ORIGINAL ARTICLE   

European Journal of Oral and Maxillofacial Surgery 2019 August;3(2):27-32

DOI: 10.23736/S2532-3466.19.00166-8

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Intraoral and functional endoscopic endonasal surgery (FEES) approaches to the maxillary sinus complications caused by dental pathologies or treatments

Antonio DELL’AQUILA ¹ ✉, Gabriele VITIELLO ¹, Fabio CINQUEGRANI ², Daniele SORANO ¹, Annachiara SALVATO ¹, Fabio DELL’AQUILA ¹

¹ Department of Oral and Maxillofacial Surgery, del Mare Hospital, ASL Napoli 1 Centro, Naples, Italy; ² Department of Otorynolaringology, del Mare Hospital, ASL Napoli 1 Centro, Naples, Italy

BACKGROUND: There are a lot of complications that can affect the maxillary sinuses and can be caused by many factors like trauma, periapical dental infections that communicate with maxillary sinus or congenital factors, but today the widespread use of dental implants and reconstructive procedures for their positioning has lead to an increase in maxillary sinus complications. The goal of this study is trying to understand when it is necessary to solve the maxillary sinus complications by combining an intraoral approach with functional endoscopic endonasal surgery (FEES).
METHODS: Between September 2016 and July 2018 we analyzed the cases of 38 patients with maxillary sinus complications underwent to surgery treatment to try to understand when, for the complications that affect the maxillary sinus, it is necessary an intraoral surgical treatment, or just a functional endoscopic endonasal surgery (FEES), or it is necessary a combined approach.
RESULTS: Ten of the 38 patients (26.3%) were treated with an intraoral approach, seven of the 38 patients (18.4%) were treated with FEES and 21 of the 38 patients (55.3%) with a combined approach.
CONCLUSIONS: Multidisciplinary treatment is the preferred solution, allowing a combination of different surgical abilities in a single surgical procedure with reduced rehabilitation time. The surgical team should identify cases requiring multidisciplinary treatment and clarifying the role of each specialist for the resolution of these complications and for the restoration of a normal nose-sinus homeostasis.

KEY WORDS: Nasal surgical procedures - Endoscopy - Maxillary sinus - Complications