TY - JOUR
T1 - Brain abscess following dental implant placement via crestal sinus lift - A case report
AU - Manor, Yifat
AU - Garfunkel, Adi A.
N1 - Publisher Copyright:
© 2002-2018 Quintessence Publishing Group.
PY - 2018
Y1 - 2018
N2 - Purpose: To describe a rare case of odontogenic brain abscess. Materials and methods: A healthy, 35-year-old male had two dental implants placed in a simultaneously augmented maxillary sinus. One implant failed and the patient developed a maxillary sinusitis that failed to improve following antibiotic treatment at home. The neglected sinus infection led to formation of a brain abscess. The patient was hospitalised only when he had pan sinusitis with neurological signs. Symptoms were headache attacks, a subfebrile fever and a purulent secretion from the left nostril. The osteomeatal complex was blocked, the maxillary sinus was filled with pus and the Schneiderian membrane thickened. The patient was treated with intravenous antibiotic treatment. Computerised tomography (CT) and magnetic resonance imaging (MRI) scans and functional endoscopic sinus surgery (FESS), were implemented. When his conditions worsened, the patient underwent a left frontal mini craniotomy. Results: Following the craniotomy and antibiotic treatment, there was a gradual resolution and the patient was dismissed after 2 months in hospital with no neurological deficit or signs of sinusitis. Conclusions: Maxillary sinusitis following dental implant insertion and concomitant maxillary sinus elevation should be treated immediately and thoroughly since untreated sinusitis may cause lifethreatening situations such as a brain abscess. In case of severe infection, clinicians should refer immediately the patient to hospital specialists.
AB - Purpose: To describe a rare case of odontogenic brain abscess. Materials and methods: A healthy, 35-year-old male had two dental implants placed in a simultaneously augmented maxillary sinus. One implant failed and the patient developed a maxillary sinusitis that failed to improve following antibiotic treatment at home. The neglected sinus infection led to formation of a brain abscess. The patient was hospitalised only when he had pan sinusitis with neurological signs. Symptoms were headache attacks, a subfebrile fever and a purulent secretion from the left nostril. The osteomeatal complex was blocked, the maxillary sinus was filled with pus and the Schneiderian membrane thickened. The patient was treated with intravenous antibiotic treatment. Computerised tomography (CT) and magnetic resonance imaging (MRI) scans and functional endoscopic sinus surgery (FESS), were implemented. When his conditions worsened, the patient underwent a left frontal mini craniotomy. Results: Following the craniotomy and antibiotic treatment, there was a gradual resolution and the patient was dismissed after 2 months in hospital with no neurological deficit or signs of sinusitis. Conclusions: Maxillary sinusitis following dental implant insertion and concomitant maxillary sinus elevation should be treated immediately and thoroughly since untreated sinusitis may cause lifethreatening situations such as a brain abscess. In case of severe infection, clinicians should refer immediately the patient to hospital specialists.
KW - Brain abscess
KW - Dental implant
KW - Maxillary sinus augmentation
UR - http://www.scopus.com/inward/record.url?scp=85044129910&partnerID=8YFLogxK
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C2 - 29557405
AN - SCOPUS:85044129910
SN - 1756-2406
VL - 11
SP - 113
EP - 117
JO - European journal of oral implantology
JF - European journal of oral implantology
IS - 1
ER -