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Journal Information
Vol. 60. Issue 3.
Pages 190-193 (January 2009)
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Vol. 60. Issue 3.
Pages 190-193 (January 2009)
Foreign bodies in maxillary sinus
Cuerpos extraños en seno maxilar
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Eduard Bodet Agustí
Corresponding author
ebodet@hotmail.com

Corresponding author.
, Ignacio Viza Puiggrós, Coia Romeu Figuerola, Vicenç Martinez Vecina
Unidad de Otorrinolaringología, Hospital Nostra Senyora de Meritxell, Andorra
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Abstract
Introduction

Foreign bodies in maxillary sinus (FBMS), whatever their origin or nature, are an unusual clinical condition. Diagnosis is based on the radiological findings in a clinical context of unilateral chronic rhinosinusitis. Treatment is the surgical removal of the intrasinusal foreign body.

Patients and methods

To identify FBMS, the records of 68 patients with unilateral chronic rhinosinusitis operated on from 2000 to 2007 were reviewed.

Results

From 68 records reviewed, we found 11 FBMS (16%). Ten (91%) of these 11 foreign bodies were thought to come from the teeth and the last 1 (9%) had a non-odontogenic origin. Eight of the 11 patients with FBMS (73%) presented with chronic maxillary sinusitis symptoms and all patients showed radiological findings. Treatment was the surgical removal of the foreign body, in 9 patients (82%) through an endonasal approach by functional endoscopic sinus surgery (FEES) and in the other 2 patients (18%) a mixed surgical procedure by endonasal meatotomy and oral antrotomy was required.

Conclusions

Chronic maxillary sinusitis showing FBMS is rare and it must be suspected with a prior history of dental procedures. The most frequent source of FBMS is material of odontogenic origin, and non-odontogenic origin secondary to an external injury in an accident or assault is much more unusual. We also review the nature of these foreign bodies, their clinical implications and treatment options.

Keywords:
Foreign bodies
Maxillary sinusitis
Sinus surgery
Keywords:
Cuerpos extraños
Sinusitis maxilar
Cirugía nasosinusal
Resumen
Introducción

La presencia de cuerpos extraños en el seno maxilar (CESM) de cualquier origen o naturaleza es una entidad clínica poco frecuente. Su diagnóstico es habitualmente radiológico en el contexto de una rinosinusitis crónica maxilar unilateral. El tratamiento es la extracción quirúrgica del cuerpo extraño.

Pacientes y métodos

Revisión de 68 casos intervenidos de sinupatía maxilar crónica unilateral en nuestro centro entre los años 2000 y 2007 en busca de CESM.

Resultados

De los 68 casos revisados, en 11 (16%) identificamos CESM. De estos 11 casos, en 10 (91%) se atribuyó el cuerpo extraño a un origen dentario y solamente en 1 (9%) a un origen no dentario. De los 11 pacientes, 8 (73%) presentaban clínica de rinosinusitis crónica en el momento del diagnóstico y todos tenían manifestaciones radiológicas. El tratamiento realizado es la extracción quirúrgica del cuerpo extraño, que en 9 (82%) pacientes se realizó mediante meatotomía endonasal y en los 2 restantes (18%) se precisó un abordaje combinado de meatotomía endonasal y antrotomía oral.

Conclusiones

La presencia de CESM es un hallazgo poco frecuente que debe sospecharse ante una sinusitis maxilar crónica unilateral con el antecedente de manipulación dentaria. Su origen es casi siempre dentario, y son mucho más raros los CESM de origen no dentario secundarios a traumatismos externos en accidentes o agresiones. Se discute también la naturaleza de estos cuerpos extraños, así como sus implicaciones clínicas y opciones terapéuticas.

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