Exérese de corpos estranhos em seio maxilar com assistência de vídeo endoscopia: benefícios da técnica

Abstract

Despite being uncommon, the migration of foreign bodies into the maxillary sinus is one of the complications in dental procedures reported in the literature. The presence of a foreign body is capable of inducing inflammation of the sinus mucosa, causing the patient to present symptoms similar to non-odontogenic sinusitis. In these cases, surgical intervention of the maxillary sinus is necessary, which should be performed as soon as possible, to reduce possible sinus complications. Since the end of the 19th century, surgical techniques have been described, which have evolved with scientific knowledge. Nowadays, endoscopic approaches are the most accepted for accessing the maxillary sinus, as they help to visualize the cavity and allow tissue damage to be reduced, thus tolerant to the risk of complications and postoperative comorbidity. Through a literature review, using the PRISMA method, the objective was to identify the benefits presented by endoscopic accesses in relation to conventional accesses, such as the Caldwell-Luc technique. It was concluded from the study that the video endoscopic aid, when available, should always be used, as it improves surgical quality and is satisfactory to the patient.