Otolaryngologist Referral Required for Maxillary Sinus Pathology Observed on Cone-beam Computed Tomography Before Sinus Floor Elevation: A Case Report
황인경, 김태일, 조영단,
소속 상세정보
황인경 ( Hwang In-Kyung ) - Seoul National University Department of Periodontology
김태일 ( Kim Tae-Il ) - Seoul National University College of Agriculture and Life Sciences Department of Biosystems and Biomaterials Science and Engineering
조영단 ( Cho Young-Dan ) - Seoul National University School of Dentistry Department of Periodontology
Abstract
Inverted papilloma is an uncommon sinus pathology usually affecting the maxillary sinus walls in its early stages. Although histologically benign, it has a relatively strong potential for local destruction, high recurrence rate, and the possibility of carcinomatous change. The current standard treatment is surgical removal by endoscopic sinus surgery. Since cone-beam computed tomography (CBCT) in dental clinics provides precise views of the maxillary sinus via high-resolution images, dentists can detect pathological alterations in the maxillary sinus, including inverted papilloma, and
refer the patients to otolaryngologists in the early stage. This report documents a case of inverted papilloma detected on CBCT in the initial stage, which was treated by an otolaryngologist before implant placement. Finally, implant placement with osteotome sinus-floor elevation was safely performed after treating the neoplasm.
키워드
Cone beam CT; Inverted papilloma; Maxillary sinus; Sinus floor augmentation
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