Endoscopic surgery of the maxillary sinuses in oral and maxillofacial surgery
practice: a literature review
Andric Miroslav
Clinic of Oral Surgery School of Dentistry, University of Belgrade, Serbia
Hellenic Archives of Oral & Maxillofacial Surgery (2010) 2, 57-68
SUMMARY: Recently, a number of studies reported results of endoscopic surgery for treatment of odontogenic diseases of the maxillary sinuses and for sinus augmentation procedures. Therefore, the aim of this article was to review the literature data and to evaluate the level of current scientific evidence on this issue. Four retrospective and one prospective studies regarding functional endoscopic sinus surgery (FESS) for odontogenic sinusitis were identified. Also, several case series of endoscope – assisted removal of odontogenic cysts and tumors involving the maxillary sinus were published. Finally, five studies regarding endoscope – controlled sinus augmentation procedures were analyzed. From available literature it seems that FESS for treatment of odontogenic sinusitis is a safe and predictable treatment option. Although scientific evidence is low, this is a clinically well documented procedure with low incidence of complications. In contrast to this, endoscopic surgery for odontogenic cysts and tumors is documented only in limited case series reports. Regarding treatment of implant – related complications, endoscopic surgery has a potential to provide effective treatment of those cases. On the other hand, endoscopic sinus augmentation needs scientific evidence of superiority to conventional techniques before it can be introduced into clinical practice.
KEY WORDS: Μaxillary sinus, endoscopic surgery, odontogenic sinusitis, odontogenic cyst, odontogenic tumor, dental implant, sinus augmentation
REFERENCES
Akao I, Ohashi T, Imokawa H, Otsuka T, Taguchi Y, Takagi M. Cementifying fibroma in the ethmoidal sinus extending to the anterior cranial base in an 11-year-old girl: a case report. Auris Nasus Larynx. 2003; 30:S123-126.
Albu S, Baciut M. Failures in endoscopic surgery of the maxillary sinus. Otolaryngol Head Neck Surg. 2010; 142: 196-201.
Andric M, Saranovic V, Drazic R, Brkovic B, Todorovic L. Functional endoscopic sinus surgery as an adjunctive treatment for closure of oroantral fistulae: a retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109: 510-516.
Berengo M, Sivolella S, Majzoub Z, Cordioli G. Endoscopic evaluation of the bone-added osteotome sinus floor elevation procedure. Int J Oral Maxillofac Surg. 2004; 33: 189-194. Bray D, Michael A, Falconer DT, Kaddour HS. Ameloblastoma: a rare nasal polyp. J Laryngol Otol. 2007; 121: 72-75.
Brook I. Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg 2006; 135: 349-355.
Cansiz H, Tuskan K, Karaman E, Dervisoğlu S. Endoscope assisted removal of cementoossifying fibroma in the paranasal sinuses in a five-year-old girl. Int J Pediatr Otorhinolaryngol. 2004; 68: 489- 493.
Cascone P, Ungari C, Filiaci F, Gabriele G, Ramieri V. A dental implant in the anterior cranial fossae. Int J Oral Maxillofac Surg. 2010; 39: 92-93.
Cedin AC, de Paula FA Jr, Landim ER, da Silva FL, de Oliveira LF, Sotter AC. Endoscopic treatment of odontogenic cyst with intrasinusal extension. Rev Bras Otorrinolaringol. 2005; 71: 392- 395.
Chiapasco M, Felisati G, Maccari A, Borloni R, Gatti F, Di Leo F. The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols. Int J Oral Maxillofac Surg. 2009; 38: 1273-1278.
Chiu AG, Kennedy DW. Surgical management of chronic rhinosinusitis and nasal polyposis: a review of the evidence. Curr Allergy Asthma Rep 2004; 4: 486-489.
Coleman JR Jr, Duncavage JA. Extended middle meatal antrostomy: the treatment of circular flow. Laryngoscope. 1996; 106: 1214- 1217.
Costa F, Emanuelli E, Robiony M, Zerman N, Polini F, Politi M. Endo - scopic surgical treatment of chronic maxillary sinusitis of dental origin. J Oral Maxillofac Surg 2007; 65: 223-228.
Dolanmaz D, Tuz H, Bayraktar S, Metin M, Erdem E, Baykul T. Use of pedicled buccal fat pad in the closure of oroantral communication: analysis of 75 cases. Quintessence Int 2004; 35: 241-246.
Engelke W, Capobianco M. Flapless sinus floor augmentation using endoscopy combined with CT scan-designed surgical templates: method and report of 6 consecutive cases. Int J Oral Maxillofac Implants. 2005; 20(6): 891-897.
Engelke W, Deckwer I. Endoscopically controlled sinus floor augmentation. A preliminary report. Clin Oral Implants Res. 1997; 8(6): 527-531.
Engelke W, Schwarzwäller W, Behnsen A, Jacobs HG. Subantro - scopic laterobasal sinus floor augmentation (SALSA): an up-to5-year clinical study. Int J Oral Maxillofac Implants. 2003; 18(1): 135-143.
Felisati G, Lozza P, Chiapasco M, Borloni R. Endoscopic removal of an unusual foreign body in the sphenoid sinus: an oral implant. Clin Oral Implants Res. 2007; 18: 776-780.
Griffa A, Viterbo S, Boffano P. Endoscopic-assisted removal of an intraorbital dislocated dental implant. Clin. Oral Impl. Res. 21, 2010; 778–780. doi: 10.1111/j.1600-0501.2009.01894.x
Güven O. A clinical study on oroantral fistulae. J Craniomaxillofac Surg 1998; 26: 267-271.
Hajiioannou J, Koudounarakis E, Alexopoulos K, Kotsani A, Kyrmizakis DE. Maxillary sinusitis of dental origin due to oroantral fistula, treated by endoscopic sinus surgery and primary fistula closure. J Laryngol Otol. 2010 doi:10.1017/S0022215110001027
Kennedy DW, Shaalan H. Reevaluation of maxillary sinus surgery: experimental study in rabbits. Ann Otol Rhinol Laryngol 1989; 98: 901-906.
Kim JW, Lee CH, Kwon TK, Kim DK. Endoscopic removal of a dental implant through a middle meatal antrostomy. Br J Oral Maxillofac Surg. 2007; 45: 408-409.
Kitamura A. Removal of a migrated dental implant from a maxillary sinus by transnasal endoscopy. Br J Oral Maxillofac Surg. 2007; 45: 410-411.
Lamb JF, Husein OF, Spiess AC. Ectopic molar in the maxillary sinus precipitating a mucocele: a case report and literature review. Ear Nose Throat J. 2009; 88: E6-E11.
Lopatin AS, Kapitanov DN. Endonasal removal of a large ethmoidal cementoblastoma. Rhinology. 2005; 43: 156-158.
Lopatin AS, Sysolyatin SP, Sysolyatin PG, Melnikov MN. Chronic maxillary sinusitis of dental origin: is external surgical approach mandatory? Laryngoscope 2002; 112: 1056-1059.
McMains KC. Safety in endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2008; 16: 247-251.
Micozkadioglu SD, Erkan AN. Endoscopic removal of a maxillary dentigerous cyst. B-ENT. 2007; 3: 213-216.
Nakamura N, Mitsuyasu T, Ohishi M. Endoscopic removal of a dental implant displaced into the maxillary sinus: technical note. Int J Oral Maxillofac Surg. 2004 Mar;33(2):195-197.
Nemec SF, Peloschek P, Koelblinger C, Mehrain S, Krestan CR, Czerny C. Sinonasal imaging after Caldwell-Luc surgery: MDCT findings of an abandoned procedure in times of functional endoscopic sinus surgery. Eur J Radiol 2009; 70: 31-34.
Nkenke E, Schlegel A, Schultze-Mosgau S, Neukam FW, Wiltfang J. The endoscopically controlled osteotome sinus floor elevation: a preliminary prospective study. Int J Oral Maxillofac Implants. 2002; 17: 557-566.
Seno S, Ogawal T, Shibayama M, Ogawa F, Fukui J, Owaki S, Suzuki M, Shimizu T. Endoscopic sinus surgery for the odontogenic maxillary cysts. Rhinology. 2009; 47: 305-309.
Ucer TC. A modified transantral endoscopic technique for the removal of a displaced dental implant from the maxillary sinus followed by simultaneous sinus grafting. Int J Oral Maxillofac Implants. 2009; 24: 947-951.
Varol A, Türker N, Göker K, Basa S. Endoscopic retrieval of dental implants from the maxillary sinus. Int J Oral Maxillofac Implants. 2006; 21: 801-804.
Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula:experience with 27 cases. Am J Otolaryngol 2003; 24: 221-223.
Zimbler MS, Lebowitz RA, Glickman R et al. Antral augmentation, osseointegration, and sinusitis: the otolaryngologist's perspective. Am J Rhinol 1998; 12: 311-316.
Clinic of Oral Surgery School of Dentistry, University of Belgrade, Serbia
Hellenic Archives of Oral & Maxillofacial Surgery (2010) 2, 57-68
SUMMARY: Recently, a number of studies reported results of endoscopic surgery for treatment of odontogenic diseases of the maxillary sinuses and for sinus augmentation procedures. Therefore, the aim of this article was to review the literature data and to evaluate the level of current scientific evidence on this issue. Four retrospective and one prospective studies regarding functional endoscopic sinus surgery (FESS) for odontogenic sinusitis were identified. Also, several case series of endoscope – assisted removal of odontogenic cysts and tumors involving the maxillary sinus were published. Finally, five studies regarding endoscope – controlled sinus augmentation procedures were analyzed. From available literature it seems that FESS for treatment of odontogenic sinusitis is a safe and predictable treatment option. Although scientific evidence is low, this is a clinically well documented procedure with low incidence of complications. In contrast to this, endoscopic surgery for odontogenic cysts and tumors is documented only in limited case series reports. Regarding treatment of implant – related complications, endoscopic surgery has a potential to provide effective treatment of those cases. On the other hand, endoscopic sinus augmentation needs scientific evidence of superiority to conventional techniques before it can be introduced into clinical practice.
KEY WORDS: Μaxillary sinus, endoscopic surgery, odontogenic sinusitis, odontogenic cyst, odontogenic tumor, dental implant, sinus augmentation
REFERENCES
Akao I, Ohashi T, Imokawa H, Otsuka T, Taguchi Y, Takagi M. Cementifying fibroma in the ethmoidal sinus extending to the anterior cranial base in an 11-year-old girl: a case report. Auris Nasus Larynx. 2003; 30:S123-126.
Albu S, Baciut M. Failures in endoscopic surgery of the maxillary sinus. Otolaryngol Head Neck Surg. 2010; 142: 196-201.
Andric M, Saranovic V, Drazic R, Brkovic B, Todorovic L. Functional endoscopic sinus surgery as an adjunctive treatment for closure of oroantral fistulae: a retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109: 510-516.
Berengo M, Sivolella S, Majzoub Z, Cordioli G. Endoscopic evaluation of the bone-added osteotome sinus floor elevation procedure. Int J Oral Maxillofac Surg. 2004; 33: 189-194. Bray D, Michael A, Falconer DT, Kaddour HS. Ameloblastoma: a rare nasal polyp. J Laryngol Otol. 2007; 121: 72-75.
Brook I. Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg 2006; 135: 349-355.
Cansiz H, Tuskan K, Karaman E, Dervisoğlu S. Endoscope assisted removal of cementoossifying fibroma in the paranasal sinuses in a five-year-old girl. Int J Pediatr Otorhinolaryngol. 2004; 68: 489- 493.
Cascone P, Ungari C, Filiaci F, Gabriele G, Ramieri V. A dental implant in the anterior cranial fossae. Int J Oral Maxillofac Surg. 2010; 39: 92-93.
Cedin AC, de Paula FA Jr, Landim ER, da Silva FL, de Oliveira LF, Sotter AC. Endoscopic treatment of odontogenic cyst with intrasinusal extension. Rev Bras Otorrinolaringol. 2005; 71: 392- 395.
Chiapasco M, Felisati G, Maccari A, Borloni R, Gatti F, Di Leo F. The management of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols. Int J Oral Maxillofac Surg. 2009; 38: 1273-1278.
Chiu AG, Kennedy DW. Surgical management of chronic rhinosinusitis and nasal polyposis: a review of the evidence. Curr Allergy Asthma Rep 2004; 4: 486-489.
Coleman JR Jr, Duncavage JA. Extended middle meatal antrostomy: the treatment of circular flow. Laryngoscope. 1996; 106: 1214- 1217.
Costa F, Emanuelli E, Robiony M, Zerman N, Polini F, Politi M. Endo - scopic surgical treatment of chronic maxillary sinusitis of dental origin. J Oral Maxillofac Surg 2007; 65: 223-228.
Dolanmaz D, Tuz H, Bayraktar S, Metin M, Erdem E, Baykul T. Use of pedicled buccal fat pad in the closure of oroantral communication: analysis of 75 cases. Quintessence Int 2004; 35: 241-246.
Engelke W, Capobianco M. Flapless sinus floor augmentation using endoscopy combined with CT scan-designed surgical templates: method and report of 6 consecutive cases. Int J Oral Maxillofac Implants. 2005; 20(6): 891-897.
Engelke W, Deckwer I. Endoscopically controlled sinus floor augmentation. A preliminary report. Clin Oral Implants Res. 1997; 8(6): 527-531.
Engelke W, Schwarzwäller W, Behnsen A, Jacobs HG. Subantro - scopic laterobasal sinus floor augmentation (SALSA): an up-to5-year clinical study. Int J Oral Maxillofac Implants. 2003; 18(1): 135-143.
Felisati G, Lozza P, Chiapasco M, Borloni R. Endoscopic removal of an unusual foreign body in the sphenoid sinus: an oral implant. Clin Oral Implants Res. 2007; 18: 776-780.
Griffa A, Viterbo S, Boffano P. Endoscopic-assisted removal of an intraorbital dislocated dental implant. Clin. Oral Impl. Res. 21, 2010; 778–780. doi: 10.1111/j.1600-0501.2009.01894.x
Güven O. A clinical study on oroantral fistulae. J Craniomaxillofac Surg 1998; 26: 267-271.
Hajiioannou J, Koudounarakis E, Alexopoulos K, Kotsani A, Kyrmizakis DE. Maxillary sinusitis of dental origin due to oroantral fistula, treated by endoscopic sinus surgery and primary fistula closure. J Laryngol Otol. 2010 doi:10.1017/S0022215110001027
Kennedy DW, Shaalan H. Reevaluation of maxillary sinus surgery: experimental study in rabbits. Ann Otol Rhinol Laryngol 1989; 98: 901-906.
Kim JW, Lee CH, Kwon TK, Kim DK. Endoscopic removal of a dental implant through a middle meatal antrostomy. Br J Oral Maxillofac Surg. 2007; 45: 408-409.
Kitamura A. Removal of a migrated dental implant from a maxillary sinus by transnasal endoscopy. Br J Oral Maxillofac Surg. 2007; 45: 410-411.
Lamb JF, Husein OF, Spiess AC. Ectopic molar in the maxillary sinus precipitating a mucocele: a case report and literature review. Ear Nose Throat J. 2009; 88: E6-E11.
Lopatin AS, Kapitanov DN. Endonasal removal of a large ethmoidal cementoblastoma. Rhinology. 2005; 43: 156-158.
Lopatin AS, Sysolyatin SP, Sysolyatin PG, Melnikov MN. Chronic maxillary sinusitis of dental origin: is external surgical approach mandatory? Laryngoscope 2002; 112: 1056-1059.
McMains KC. Safety in endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2008; 16: 247-251.
Micozkadioglu SD, Erkan AN. Endoscopic removal of a maxillary dentigerous cyst. B-ENT. 2007; 3: 213-216.
Nakamura N, Mitsuyasu T, Ohishi M. Endoscopic removal of a dental implant displaced into the maxillary sinus: technical note. Int J Oral Maxillofac Surg. 2004 Mar;33(2):195-197.
Nemec SF, Peloschek P, Koelblinger C, Mehrain S, Krestan CR, Czerny C. Sinonasal imaging after Caldwell-Luc surgery: MDCT findings of an abandoned procedure in times of functional endoscopic sinus surgery. Eur J Radiol 2009; 70: 31-34.
Nkenke E, Schlegel A, Schultze-Mosgau S, Neukam FW, Wiltfang J. The endoscopically controlled osteotome sinus floor elevation: a preliminary prospective study. Int J Oral Maxillofac Implants. 2002; 17: 557-566.
Seno S, Ogawal T, Shibayama M, Ogawa F, Fukui J, Owaki S, Suzuki M, Shimizu T. Endoscopic sinus surgery for the odontogenic maxillary cysts. Rhinology. 2009; 47: 305-309.
Ucer TC. A modified transantral endoscopic technique for the removal of a displaced dental implant from the maxillary sinus followed by simultaneous sinus grafting. Int J Oral Maxillofac Implants. 2009; 24: 947-951.
Varol A, Türker N, Göker K, Basa S. Endoscopic retrieval of dental implants from the maxillary sinus. Int J Oral Maxillofac Implants. 2006; 21: 801-804.
Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula:experience with 27 cases. Am J Otolaryngol 2003; 24: 221-223.
Zimbler MS, Lebowitz RA, Glickman R et al. Antral augmentation, osseointegration, and sinusitis: the otolaryngologist's perspective. Am J Rhinol 1998; 12: 311-316.
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