Resolución Clínica de Sinusitis Recurrente tras la Extracción de una Fresa Quirúrgica en el Seno Maxilar: Reporte de Caso

Autores/as

  • Vinícius Franzão Ganzaroli Ph.D. Student in Oral and Maxillofacial Surgery, Department of Diagnosis and Surgery, Araçatuba School of Dentistry, São Paulo State University (UNESP), 16015-050 Araçatuba - São Paulo, Brazil https://orcid.org/0000-0002-8590-4978
  • Adair Trepiche Junior MSc. Student in Stomatology, Department of Diagnosis and Surgery, Araçatuba School of Dentistry, São Paulo State University (UNESP), 16015-050 Araçatuba - São Paulo, Brazil https://orcid.org/0009-0008-6441-3919
  • Estêvão Lopes Pereira MSc. Student in Endodontic, Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University (UNESP), 16015-050 Araçatuba - São Paulo, Brazil https://orcid.org/0000-0002-9766-7519
  • Ana Carolina Zucon Bacelar Ph.D. Student in Oral and Maxillofacial Surgery, Department of Diagnosis and Surgery, Araçatuba School of Dentistry, São Paulo State University (UNESP), 16015-050 Araçatuba - São Paulo, Brazil https://orcid.org/0000-0003-2088-8417
  • Fernanda Coelho-Silva Ph.D. in Oral Radiology, Department of Diagnosis and Surgery, Araçatuba School of Dentistry, São Paulo State University (UNESP), 16015-050 Araçatuba - São Paulo, Brazil https://orcid.org/0000-0001-6107-647X
  • Leda Maria Pescinini Salzedas Assistant Professor on Oral Radiology and Imaging, Department of Diagnosis and Surgery, Araçatuba School of Dentistry, São Paulo State University (UNESP), 16015-050 Araçatuba - São Paulo, Brazil https://orcid.org/0000-0001-9017-0473
  • Wilton Mitsunari Takeshita São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil. https://orcid.org/0000-0001-5682-1498
  • Daniela Ponzoni São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil. https://orcid.org/0000-0001-5928-0914

DOI:

https://doi.org/10.21270/archi.v14i5.6445

Palabras clave:

Seno Maxilar, Sinusitis Maxilar, Tomografía Computarizada de Haz Cónico, Cuerpos Extraños

Resumen

Este informe describe la resolución clínica de una sinusitis recurrente tras la extracción de una fresa quirúrgica del seno maxilar (SM) utilizando la técnica modificada de Caldwell-Luc. Un hombre de 52 años acudió a la Clínica de Cirugía Bucomaxilofacial de la Facultad de Odontología de Araçatuba - UNESP, quejándose de dolores de cabeza recurrentes, sinusitis y edema facial durante un año, tras la extracción del diente #26 y una subsiguiente comunicación oroantral. El examen físico reveló edema en la región media de la cara izquierda, borramiento del fondo de saco, eritema y una fístula activa cerca del diente #23. Una radiografía panorámica mostró un cuerpo extraño radiopaco en el SM izquierdo. La tomografía computarizada de haz cónico (CBCT) reveló material hiperdenso similar a una fresa quirúrgica, fenestración óssea y raíces residuales. Se accedió al SM utilizando la técnica modificada de Caldwell-Luc, ampliando la fenestración ósea previa para extraer la fresa, realizar curetaje e irrigar el seno. La fístula fue extirpada y se extrajeron las raíces residuales del diente #24. El paciente permaneció en seguimiento clínico y radiográfico sin complicaciones. Las imágenes complementarias son cruciales para el diagnóstico y la planificación quirúrgica, y la técnica modificada de Caldwell-Luc es efectiva para la extracción de cuerpos extraños en el SM, ofreciendo una solución de bajo costo, limpieza completa del seno y prevención de la recurrencia de la fístula oroantral.

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Publicado

2025-05-10

Cómo citar

Ganzaroli, V. F., Trepiche Junior, A., Pereira, E. L., Bacelar, A. C. Z., Coelho-Silva, F., Salzedas, L. M. P., … Ponzoni, D. . (2025). Resolución Clínica de Sinusitis Recurrente tras la Extracción de una Fresa Quirúrgica en el Seno Maxilar: Reporte de Caso. ARCHIVES OF HEALTH INVESTIGATION, 14(5), 1499–1504. https://doi.org/10.21270/archi.v14i5.6445

Número

Vol. 14 Núm. 5 (2025)

Sección

Original Articles