A recurrent case of maxillary left maxillary sinusitis, due to tooth extraction, can cause pain, frequent episodes of swelling and nasal obstruction, as well as thick, greenish mucus.
When this occurs and the patient does not respond well to treatment with drugs and other conservative therapies, other treatments should be considered.
How is maxillary sinusitis diagnosed?
To diagnose maxillary sinusitis, a series of tests can be performed using resources such as the CBCT scanner. This type of tests allow to diagnose:
- Maxillary sinus obstruction.
- Presence of intrasinusal radiodense material
- Presence of a long-standing oroantral fistula.
What treatment should be performed?
Once the diagnosis has been made, the treatment to be followed is proposed, which will be a surgical intervention on the maxillary sinus. This intervention is similar to a bone grafting operation prior to the placement of dental implants.
During the operation, inflammatory material is removed and sent for analysis for possible hidden pathologies. Similarly, the sinus cavity is thoroughly cleaned, removing existing bacterial plaque.
When the area is clean and disinfected, the patient’s own platelet-rich plasma is introduced into the cavity to promote and stimulate healing. On the other hand, to close the fistula, a flap is made with the fat deposits located under the cheekbones. Finally, the surgical flap is closed and sutured.
How is the result after the procedure?
Once the postoperative period is over, it is confirmed that the sinusitis has completely disappeared, so that the patient can recover his quality of life completely.