Tooth borne problems of the maxillary sinus are usually accessed by a transoral approach. Alternatively, the minimally invasive endoscopic transnasal surgical approach has to be considered
Maxillary sinus surgery
The maxillary sinus is a cavity is one of the paranasal sinuses. The tooth roots in the upper jaw are in close proximity to the maxillary sinus; in many cases the roots protrude into the cavity.
This close proximity means that, when teeth are removed in the upper jaw, the oral cavity and maxillary sinus may be linked (oroantral communication). If this connection is not closed directly, wound-healing disorders may occur, as may subsequently a chronic inflammation of the maxillary sinus. In more severe cases it is even possible that fluids or food may enter the maxillary sinus and hence the nose. An oroantral communication should therefore always be closed by means of a minor surgical procedure.
Infections of the teeth of the upper jaw are therefore frequently the cause of maxillary sinus problems, especially where these symptoms occur on only one side. These processes can have different manifestations, as for example in the form of a cyst or the accumulation of pus in the maxillary sinus.
In rare cases, a tooth may be displaced into the maxillary sinus, or foreign material introduced during dental treatment may enter the maxillary sinus via the root ends, which also leads to inflammation or reactions of the mucosa of the sinus.
The cause of maxillary sinus infection may, however, also be insufficient ventilation. This condition can arise if the mucosa of the paranasal sinuses are swollen due to chronic inflammation.
Typical symptoms of a maxillary sinus infection are dull, pressing pain that increases when the head is leaned forward. The maxillary sinuses are often sensitive to pressure or perkussion.
Initial therapy for a maxillary sinus inflammation is antibiotic treatment with, if necessary, irrigation to treat the acute inflammation in the sinus and thus alleviate the acute symptoms. The cause should then be remedied in between episodes of inflammation. An accurate diagnosis is required here, as lasting freedom from symptoms will come only when the cause of the inflammation is permanently removed.
Close cooperation with ENT specialists is very important to us in the diagnosis and therapy of maxillary sinus problems.
If surgery of the maxillary sinus is necessary, this can be carried out under local anaesthesia, sedation or general anaesthetic. Maxillary sinus surgery is, in most cases, possible via a minimally invasive endoscopic approach through the nose or a transoral approach depending on the cause of the problems.
We will be pleased to arrange a consultation at your convenience.