Removal of Maxillary Sinus Antrolith and Concomitant Intrasinus Augmentation

Maxillary sinus antrolithisis is a rare finding. Conservative surgical removal recommended. In the patients that need to maxillary intrasinus augmentation and antrolith is observed in preoperative radiography, 2 options remain. First, doing Caldwell-luc surgery to remove antrolith and delayed open sinus lift. Second way is removing antrolith and concomitant intrasinus augmentation. The first way has 2 disadvantages: prolonged waiting period and difficulty of open sinus lift in sinuses with scar and fibrosis. Coupling these 2 surgeries and using corticocancellous bone block as grafting material are recommended by us. Buccal fat pad is a good option to isolate this graft from maxillary sinus. Address correspondence and reprint requests to Saeedeh Khajehahmadi, DDS, Dental Research Center, Mashhad University of Medical Sciences, Vakilabad Blvd, Mashhad 91735, Iran; E-mail: khajehahmadis@mums.ac.ir Received 2 December, 2017 Accepted 9 January, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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