Procacci P, De Santis D, Bertossi D, Albanese M, Plotegher C, Zanette G, Pardo A, Nocini PF. Extraordinary sneeze: Spontaneous transmaxillary-transnasal discharge of a migrated dental implant. World J Clin Cases 2016; 4(8): 229-232 [PMID: 27574611 DOI: 10.12998/wjcc.v4.i8.229]
Corresponding Author of This Article
Pasquale Procacci, MD, Assistant Professor, Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Policlinico “Giovanni Battista Rossi”, Piazzale Ludovico Antonio Scuro n°10, 1037134 Verona, Italy. pasquale.procacci@univr.it
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 16, 2016; 4(8): 229-232 Published online Aug 16, 2016. doi: 10.12998/wjcc.v4.i8.229
Extraordinary sneeze: Spontaneous transmaxillary-transnasal discharge of a migrated dental implant
Pasquale Procacci, Daniele De Santis, Dario Bertossi, Massimo Albanese, Cristina Plotegher, Giovanni Zanette, Alessia Pardo, Pier Francesco Nocini
Pasquale Procacci, Daniele De Santis, Dario Bertossi, Massimo Albanese, Cristina Plotegher, Giovanni Zanette, Alessia Pardo, Pier Francesco Nocini, Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, 1037134 Verona, Italy
Author contributions: All authors contributed to this paper.
Institutional review board statement: The present paper was reviewed and approved by the University of Verona Institutional Review Board.
Informed consent statement: All person (n°1 patient) involved in the present paper gave their informed consent to clinical case publication.
Conflict-of-interest statement: There is not any conflict-of-interest in the present paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Pasquale Procacci, MD, Assistant Professor, Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Policlinico “Giovanni Battista Rossi”, Piazzale Ludovico Antonio Scuro n°10, 1037134 Verona, Italy. pasquale.procacci@univr.it
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Received: March 28, 2016 Peer-review started: March 29, 2016 First decision: May 16, 2016 Revised: May 26, 2016 Accepted: June 1, 2016 Article in press: June 3, 2016 Published online: August 16, 2016 Processing time: 136 Days and 23.5 Hours
Abstract
This case report describes an extraordinary case of the spontaneous transmaxillary-transnasal discharge of a dental implant, which occurred during a sneeze. The patient was complained of symptoms of acute sinusitis. She underwent a computed tomography scan that revealed a dental implant dislocated in the maxillary sinus. Medical treatment based on antibiotics and mucolytics was administered to the patient in order to prepare her for endoscopic endonasal surgery. The implant was spontaneously discharged two days after during a sneeze. Mucociliary clearance in combination with a local osteolytic inflammatory process and mucolytics therapy are the likely causes of this unusual discharge.
Core tip: Iatrogenic dislocation of dental implants into paranasal sinuses is not a rare pathological finding. Dental implants dislocation are commonly related to a wrong operating procedure or diagnostic clinical planning. Functional endoscopic sinus surgery has been widely described as the first option to remove foreign bodies from the paranasal sinuses, while the Caldwell-Luc approach to the maxillary sinuses still represents an option if the patients wants to avoid general anesthesia. Up-today just one case of spontaneous nasal discharge was reported in the literature. Therefore this case report describes a really uncommon clinical finding.
