Extensive Complex Odontoma in the Maxillary Sinus Pushing 3rd Molar Near the Orbital Floor Causing Transient Diplopia and Chronic Sinusitis: A Rare Presentation and Surgical Management

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• 作者：Monika Gupta (1)
  Debdutta Das (1)
  
  1. M.M. College of Dental Sciences and Research ; Mullana ; Ambala ; Haryana ; India
  
• 关键词：Extensive complex odontoma ; Transient diplopia ; Chronic sinusitis
• 刊名：Journal of Maxillofacial and Oral Surgery
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：14
• 期：1-supp
• 页码：338-340
• 全文大小：517 KB
• 参考文献：1. Howard, RD (1967) The unerupted incisor. A study of the post operative eruptive history of incisors delayed in their eruption by supernumerary teeth. Dent Pract Dent Rec 17: pp. 332-341
  2. Budnick, SD (1976) Compound and complex odontoma. Oral Surg Oral Med Oral Pathol 42: pp. 501-505 CrossRef
  3. Sales, MA, Cavalcanti, MG (2009) Complex odontoma associated with dentigerous cyst in maxillary sinus: case report and computed tomography features. Dentomaxillofac Radiol 38: pp. 48-52 CrossRef
  4. Lee, CH, Park, GJ (2008) Complex and compound odontomas are clinico-pathological entities. Basic Appl Pathol 1: pp. 30-33 CrossRef
  5. Sanchez, OH, Berrocal, MIL, Gonz谩lez, JMM (2008) Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal 13: pp. E730-E734
  6. Korpi, JT, Kainulainen, VT, Sandor, GKB, Oikarinen, KS (2009) Removal of large complex odontoma using Le Fort I osteotomy. J Oral Maxillofac Surg 67: pp. 2018-2021 CrossRef
  
• 刊物主题：Oral and Maxillofacial Surgery; Dentistry; Otorhinolaryngology; Plastic Surgery;
• 出版者：Springer India
• ISSN：0974-942X

文摘

Odontoma is a mixed odontogenic hamartoma involving both epithelial and mesenchymal tissues. If left untreated, it can lead to complications in certain conditions. Here is a rare presentation of an extensive complex odontoma in maxillary sinus pushing third molar near the orbital floor causing transient diplopia in upward gaze occasionally and chronic sinusitis. Although odontomata are not uncommon and are familiar to practitioners, but some aggressive cases may cause problematic sequelae. Even postoperative complications may result if oral surgeons are not aware of the potential pitfalls associated with the surgical removal of large maxillary antrum odontomata. This article reports a rare presentation which can be considered unique because when obstruction of sinus drainage is evident, serious complications such as orbital infections, epidural and subdural empyema, meningitis, cerebritis, cavernous sinus thrombosis, brain abscess and death can occur. It also addresses points and pitfalls concerning surgery to remove odontoma.