Intra-sinus complex odontoma management simultaneously to oroantral communication closure: Why remove it?
Keywords:Maxillary sinus; Odontoma; Oroantral fistula.
The oroantral communication is considered one of the most frequent complications in oral surgery, especially in extractions of posterior teeth in the maxilla, treatment of cystic lesions, neoplasms, osteomyelitis and trauma in the region of the maxillary sinus, forming fistulas. However, ectopic third molar and lesions such as odontomas are rarely found simultaneously in the maxillary sinus. This report shows a successful treatment performed in a specific case of oroantral communication, associated to an underdiagnosed complex odontoma and an impacted ectopic third molar into the maxillary sinus and discuss the requirement of intervention. The treatment strategy involved clinical and surgical management through the oroantral communication, avoiding additional bone access to the maxillary sinus. This proposal presented a satisfactory result, and at six months after surgery, the patient has an excellent evolution, proving to be a successful strategy.
Alonso-González, R., Peñarrocha-Diago, M., Peñarrocha-Oltra, D., Aloy-Prósper, A., Camacho-Alonso, F., & Peñarrocha-Diago, M. (2015). Closure of oroantral communications with Bichat´s buccal fat pad. Level of patient satisfaction. Journal of clinical and experimental dentistry, 7(1), e28–e33. https://doi.org/10.4317/jced.51730
Courtot, R., Devoize, L., Louvrier, A., Pereira, B., Caillet, J., Meyer, C., Barthélémy, I., & Depeyre, A. (2021). Surgical approach of ectopic maxillary third molar avulsion: Systematic review and meta-analysis. Journal of stomatology, oral and maxillofacial surgery, 122(1), 77–82. https://doi.org/10.1016/j.jormas.2020.06.015
Daif E. T. (2016). Long-Term Effectiveness of the Pedicled Buccal Fat Pad in the Closure of a Large Oroantral Fistula. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 74(9), 1718–1722. https://doi.org/10.1016/j.joms.2016.04.033
Egyedi P. (1977). Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. Journal of maxillofacial surgery, 5(4), 241–244. https://doi.org/10.1016/s0301-0503(77)80117-3
El-Hakim, I. E., & el-Fakharany, A. M. (1999). The use of the pedicled buccal fat pad (BFP) and palatal rotating flaps in closure of oroantral communication and palatal defects. The Journal of laryngology and otology, 113(9), 834–838. https://doi.org/10.1017/s0022215100145335
Greenberg M. S. (2004). Intravenous bisphosphonates and osteonecrosis. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 98(3), 259–260. https://doi.org/10.1016/j.tripleo.2004.08.001
Hupp, J. R. Contemporary oral and maxillofacial surgery. 7th edition. ed. Philadelphia, MO: Elsevier, Inc.; 2019. pages cm p.
Jain, M. K., Ramesh, C., Sankar, K., & Lokesh Babu, K. T. (2012). Pedicled buccal fat pad in the management of oroantral fistula: a clinical study of 15 cases. International journal of oral and maxillofacial surgery, 41(8), 1025–1029. https://doi.org/10.1016/j.ijom.2012.02.014
Kwon, M. S., Lee, B. S., Choi, B. J., Lee, J. W., Ohe, J. Y., Jung, J. H., Hwang, B. Y., & Kwon, Y. D. (2020). Closure of oroantral fistula: a review of local flap techniques. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 46(1), 58–65. https://doi.org/10.5125/jkaoms.2020.46.1.58
Mendes, B. C., Bonardi, J. P., Silva, L. F., Crivelini M. M., Bassi, A.P. F. (2020). Granular cell ameloblastoma in maxilla: update of unusual clinical, radiographic and histological appearance. Research, Society, and Development, v. 9, n. 7, 01-09. http://dx.doi.org/10.33448/rsd-v9i7.5194
Nezafati, S., Vafaii, A., & Ghojazadeh, M. (2012). Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. International journal of oral and maxillofacial surgery, 41(5), 624–628. https://doi.org/10.1016/j.ijom.2011.11.011
Park, J., Chun, B. D., Kim, U. K., Choi, N. R., Choi, H. S., & Hwang, D. S. (2019). Versatility of the pedicled buccal fat pad flap for the management of oroantral fistula: a retrospective study of 25 cases. Maxillofacial plastic and reconstructive surgery, 41(1), 50. https://doi.org/10.1186/s40902-019-0229-x
Ramanojam, S., Halli, R., Hebbale, M., & Bhardwaj, S. (2013). Ectopic tooth in maxillary sinus: Case series. Annals of maxillofacial surgery, 3(1), 89–92. https://doi.org/10.4103/2231-0746.110075
Rodrigues, M. T. V., Schueng, F.E. A., Mendes, B.C. Vargas Pinto, J.M. Souza, F.G., Noia, F. C. (2021). Facial cellulitis caused by Gyant parotid sialolith: a minimally invasive treatment for a rare occurrence. Research, Society and Development, v. 10, n. 3, 01-09. http://dx.doi.org/10.33448/rsd-v10i3.13754
Singer, S. R., Mupparapu, M., Milles, M., Rinaggio, J., Pisano, D., & Quaranta, P. (2007). Unusually large complex odontoma in maxillary sinus associated with unerupted tooth. Report of case and review of literature. The New York state dental journal, 73(4), 51–53.
Singh, J., Prasad, K., Lalitha, R. M., & Ranganath, K. (2010). Buccal pad of fat and its applications in oral and maxillofacial surgery: a review of published literature (February) 2004 to (July) 2009. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 110(6), 698–705. https://doi.org/10.1016/j.tripleo.2010.03.017
Stajcić Z. (1992). The buccal fat pad in the closure of oro-antral communications: a study of 56 cases. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery, 20(5), 193–197. https://doi.org/10.1016/s1010-5182(05)80314-2
Thakur, G., Nair, P. P., Thomas, S., Ahuja, R., & Kothari, R. (2011). Dentigerous cyst associated with ectopic maxillary third molar in maxillary antrum. BMJ case reports, 2011, bcr0220113873. https://doi.org/10.1136/bcr.02.2011.3873
Toshihiro, Y., Nariai, Y., Takamura, Y., Yoshimura, H., Tobita, T., Yoshino, A., Tatsumi, H., Tsunematsu, K., Ohba, S., Kondo, S., Yanai, C., Ishibashi, H., & Sekine, J. (2013). Applicability of buccal fat pad grafting for oral reconstruction. International journal of oral and maxillofacial surgery, 42(5), 604–610. https://doi.org/10.1016/j.ijom.2012.07.009
Yang, S., Jee, Y. J., & Ryu, D. M. (2018). Reconstruction of large oroantral defects using a pedicled buccal fat pad. Maxillofacial plastic and reconstructive surgery, 40(1), 7. https://doi.org/10.1186/s40902-018-0144-6
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Copyright (c) 2021 Moacyr Tadeu Vicente Rodrigues; Filipe Ebenezer de Aguiar Schueng; Bruno Coelho Mendes; Felipe Germoglio Cardoso Macedo; Francisco Nunes Junior; Claudio Ferreira Noia
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