Topical therapy of the maxillary sinuses after endonasal removal of bone density inclusions

Topical therapy of the maxillary sinuses after endonasal removal of bone density inclusions

S.A. Karpishchenko^1,2, E.V. Bolozneva¹, E.S. Karpishchenko¹

¹Pavlov First Saint Petersburg State Medical University, Saint Petersburg

²Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg

The maxillary sinus is a pyramidal cavity in the maxilla that has various functions. In the sinus cavity, the pathological bone masses and human-induced ones are possible as a result of the sinus augmentation surgery. Alveolar ridge augmentation is performed in patients with a lack of bone height for the dental implant placement. As the surgery result, the maxillary sinus volume decreases, which does not affect the subjective and objective respiratory assessment of a patient. Osteoma is a benign tumor of bone tissue. The incidence of maxillary sinus osteomas among all paranasal sinus osteomas is only 2%. Commonly, osteomas do not manifest clinical symptoms, but are a random finding during radiation detection methods, such as cone-beam computed tomography, multi-section computed tomography, teleroentgenography, orthopantomography.

A clinical case of maxillary sinus osteoma surgica l removal by endoscopic transnasal approach under the navigation system control is shown. The mass is represented by a mixed osteoma. In the postoperative period, irrigation of the nasal cavity with saline solutions and treatment with a drug containing propylene glycol, dexpanthenol, hydroxyethylcellulose and octenidine dihydrochloride were used to prevent infectious and inflammatory complications.

Keywords: maxillary sinus, osteoma, bone grafting, sinus augmentation surgery, endoscopic surgery.

For citation: Karpishchenko S.A., Bolozneva E.V., Karpishchenko E.S. Topical therapy of the maxillary sinuses after endonasal removal of bone density inclusions. RMJ. 2021;3:40–42.