A large-scale study of treatment methods for foreign bodies in the maxillary sinus

J Oral Sci. 2018;60(3):321-328. doi: 10.2334/josnusd.18-0109.


Recently, reports regarding a foreign body in the maxillary sinus have considerably increased, with the majority being iatrogenic cases resulting from dental treatment. This study involves an extensive review of the Japanese literature, including 112 papers from 1978 to 2017. These papers documented total 407 cases of a foreign body in the maxillary sinus. Among the 392 cases for which treatment details were available, the Caldwell-Luc approach was used for 216, the alveolar approach for 116, extraction using nasal endoscopy for 15, and extraction using oral endoscopy for eight. Spontaneous passage occurred in 19 cases, follow-up with medication was used in 17, and "other" was noted in one. This study determined that surgical removal remains the most common method for treating both tooth roots and other foreign bodies and that the Caldwell-Luc approach is used in majority of the surgeries. No marked differences were noted among the removal methods used in relation to the foreign body type.

Keywords: Caldwell-Luc approach; Maxillary sinus; foreign body.

Publication types

  • Review

MeSH terms

  • Endoscopy
  • Foreign Bodies / therapy*
  • Humans
  • Iatrogenic Disease
  • Japan
  • Maxillary Sinus*