Over the last 40 years, dental implants have become popular. Despite being a safe
procedure with few reported complications, dental implants may become displaced into
the maxillary sinus. We analyzed the outcomes of endoscopic inferior meatal antrostomy
(EIMA) for implant removal. Medical records of all patients who had EIMA for dislocated
dental implants at our institution during 2016-2021 were retrospectively reviewed.
Ten patients were included in the analysis; most of them were asymptomatic at presentation.
Implants, displaced into the lower, central, or upper parts of the maxillary sinus,
were removed by EIMA, which provided excellent access and view. The ostiomeatal complex
remained untouched. The average operation time (including administration of general
anesthesia) was 42 minutes. No intraoperative or postoperative complications occurred.
Recirculation was not detected. All patients healed without requiring further interventions.
EIMA should be considered for removal of dislocated dental implants from the maxillary
sinus, since it provides better access and view, while maintaining the integrity of
the ostiomeatal complex.
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References
- The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols.Int J Oral Maxillofac Surg. 2009; 38: 1273-1278
- Complications associated with implant migration into the maxillary sinus cavity.Clin Oral Implants Res. 2012; 23: 1152-1160
- Accidental displacement of dental implants into the maxillary sinus: a report of nine cases.Clin Implant Dent Relat Res. 2009; 11: e38-e45
- Odontogenic rhinosinusitis and sinonasal complications of dental disease or treatment: prospective validation of a classification and treatment protocol.Eur Arch Otorhinolaryngol. 2019; 276: 401-406
- Brain abscess following dental implant placement via crestal sinus lift-a case report.Eur J Oral Implantol. 2018; 11: 113-117
- Odontogenic orbital abscess: a case report and review of literature.Oral Maxillofac Surg. 2017; 21: 271-279
- Odontogenic sinusitis resulting in abscess formation within the optic chiasm and tract: case report and review.J Neuroophthalmol. 2016; 36: 393-398
- From the maxillary sinus to the stomach: a rare case report of a displaced fragment of dental implant.Eur J Oral Implantol. 2018; 11: 469-473
- The removal of an implant beneath the optic canal by modified endoscopic assisted sinus surgery.Eur Arch Otorhinolaryngol. 2017; 274: 1167-1171
- Accidental migration of a dental implant into the ethmoid sinus following a trans alveolar sinus elevation procedure.Clin Implant Dent Relat Res. 2015; 17: 360-364
- Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: a review and update.Med Oral Patol Oral Cir Bucal. 2012; 17: 22
- Endoscopic removal of an unusual foreign body in the sphenoid sinus: an oral implant.Clin Oral Implants Res. 2007; 18: 776-780
- Posterior maxillary segmental osteotomy for the implant reconstruction of a vertically deficient ridge: a 3-year clinical report.J Prosthet Dent. 2013; 110: 69-75
- Piezoelectric surgery in maxillary sinus floor elevation with hydraulic pressure for xenograft and simultaneous implant placement.J Prosthet Dent. 2013; 110: 344-348
- Dental implant migration in grafted maxillary sinus.Implant Dent. 2011; 20: 400-405
- Treatment for an endosseous implant migrated into the maxillary sinus not causing maxillary sinusitis: case report.Int J Oral Maxillofac Implants. 2003; 18: 745-749
- Maxillary sinus complications related to endosseous implants.Int J Oral Maxillofac Implants. 1995; 10: 451-461
- Evaluation of clinical outcomes of implants placed into the maxillary sinus with a perforated sinus membrane: a retrospective study.Maxillofac Plast Reconstr Surg. 2016; 38: 50
- Transnasal endoscopic removal of dental implants from the maxillary sinus.Int J Oral Maxillofac Implants. 2013; 28: 905-910
- Displacement of a dental implant into the maxillary sinus after internal sinus floor elevation: report of a case and review of literature.Int J Clin Exp Med. 2015; 8: 4826-4836
- Comparison of complications between endoscopic sinus surgery and Caldwell–Luc operation.Tohoku J Exp Med. 1996; 180: 27-31
- Removal of the dental implant displaced into the maxillary sinus through the inferior nasal meatus via transnasal endoscopy.J Craniofac Surg. 2019; 30: 1178-1179
- Resection of inverted papilloma of the maxillary sinus via a prelacrimal recess approach: a multicenter retrospective analysis of surgical efficacy.Am J Rhinol Allergy. 2018; 32: 518-525
- Prelacrimal approach to the maxillary sinus.Int Forum Allergy Rhinol. 2016; 6: 214-218
- Anterior maxillary wall and lacrimal duct relationship-CT analysis for prelacrimal access to the maxillary sinus.Rhinology. 2017; 55: 170-174
- The Rationale for Endoscopic Inferior Meatal Antrostomy.ORL J Otorhinolaryngol Relat Spec. 2019; 81: 41-47
- Endoscopic inferior meatal antrostomy for antrochoanal polyps: A long-term follow-up.ORL J Otorhinolaryngol Relat Spec. 2022; (Epub ahead of print)https://doi.org/10.1159/000518279
- Diagnostic criteria for a curable form of chronic rhinosinusitis: The mucous recirculation syndrome.Am J Med. 2014; 127: 586-591
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Published online: September 15, 2022
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