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All Journal e-GIGI Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya
Trihandoko, Feri
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Dentistry Health Professions Medicine & Pharmacology

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Ektopik Gigi 18 Simtomatik pada Sinus Maksilaris: Laporan Kasus Istadi, Didit; Trihandoko, Feri
e-GiGi Vol. 13 No. 1 (2025): e-GiGi
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/eg.v13i1.53703

Abstract

Abstract: Ectopic tooth locations outside the normal jaw arch such as on the maxillary sinus are rare. The presence of ectopic signs is often found accidentally by dentists during oral cavity examinations. This is due to the absence of symptoms or complaints in the early days. An understanding of the complications that may occur due to ectopic teeth is very necessary for dentists in providing oral health education. We reported a 26-year-old woman complaining of swelling in her right cheek which had become increasingly painful one week before the examination. Orthopantomograph (OPG) x-ray showed that the right upper third molar was positioned on the right maxillary sinus. A CT scan was carried out to determine the position and boundaries of the third molar teeth. Surgery was performed to remove the upper right third molar tooth under general anesthesia using the Caldwell-Luc approach. The final control results showed significantly reduced pain and swelling. In conclusion, surgical excision using the Caldwell-Luc approach for an ectopic tooth into the maxillary anthrum with symptoms shows good results without significant complaints after the procedure. Good wound healing is observed in the 2nd and 3rd months after surgery. Keywords: ectopic tooth; complications; upper third molar; maxillary sinus    Abstrak: Lokasi gigi ektopik di luar lengkung rahang normal seperti pada sinus maksilaris merupakan kasus jarang. Adanya tanda-tanda ektopik sering kali ditemukan tidak sengaja oleh dokter gigi saat pemeriksaan rongga mulut. Hal ini disebabkan tidak adanya gejala ataupun keluhan pada masa-masa awal. Pemahaman tentang komplikasi yang mungkin terjadi akibat gigi ektopik sangat perlu bagi dokter gigi dalam memberi edukasi kesehatan mulut. Kami melaporkan seorang perempuan berusia 26 tahun, dengan keluhan bengkak di pipi kanan yang bertambah nyeri sejak satu minggu sebelum diperiksa. Rontgen ortopantomograf (OPG) menunjukkan gigi molar ketiga atas kanan posisi berada pada sinus maksilaris kanan. Selanjutnya dilakukan CT-scan untuk menentukan posisi dan batas-batas gigi molar ketiga tersebut. Pembedahan dilakukan untuk mengambil gigi molar ketiga kanan atas, di bawah pengaruh bius total, dengan pendekatan Caldwell-Luc. Hasil kontrol akhir menunjukkan nyeri dan bengkak berkurang secara signifikan. Simpulan laporan kasus ini ialah tindakan eksisi bedah dengan pendekatan Caldwell-Luc pada kondisi gigi ektopik ke dalam antrum maksilaris dengan gejala menunjukkan hasil yang baik dan tidak disertai keluhan berarti setelah tindakan, dengan hasil penyembuhan luka yang baik pada bulan ke-2 dan 3 pasca operasi. Kata kunci: gigi ektopik; komplikasi; molar ketiga atas; sinus maksilaris
Chronic rhinosinusitis unveiling a two decades ethmoid foreign body: a case report Trihandoko, Feri; Fitria Waffi Nur Aini
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.23900

Abstract

We report a case of a 50-year-old female who presented with rhinosinusitis-like symptoms, which she had been experiencing intermittently for over two decades. Her medical history revealed a nasal surgery performed approximately 22 years ago, after which she continued to experience unresolved symptoms despite multiple treatments. A Computed Tomography (CT) scan of the paranasal sinuses revealed findings with ethmoiditis, prompting the decision for endoscopic sinus surgery to address the underlying pathology. During surgery, a 3 cm gauze was discovered after opening the posterior ethmoid sinus. We highlight an unexpected foreign body inside the ethmoid sinus based on an unidentified picture from the CT scan, which we accidentally discovered during endoscopic surgery. This case underscores the importance of considering a retained foreign body as a potential cause of chronic rhinosinusitis, even many years after the initial surgical intervention. The unexpected identification of the gauze, which was not depicted in the preoperative CT scan, highlights the challenges in diagnosing retained foreign bodies within the complex anatomy of the sinuses. The report discusses the clinical presentation, diagnostic challenges, and management of this unusual case, contributing valuable insights to the literature on chronic rhinosinusitis and retained foreign bodies in the sinonasal region.
Co-Authors Fitria Waffi Nur Aini Istadi, Didit