Work

Endoscopic Retrieval of Displaced Maxillary Third Molar Crown: A Pediatric Endonasal Approach

Year: 2025

Type: article

Abstract: Iatrogenic displacement of third molars is a rare but significant complication of dental extractions, particularly in children where unique anatomic and developmental factors pose additional challenges. This report describes the case of a 12-year-old female who presented with a displaced maxillary third molar crown into the left maxillary sinus following dental extraction. This displacement resulted in acute orbital cellulitis, which was initially managed with oral antibiotic therapy. Endoscopic endonasal retrieval of the foreign body 4 months later was recommended after the initial infection was treated to reduce the risk of recurrent orbital and/or sinonasal infections. Surgical planning incorporated intraoperative navigation with existing cone beam computed tomography to minimize radiation exposure. The procedure was successful with no perioperative complications. This case highlights the importance of prompt recognition, careful surgical planning, and utilization of minimally invasive approaches to optimize outcomes while minimizing craniofacial morbidity in pediatric patients.

Source: Ear Nose & Throat Journal

DOI: 10.1177/01455613251386783

Authors: Bastien A. Valencia-Sanchez, Victor B. Hsue, Shelby C. Leuin, Vijay A. Patel

Institutions: Mayo Clinic in Florida, Cedars-Sinai Medical Center, University of California San Diego, Rady Children's Hospital-San Diego

Language: English

Topic: Facial Trauma and Fracture Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,650