Acta Otorrinolaringol Esp. 2014;65(4):269---270
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IMAGES IN OTORHINOLARYNGOLOGY
Displaced Dental Material夽 Desplazamiento de materia dental Kenta Watanabe,∗ Muneo Nakaya Department of Otolaryngology --- Head and Neck Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan
We herein report a patient who presented with sinusitis caused by a displaced gutta-percha point, as a complication of a tooth root treatment. A 45-year-old woman visited our hospital with a complaint of intractable left maxillary sinusitis lasting for half a year. The patient had many treated teeth and reported that
Figure 1
she had received root canal therapy for her left upper teeth eight years prior. Dental panoramic tomography suggested a foreign body in the left maxillary sinus, which seemed to be a displaced dental material (Fig. 1). Computed tomography also revealed mucosal thickening of the sinus around a radiopaque material (Fig. 2). Endoscopic sinus surgery was performed, which revealed that foreign material was buried in a bacterial ball surrounded by polypoid mucosa of the left
(arrow).
夽 Please cite this article as: Watanabe K, Nakaya M. Desplazamiento de materia dental. Acta Otorrinolaringol Esp. 2013;65:269---270. ∗ Corresponding author. E-mail address:
[email protected] (K. Watanabe).
2173-5735/$ – see front matter © 2012 Elsevier España, S.L.U. All rights reserved.
Figure 2
(arrow).
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K. Watanabe, M. Nakaya maxillary sinus (Fig. 3). This was extirpated and was discovered to be a gutta-percha point, one of the root canal fillers. This case demonstrated that dental material for tooth root treatment can become displaced, act as a foreign body in the nasal sinuses, and be the cause of sinusitis.
Figure 3
(arrow).