医学
口
真菌性鼻窦炎
上颌窦
功能性内窥镜鼻窦手术
植入
窦(植物学)
无症状的
鼻窦炎
外科
牙种植体
耳鼻咽喉科
后遗症
并发症
牙科
生物
属
植物
作者
Won-Bae Park,Young Ho Kim,Jung Tak Park,Ji-Young Han,Hyun Lim
出处
期刊:Journal of Oral Implantology
[American Academy of Implant Dentistry]
日期:2021-06-01
卷期号:47 (3): 242-248
被引量:2
标识
DOI:10.1563/aaid-joi-d-20-00127
摘要
The present study aimed to report (1) the sequela of sinus floor elevation (SFE) in the posterior maxilla with severe sinus membrane thickening and an undiagnosed fungal colonization but a patent ostium and (2) a treatment course without implant removal. A 73-year-old woman underwent dental implant placement in the left posterior maxillary area. Although the patient was asymptomatic, severe sinus membrane thickening with Haller cells was observed on a radiographic examination, but the ostium was patent. After SFE and simultaneous implant placement, the patient developed acute sinusitis and was referred to an otolaryngologist. Functional endoscopic sinus surgery (FESS) was performed, resulting in resolution of the infection and salvage of the augmentation and the implant. The histopathologic examination revealed the fungal ball that could not be diagnosed on preoperative dental radiography. During the 2 years after the delivery of the final prosthesis, a significant reduction in membrane thickness was observed. The implants were functioning well. Clinicians should recognize fungal colonization as an etiology of sinus membrane thickening and provide proper pre- and postoperative management, including FESS.
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