https://archhealthinvestigation.emnuvens.com.br/ARCHI/issue/feedARCHIVES OF HEALTH INVESTIGATION2025-05-10T19:37:13-03:00Archives of Health Investigationcristina.rosifini@unesp.brOpen Journal Systems<p><strong><em>Missão:</em></strong> A<em><strong> Revista Archives of Health Investigation </strong></em> tem por objetivo a divulgação GRATUITA e com LIVRE ACESSO do conhecimento nas diversas áreas das Ciências da Saúde, por meio de artigos originais de pesquisa básica e aplicada, epidemiologia e educação, além de artigos de revisão, relatos de caso, editoriais e anais de encontros científicos. Os conceitos estabelecidos nos trabalhos publicados na <em><strong>Revista Archives of Health Investigation </strong></em>são de total responsabilidade dos autores, não refletindo obrigatoriamente a opinião do Editor Científico ou do Corpo Editorial. A<em><strong> Revista Archives of Health Investigation </strong></em><span style="text-decoration: underline;"><strong>não cobra taxa de publicação.</strong></span></p>https://archhealthinvestigation.emnuvens.com.br/ARCHI/article/view/6445Clinical Resolution of Recurrent Sinusitis after Removal of Surgical Drill in the Maxillary Sinus: Case Report2025-03-18T22:24:11-03:00Vinícius Franzão Ganzarolivinicius.ganzaroli@unesp.brAdair Trepiche Juniora.trepiche@unesp.brEstêvão Lopes Pereiraestevao.pereira@unesp.brAna Carolina Zucon Bacelarana.bacelar@unesp.brFernanda Coelho-Silvasilva.fernanda.coelho@gmail.comLeda Maria Pescinini Salzedasleda.salzedas@unesp.brWilton Mitsunari Takeshitawilton.takeshita@unesp.brDaniela Ponzonidaniela.ponzoni@unesp.br<p>This report describes the clinical resolution of recurrent sinusitis after removing a surgical drill from the maxillary sinus (MS) using the modified Caldwell-Luc technique. A 52-year-old male presented at the Oral and Maxillofacial Surgery Clinic of Araçatuba School of Dentistry - UNESP, complaining of recurrent headaches, sinusitis, and facial edema for one year, following the extraction of tooth #26 and subsequent oroantral communication. Physical examination revealed edema in the left midface, effacement of the fornix fundus, erythema, and an active fistula near tooth #23. A panoramic radiograph showed a radiopaque foreign body in the left MS. Cone beam computed tomography (CBCT) revealed hyperdense material resembling a surgical drill, bone fenestration, and residual roots. The MS was accessed using the modified Caldwell-Luc technique, expanding the previous bone fenestration to remove the drill, perform curettage, and irrigate the sinus. The fistula was excised, and residual roots of tooth #24 were extracted. The patient remained under clinical and radiographic follow-up with no complications. Complementary imaging is crucial for diagnosis and surgical planning, and the modified Caldwell-Luc technique is effective for foreign body removal in the MS, offering a low-cost solution, complete sinus cleansing, and prevention of oroantral fistula recurrence.</p>2025-05-10T00:00:00-03:00Copyright (c) 2025 ARCHIVES OF HEALTH INVESTIGATION