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Vol. 6 No. 4 (2010): B-ENT

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Published: Feb 16, 2020
Keywords:
Unilateral chronic maxillary sinusitis; foreign body, silastic; orbital floor repair

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S. Saussez
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium
O. Filleul
Laboratory of Anatomy, Faculty of Medicine and Pharmacy, University of Mons-Hainaut, 7000 Mons, Belgium
V. Mahillon
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium
M. Kamatchian
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium
G. Chantrain
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium

Maxillary sinusitis caused by the migration of a silastic implant used for an orbital floor reconstruction: a case report

Main Article Content

S. Saussez
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium
O. Filleul
Laboratory of Anatomy, Faculty of Medicine and Pharmacy, University of Mons-Hainaut, 7000 Mons, Belgium
V. Mahillon
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium
M. Kamatchian
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium
G. Chantrain
Department of Otorhinolaryngology, Head and Neck Surgery, CHU Saint-Pierre, 322 Rue Haute, 1000 Brussels, Belgium

Abstract

Maxillary sinusitis caused by the migration of a silastic implant used for an orbital floor reconstruction: a case report. Objective: The authors report on a patient whose unilateral chronic maxillary sinusitis was caused by the migration of a silastic implant used for orbital floor repair.



Case report: A 32-year-old woman presented with a three-year history of right-sided maxillary discomfort that was associated with a purulent discharge. Her medical history included chronic allergic rhinitis and the placement of a silastic implant after a right orbital floor fracture at the age of 14. The silastic implant was then removed endoscopically in a right maxillary sinus meatotomy. The symptoms improved within three weeks after surgery.



Conclusion: Orbital implant migration is a rare cause of chronic unilateral sinusitis, and it must be suspected on the basis of a careful anamnesis, appropriate clinical examination, and sinus computed tomography. Misdiagnosing such a condition may increase patient morbidity by leading to inappropriate treatment.


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