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sinus perforation

Hassan Saad, Khaled M Krisht, Wei-Hsun Yang, Emad Aboud, Ali F Krisht
BACKGROUND: The vascular closure staple clips have been studied in animal models and shown to have comparable results with sutured repair when it comes to the healing process, degree of vessel narrowing, and risk of thrombosis. However, they are clearly superior when the speed of application is taken into account, and they were clinically used in many vascular repair processes. Nevertheless, their usefulness in intracranial vascular surgery has not been described. OBJECTIVE: To describe the usefulness of hemoclips in fast and efficient repair of medium-sized and large intracranial vessels...
February 26, 2018: Operative Neurosurgery (Hagerstown, Md.)
Asha Karadwal, Shailja Chatterjee
Chondrosarcoma is a rare malignant cartilaginous tumor of the head and neck region. It is a slow-growing tumor and is mostly detected in the anterior maxilla and the base of the skull. We report a case of "Grade II Chondrosarcoma" of the posterior right side of the palate invading maxillary sinus and perforating the floor of the orbit.
January 2018: Journal of Oral and Maxillofacial Pathology: JOMFP
Bernardo Cortese, Gaetano di Palma, Roberto Latini
Coronary Sinus Reducer (Neovasc, Inc., Richmond B.C., Canada) has shown to be an effective and safe treatment option for the treatment of refractory angina. Until now, a few number of complications related to its implantation have been reported. Coronary sinus perforation is a rare complication, more often related to cardiac surgery procedures. We report the first case of coronary sinus perforation after a sinus Reducer implantation.
February 26, 2018: Catheterization and Cardiovascular Interventions
Gustavo Da Dos Santos Pinto, Suzane Cristina Pigossi, Tércio Pessoa, Lélis Gustavo Nícoli, Raphael Ferreira de Souza Bezerra Araújo, Cláudio Marcantonio, Elcio Marcantonio
PURPOSE: The aim of this case report was to demonstrate the repair of a large sinus membrane perforation related to a sinus floor augmentation procedure, using leukocyte platelet-rich fibrin (L-PRF), for subsequent rehabilitation of a partially edentulous patient. MATERIALS AND METHODS: The patient presented the absence of teeth numbers 18, 17, and 16, associated with insufficient bone height because of the maxillary sinus pneumatization. A maxillary inlay bone graft was proposed, however, during the sinus floor augmentation procedure, a large portion of the sinus membrane was ruptured...
February 16, 2018: Implant Dentistry
Qiang Li, Shi-Feng Song, Wei Zhang, Guo-Zhi Wu, Li-Zhu Liu
OBJECTIVE: To study the clinical effects of negative pressure closed drainage combined with vancomycin loaded calcium sulfate and autogenous bone in the treatment of chronic osteomyelitis. METHODS: From June 2013 to December 2016, there were 35 cases of chronic osteomyelitis patients in our department, including 23 males and 12 females, ranging in age from 11 to 65 years old, with an average of 34 years old. The course of disease ranged from 8 to 46 months, with an average of 26 months...
November 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Y F Zhang, B Chen
Several systematic reviews and many clinical articles have shown that maxillary sinus floor elevation through lateral window approach (LSFE) is a predictable and reliable procedure, which has been routinely performed for more than 30 years. The complication rate is low, but some cases may require additional surgery, and the outcome of implant may be affected if not treated properly. The survival rates of implants are still high after early diagnosis and proper early treatments. The purpose of this article is to discuss the intraoperative and postoperative complications of LSFE, including perforation, bleeding, postoperative infection and implant displacement into sinus with special attention to prevalence rate, prevention and treatment...
February 9, 2018: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Moujahed Labidi, Kentaro Watanabe, Marie-Pier Loit, Shunya Hanakita, Sébastien Froelich
Objectives  To discuss the use of the posterior petrosal approach for the resection of a retrochiasmatic craniopharyngioma. Design  Operative video. Results  In this case video, the authors discuss the surgical management of a large craniopharyngioma, presenting with mass effect on the third ventricle and optic apparatus. A first surgical stage, through an endoscopic endonasal transtubercular approach, allowed satisfactory decompression of the optic chiasma and nerves in preparation for adjuvant therapy...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
Benedicta E Beck-Broichsitter, Dorothea Westhoff, Eleonore Behrens, Jörg Wiltfang, Stephan T Becker
BACKGROUND: Until now, sinus floor elevation represents the gold standard procedure in the atrophic maxilla in order to facilitate dental implant insertion. Although the procedure remains highly predictive, the perforation of the Schneiderian membrane might compromise the stability of the augmented bone and implant success due to chronic sinus infection. The aim of this retrospective cohort study was to show that a membrane tear, if detected and surgically properly addressed, has no influence on the survival of dental implants and bone resorption in the augmented area...
February 5, 2018: International Journal of Implant Dentistry
Corinne Jordi, Khaled Mukaddam, Jörg Thomas Lambrecht, Sebastian Kühl
OBJECTIVES: Maxillary sinus augmentation (MSA) is a successful and predictable intervention with low complication rates. Perforations of the Schneiderian membrane may occur impairing the general success. The aim of this study was to compare the incidence of membrane perforations between conventional rotating instruments and piezoelectric devices in a meta-analysis. MATERIAL AND METHODS: An electronic research on MEDLINE and PubMed database was performed evaluating the literature from 1980 till 2016...
January 29, 2018: International Journal of Implant Dentistry
Murat Kiraz, Omur Gunaldi, Osman Tanriverdi, Ibrahim Erdim, Lutfi Sinasi Postalci, Bekir Tugcu, Mine Zahide Yazici
AIM: Thesurgical success rates of microscopic and endoscopic transsphenoidalapproaches for treatment of hypophyseal adenomas have often been compared. However, little has been reported regarding sinonasal complications of these approaches. We comparedsinonasal complications after microscopic and endoscopic approaches for hypophyseal adenomas. MATERIAL AND METHODS: At our clinic, sinonasal complications occurred in in 31 patients who underwent microscopic transsphenoidal surgery between 2007 and 2014 and in 32 patients who underwent endoscopic transsphenoidal surgery between 2014 and 2016...
December 17, 2017: Turkish Neurosurgery
Akira Baba, Tazuko K Goto, Hiroya Ojiri, Mutsumi Takagiwa, Chiho Hiraga, Masahiro Okamura, Sho Hasegawa, Yumi Okuyama, Nobuhiro Ogino, Hideomi Yamauchi, Yuko Kobashi, Shinji Yamazoe, Yohei Munetomo, Takuji Mogami, Takeshi Nomura
OBJECTIVES: Antiresorptive agent-related osteonecrosis of the jaw (ARONJ)/medication-related osteonecrosis of the jaw (MRONJ) include both bisphosphonate-related osteonecrosis of jaw (BRONJ) and denosumab-related osteonecrosis of jaw (DRONJ). The purpose of this study is to study radiological characteristics of ARONJ/MRONJ. These imaging features may serve as one useful aid for assessing ARONJ/MRONJ. METHODS: CT scans of 74 Japanese patients, who were clinically diagnosed by inclusion criteria of ARONJ/MRONJ, obtained between April 1, 2011 and September 30, 2016, were evaluated...
February 13, 2018: Dento Maxillo Facial Radiology
Graciela Fernández Blanco, Maria Cecilia Madeo, Mariana Martínez, María Emilia Vázquez
We report a 42-year-old cocaine addicted female patient referred for evaluation of hard palate ulceration resulting in oro-sinus communication with difficulties in swallowing and phonation, an rhino-sinusitis. Acrylic and removable silicone prosthesis was prescribed to relieve severe functional disorders. It is essential that the patient permanently abandons cocaine use to perform surgical reconstruction.
November 2017: Anais Brasileiros de Dermatologia
Wanding Yang, Raguwinder S Sahota, Sudip Das
Spontaneous perforation of the pharynx is an unusual condition. Due to its non-specific presentation and general lack of awareness, diagnosis and intervention may be delayed resulting in potential complications. This case reports a rare spontaneous perforation of the pyriform sinus after a forceful sneeze, leading to cervical subcutaneous emphysema and pneumomediastinum.
January 15, 2018: BMJ Case Reports
Anubha Rathi, Arunaloke Chakrabarti, Tushar Agarwal, Neelam Pushker, Mukesh Patil, Hemant Kamble, Jeewan S Titiyal, Rishi Mohan, Seema Kashyap, Sanjay Sharma, Seema Sen, Gita Satpathy, Namrata Sharma
PURPOSE: To report a case of Pythium insidiosum keratitis leading to fatal cavernous sinus thrombophlebitis. METHODS: Case report. RESULTS: A 70-year-old man presented with excruciating pain, redness, and diminution of vision in his left eye for 2 weeks after washing his hair with tap water. A total corneal ulcer with surrounding infiltrates and associated corneal thinning was present. Corneal scraping revealed the presence of Gram-positive cocci...
January 9, 2018: Cornea
Ali Khalighi Sigaroudi, Zahra Dalili Kajan, Shabnam Rastgar, Hamid Neshandar Asli
Purpose: Analyzing different patterns of maxillary sinus septa in cone-beam computed tomography (CBCT) images and predicting maxillary sinus membrane perforations. Materials and Methods: In this cross-sectional study, CBCT images of 222 patients ranging from 20 to 81 years old were evaluated. One hundred fifty-two patients (93 females and 59 males) who had maxillary sinus septa in axial views were included in this study. Cross-sectional images were used to determine classifications of sinus septa and the risk of membrane perforation using a method modified from Al-Faraje et al...
December 2017: Imaging Science in Dentistry
Piyush Tripathi, Shivani Nautiyal
Both type of CSOM, tubotympanic which is considered safe as well as atticoantral which is considered unsafe may lead to erosion of the ossicular chain. Discontinuity of the ossicular chain is typically confirmed only during an operation. Knowing before surgery whether the patient has an ossicular discontinuity is important because it allows the surgeon to know the possibility of performing an ossiculoplasty and obtaining patient consent. The aims is to (1) study the incidence of incus necrosis in safe and unsafe CSOM...
December 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
Silvio Mario Meloni, Sascha Alekshander Jovanovic, Milena Pisano, Erta Xhanari, Giacomo De Riu, Antonio Tullio, Marco Tallarico
PURPOSE: To compare the outcome of implants inserted in maxillary sinuses augmented with anorganic bovine bone (ABB) grafts vs mixed 50% ABB and 50% autologous bone graft, using a lateral window approach. MATERIALS AND METHODS: This study was designed as a randomised controlled trial of parallel groups. Patients in need of an implant-supported prosthesis in a maxillary posterior area with a residual alveolar bone height no greater than 4 mm (range 0-4 mm) were recruited for lateral sinus grafting...
2017: European Journal of Oral Implantology
Andreas Sakkas, Alexander Schramm, Karsten Winter, Frank Wilde
AIM: The aim of this study has been to identify risk factors for post-operative complications after grafting bone from different donor sites prior to implant placement. MATERIAL AND METHODS: The study encompassed 279 patients who underwent autologous bone augmentations in a 2-stage procedure, harvested from three intraoral and one extraoral donor sites, as well as sinus floor elevations prior to implant placement. The following complications were recorded: soft tissue dehiscence; wound infection; bone graft exposure; sensory disturbance; sinusitis symptoms; haemorrhage; graft failure; implant failure...
November 21, 2017: Journal of Cranio-maxillo-facial Surgery
Jamil Alayan, Saso Ivanovski
OBJECTIVE: Compare maxillary sinus augmentation (MSA) using two different materials-anorganic bovine bone mineral (ABBM) + autogenous bone (AB) (control group) vs. collagen-stabilized ABBM (test group) in terms of complications, patient-reported outcome measures (PROMs) and volumetric analysis. MATERIALS AND METHODS: Sixty patients underwent sinus augmentation (30 control + 30 test group). Intra- and postoperative complications were recorded. PROMs measured the impact of grafting on daily activities, pain and morbidity...
February 2018: Clinical Oral Implants Research
Ahmed H Osman, Hesham Mansour, Mohammed Atef, Maha Hakam
BACKGROUND: The introduction of CAD/CAM technology in implant dentistry has marked a new era, allowing various procedures to be carried out with a level of great precision and accuracy. PURPOSE: The aim of the present study is to compare the efficacy of a CAD/CAM generated surgical cutting guide in the reduction of incidence of membrane perforation during maxillary sinus floor elevation in relation to the standard lateral window approach technique. MATERIALS AND METHODS: Twenty cases of maxillary sinus elevation were randomly divided into 2 groups...
December 1, 2017: Clinical Implant Dentistry and related Research
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