Abordagem cirúrgica de sinusite maxilar de origem odontogênica causada por raiz dental deslocada para o interior do seio: relato de caso

Abstract

Paranasal sinuses affected by foreign bodies are uncommom clinical situations and usually cause chronic or accute sinusistis. This article brings the report of the diagnosis to the case treatmente of a maxillary sinusitis of odontogenic origin, originated by a fragment of dental root displaced into the sinus during a dental extraction. The patient had characteristics signs of sinusitis reporting rhinorrhea, headaches, pain on the eye and pain on the left face side. On the clinical examination, pain during palpation was noted in the region of the vestibule bottom of the left superior first molar, which was absent. In the cone beam computed tomography (CBCT), was possible to notice the presence of a foreing body inside the maxillary sinus, total veiling and continuity solution on the sinus floor. Achieved the final diagnosis of maxillary sinusitis of odontogenic origin, the treatment chosen was the combination of antibiotic therapy and removal of the fragment from the sinus. Diagnosis, planning and the correct use of the surgical techniques described int he literature are crucial for prevention of iatrogenesis, ensuring the patient’s health with greater vehemence. In this sense, in case of any complication, it is necessary to inform the patient and register in the medical record about the problem, as well as about the measures adopted for the resolution.