A modern approach to planning and surgical removal of a foreign body from a maxillary sinus: a clinical case
https://doi.org/10.33925/1683-3759-2022-27-3-258-262
Abstract
Relevance. If a foreign body is present in a maxillary sinus, it should be surgically removed. Endoscopic and radical surgery are the main methods. Clinician’s subjective feelings determine the surgical access, which can cause complications. Therefore, the search for new methods of planning and visualizing the operation stages remains relevant.
Materials and methods. Before the operation, the patient had a cone-beam computed tomography in a marker holder frame. The 3D slicer program allowed the segmentation of the foreign body and surrounding anatomical features. A marker, fixed on the patient's head, allowed transmitting information to the augmented reality glasses during the operation.
Results. The surgery was performed under local anesthesia in an outpatient facility. The diameter of the antrotomy hole was 5 mm. No postoperative complications were recorded.
Conclusion. The proposed technique provides significant visual control and minimal trauma to the sinus during surgery.
About the Authors
A. V. Lysenko
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Anna V. Lysenko, Senior Researcher, Department of Maxillofacial Surgery, Research Institute of Dentistry and Maxillofacial Surgery
Saint Petersburg
A. Y. Razumova
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Alexandra Y. Razumova, DDS, PhD, Associate Professor, Department of Oral and Maxillofacial Surgery
Saint Petersburg
A. I. Yaremenko
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Andrey I. Yaremenko, DDS, PhD, DSc, Professor, Head of the Department of Oral and Maxillofacial Surgery
Saint Petersburg
V. M. Ivanov
Peter the Great Saint Petersburg Polytechnic University
Russian Federation
Russian Federation
Vladimir M. Ivanov, PhD, DSc (Physics and Mathematics), Professor
Saint Petersburg
S. V. Strelkov
Peter the Great Saint Petersburg Polytechnic University
Russian Federation
Russian Federation
Sergey V. Strelkov, lead programmer
Saint Petersburg
A. A. Grigoriev
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Andrey A. Grigoryev, a 5-year student, dental school
Saint Petersburg
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Review
For citations:
Lysenko AV, Razumova AY, Yaremenko AI, Ivanov VM, Strelkov SV, Grigoriev AA. A modern approach to planning and surgical removal of a foreign body from a maxillary sinus: a clinical case. Parodontologiya. 2022;27(3):258-262. (In Russ.) https://doi.org/10.33925/1683-3759-2022-27-3-258-262
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