Title: Case Report : Pansinusitis and periorbital cellulitis complicating External sinus lifting procedures

Abstract:

Perforation of the maxillary sinus membrane is a common complication during sinus lifting procedures(10-40%).Maxillary sinusitis might result and displacement of the graft material may be a contributing factor. Antibiotic Regimes with removal of the implants perforating the sinus have been used for management of sinusitis with immediate or late replacement of the dental implants .

Patient with recurrent severe maxillary,ethmoid and frontal sinusitis attended our center complaining from periorbiral cellulitis .She visited multiple ENT clinics for several months with limited improvement and recurrence of the infection.CT scan revealed titanium membrane displacement into the maxillary sinus. Drainage was done intraorally and removal of the titanium membrane. She had sinus lifting procedure right side 9 years ago for placement of 3 implants to replace upper posterior teeth. Patient insisted not to remove the implants and accepted treatment without warrranty of the result. Sinus membrane was elevared and PRF used to fill the space above the implant apices. The infection resolved completely within 10 days . Follow up of the patient for more than 40 months did not show any recurrence . CT Scan shows formation of bony partition between the implants and the maxillary sinus .

Biography:

Nasser Al Alami is a Maxillofacial Surgeon and he completed his Master of Science in Oral and Maxillofacial Surgery (2003)  in Baghdad University. Nasser Al Alami Ministry Of Health and Prevention UAE

Title: Autogenous tooth transplantation

Abstract:

Perforation of the maxillary sinus membrane is a common complication during sinus lifting procedures(10-40%).Maxillary sinusitis might result and displacement of the graft material may be a contributing factor. Antibiotic Regimes with removal of the implants perforating the sinus have been used for management of sinusitis with immediate or late replacement of the dental implants .

Patient with recurrent severe maxillary,ethmoid and frontal sinusitis attended our center complaining from periorbiral cellulitis .She visited multiple ENT clinics for several months with limited improvement and recurrence of the infection.CT scan revealed titanium membrane displacement into the maxillary sinus. Drainage was done intraorally and removal of the titanium membrane. She had sinus lifting procedure right side 9 years ago for placement of 3 implants to replace upper posterior teeth. Patient insisted not to remove the implants and accepted treatment without warrranty of the result. Sinus membrane was elevared and PRF used to fill the space above the implant apices. The infection resolved completely within 10 days . Follow up of the patient for more than 40 months did not show any recurrence . CT Scan shows formation of bony partition between the implants and the maxillary sinus .

Biography:

Nasser Al Alami is a Maxillofacial Surgeon and he completed his Master of Science in Oral and Maxillofacial Surgery (2003)  in Baghdad University. Nasser Al Alami Ministry Of Health and Prevention UAE