REMOVAL OF DISPLACED METALLIC FOREIGN BODIES FROM MAXILLARY SINUS: TWO CASES

Displacement of a foreign body in maxillary sinuses is a common complication in dentistry. However, metallic foreign bodies except dental implants are rarely found in the maxillary sinus. Displaced foreign bodies can cause serious complications and disturb the mucociliary function and this causes potential complications, mainly acute or chronic maxillary sinusitis. This article reported metallic objects penetrating maxillary sinuses of two patients including a membrane fixation screw and a dental burr, as well as their removal with Caldwell-Luc technique. Foreign bodies should be detected and removed on time in order to prevent complications. Otherwise, in advanced stages, the affected area should be reached with Caldwell-Luc operation or endoscopic approaches. Keywords: Maxillary Sinus, metallic foreign body, Caldwell-Luc MAKSİLLER SİNÜSE KAÇAN METALİK YABANCI CİSİMLERİN ÇIKARTILMASI: İKİ VAKA RAPORUÖZ Diş hekimliği uygulamaları esnasında maksiller sinüse yabancı cisim kaçması sık karşılaşabilen bir komplikas- yondur. Diğer yönden dental implantlar dışında kalan metalik yabancı cisimlerin maksiller sinüse kaçması oldukça nadirdir. Yabancı cisimler sinüs içerisinde mu- kosiliyer aktiviteyi etkileyerek akut ya da kronik sinüzit gibi ciddi komplikasyonlara sebep olabilirler. Bu maka- lede iki farklı hastanın maksiller sinüsüne kaçan memb- ran fiksasyon vidası ve dental frez olmak üzere iki me- talik yabancı cisim ve maksiller sinüsten Caldwell-Luc işlemi ile çıkartılmaları rapor edilmiştir. Sinüs içerisine kaçmış yabancı cisimler mümkün olan en kısa zaman- da tespit edilip mümkünse sinüse kaçtığı açıklıktan böl- geden uzaklaştırılmalıdırlar. Aksi halde ilerleyen dö- nemlerde Caldwell-Luc ya da endoskopik yaklaşımlara ihtiyaç duyulabilir. Anahtar Kelimeler: Maksiller sinüs, metalik yabancı cisim, Caldwell-Luc

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