外傷性嵌入歯牙に起因したと思われる上顎洞炎の 1 例

概要

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The patient, a man aged 47, sustained the injury of his upper jaw and lost the <5〓1>___- teeth in a traffic accident three years ago. A year after the accident, the maxillary sinusitis occurred and persisted despite the conservative treatment by an otorhinolaryngologist for two years. Recently, the patient was reffered to our department with a suspicion of a foreign body lying adjacent to the affected antrum. X-ray revealed the presence of tooth-like opaque adjoining the internal wall of the left antrum, so we operated to remove it under the local anesthesia on 20th May, 1974. The tooth-like body was found to be the left upper incisor that was inferred to have been inlayed in the accident. The tooth projected into the antrum, but the radical sinuotomy was not carried out for absence of remarkable inflammation on the antrum membrane. The post medication was indicated for a week, and any sign of sinusitis clearly disappeared. This case points out that a thorough examination at first could have prevented the patient from unnecessary sufferings and that one should never take things for granted in treatment, even of an apparent routine case.
九州歯科学会の論文
1975-03-31