上顎洞迷入した上顎第一大臼歯近心破折根が篩骨洞へ移動した1例

  • 梯 裕恵
    長崎大学大学院医歯薬学総合研究科顎・口腔再生外科学分野
  • 大場 誠悟
    福井大学医学部感覚運動医学講座歯科口腔外科学領域
  • 古賀 喬充
    長崎大学大学院医歯薬学総合研究科顎・口腔再生外科学分野
  • 住田 吉慶
    長崎大学大学院医歯薬学総合研究科顎・口腔再生外科学分野
  • 池田 久住
    長崎大学大学院医歯薬学総合研究科顎・口腔再生外科学分野
  • 朝比奈 泉
    長崎大学大学院医歯薬学総合研究科顎・口腔再生外科学分野

書誌事項

タイトル別名
  • A case of migration of the mesiobuccal root of a maxillary first molar from the maxillary sinus into the ethmoid sinus
  • ジョウガクドウメイニュウシタ ジョウガク ダイイチ ダイキュウシ キン シンハセツコン ガ フルイコツドウ エ イドウ シタ 1レイ

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抄録

Migration of teeth or implants into the maxillary sinus has been reported, but migration of teeth into the ethmoid sinus is a rare event. We report the case of migration of a tooth into the ethmoid sinus. <BR>A 53-year-old man was referred to our hospital for the removal of a root of a tooth that had migrated into the maxillary sinus. A maxillary antrostomy was performed under general anesthesia, but the foreign body could not be identified in the maxillary sinus. Preoperative radiographs and computed tomography (CT) showed a foreign body in the maxillary sinus 2 weeks before the operation. Postoperative CT images revealed that the foreign body was located in the ethmoid sinus. Endoscopic surgery was then performed under general anesthesia by a otolaryngologist, and the tooth root was safely removed.<BR>This case highlights the importance of reimaging just before operation in patients with paranasal sinus foreign bodies. In addition, we should refrain from easy irrigation of the sinuses. It was also suggested that endoscopic examination is useful for finding paranasal sinus foreign bodies.

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