Sinüs Ogmentasyonu Sonrasında Oluşan Akut Maksiller Sinüzit Tablosunun Yönetimi; Olgu Sunumu

Year 2025, Volume: 7 Issue: 2, 269 - 276, 29.08.2025

Emine Asena Singer , Burcu Baş

Abstract

Uzun süreli dişsizlik durumlarında, maksillanın posterior bölgesinde gelişen atrofi, implant cerrahisi sırasında önemli zorluklar oluşturabilir. Sinüs tabanı yükseltme operasyonu, atrofik maksillada implant yerleştirilebilmesine olanak sağlayan, sık kullanılan cerrahi yöntemlerden biridir. Sinüs tabanı yükseltme cerrahisi genellikle güvenli bir prosedür olarak kabul edilse de, ameliyat sırasında ve sonrasında çeşitli komplikasyonlar görülebilir. Bu özel vaka raporu, eksternal sinüs tabanı yükseltme işlemi ile aynı anda implant cerrahisi yapılan bir hastada gelişmiş postoperatif akut sinüzit tablosunu ve vaka yönetimini anlatmaktadır. Dikkat çekici bir şekilde, hastanın sinüs enfeksiyonu, ek bir cerrahi müdahale gerektirmeksizin sadece ilaç verilerek tedavi edilmiş ve implantasyon başarıyla tamamlanmıştır. Sonuç olarak; cerrah, enfeksiyon yönetimi konusunda yeterli bilgi sahibi olmalıdır. Bazı vakalarda etiyolojik kaynağın kaldırılması düşüncesiyle, tedaviye direkt invaziv şekilde başlamak gereksiz olabilirken bazılarında agresif tedavi endike olabilir. Enfeksiyonla mücadelede etiyolojik kaynağın doğru belirlenmesi ve doğru tedavi seçimi oldukça önemlidir. Böylelikle hasta eksik tedavi sonucu yaşanacak başarısız sonuçtan veya gereksiz cerrahi işlemlerden korunmuş olur.

Keywords

maksiller sinüzit , maksiller sinüs ogmentasyonu , antibiyotik tedavisi

Management of Acute Maxillary Sinusitis After Sinus Augmentation Procedure; A Case Report

Abstract

In cases of long-term tooth loss, the development of atrophy in the posterior maxilla can present substantial challenges during implant surgery. One common surgical approach employed to address this issue is sinus floor elevation surgery, which facilitates the placement of dental implants in atrophic maxillary regions. While sinus floor elevation surgery is generally regarded as a safe procedure, it is noteworthy that various complications have been documented both intraoperatively and in the postoperative period. This particular case report pertains to a patient who underwent external sinus floor elevation with simultaneous graft placement and implant surgery in the posterior maxilla, resulting in the onset of a sinus infection and its subsequent management. Remarkably, the patient's sinus infection was treated through medication means without necessitating further surgical intervention. The implant treatment proceeded successfully and reached completion. As a result, the surgeon should possess sufficient knowledge in the management of infections. In some cases, initiating treatment directly invasively with the idea of removing the etiological source may be unnecessary, while in others, aggressive treatment may be indicated. Accurate identification of the etiological source and the appropriate choice of treatment are crucial in combating infections. This way, the patient is protected from potential unsuccessful outcomes or unnecessary surgical procedures resulting from incomplete treatment.

Keywords

maxillary sinusitis , maxillary sinus augmentation , antibiotic therapy

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