants displaced in the maxillary sinus toward the sphenoid sinus is an extremely rare event. This case report is focused on the possibility of treating such a rare complication by means of endoscopic treatment through the nasal cavity.
Material and methods: A 45-year-old female patient received one oral implant for the substitution of the left first upper molar, but during the surgical procedure the implant was displaced in the maxillary sinus. Owing to a delay in treatment, a spontaneous migration of the implant in the sphenoid sinus occurred.
Results: The implant was removed endoscopically through the nasal cavity: postoperative recovery was uneventful.
Conclusion: To the authors' knowledge, this case represents the first report concerning migration of an oral implant into the sphenoid sinus and demonstrates the reliability and safety of an endoscopically driven surgical removal of the foreign body, thus preventing potential complications with extremely low postoperative morbidity.
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