J Oral Med Oral Surg
Volume 29, Number 3, 2023
|Number of page(s)
|25 October 2023
Contribution of endoscopy in high sinus inclusions, a case report
Oral Surgery Department, Intercommunal Hospital Center, 94000 Créteil, France
2 Otorhinolaryngology and Cervico-Facial Surgery Department, Intercommunal Hospital Center, 94000 Créteil, France
3 Anatomic Pathology Department, Intercommunal Hospital Center, 94000 Créteil, France
4 University of Paris Est Créteil (UPEC), France
* Correspondence: email@example.com
Accepted: 11 August 2023
Introduction: This paper will discuss the management of iatrogenic displacement of the third molar (3M) into the maxillary sinus through a specific case that we have encountered. Observation: This case reports the atypical clinical history of an ectopic intra sinusal 3M of iatrogenic origin, associated with an inflammatory cyst. A 52-year-old man presented with chronic sinusitis and an oral-sinus communication 30 yr after the displacement of his 3M into the maxillary sinus. A minimally invasive multidisciplinary management using endoscopy was proposed to the patient as well as an 18-month follow-up reporting a normalization of his initial sinus symptoms. Discussion: An analysis of the literature concerning intra sinusal teeth was carried out, whatever their etiology, in order to situate our case and to be able to propose the least invasive procedure for these patients. The different surgical approaches are analyzed as well as the effectiveness of a multidisciplinary management. Conclusion: In this case, the simultaneous oral and nasal approach enabled a minimally invasive procedure. The endoscope is now part of the surgeon's therapeutic arsenal, and the training of practitioners in its use could greatly facilitate procedures.
Key words: Third molar / maxillary sinus / wisdom tooth / endoscopy
© The authors, 2023
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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