DDM and W. C. suggest different explanations for a bone mass in the sinus. They discuss removal, postponing the lift and histological examination; DDM also clarifies when the CT was acquired.
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It is intrasinus. This is not a bone sequestrum.
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Intrasunusale. Nessun sequestro
It's an osteoma.
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È un osteoma
I was registered. Where can I find the recording?
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Io ero iscritta dove trovo la registrazione?
I elevated the anterior sinus septum.
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ho rialzato, il setto anteriore
Furthermore, it has an Underwood septum anatomy.
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oltretutto ha l anatomia underwood
And it moves together with the Schneiderian membrane.
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e naviga insieme alla schneider
It could be an osteoid osteoma or an ossifying fibroma.
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Potrebbe essere osteoma osteoide. O fibroma ossificante
I would like to remove it.
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io vorrei toglierlo
That would require creating an access window and postponing the sinus lift.
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significa forare e rimandare il rialzo
If you remove it yourself, submit the specimen for histological examination.
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Se togli tu, provvedi ad esame istologico
Of course, I'm sorry to have to postpone
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certo, mi dispiace dover rimandare
Technically, I should not encounter any problems.
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tecnicamente non dovrei avere probemi
What if I used resorbable sutures and stabilised the graft with fibrin glue?
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se suturassi con riassorbibile e stabilizzassi innesto con colla di fibrina?
Strongly discouraged.
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Sconsigliato vivamente
Unless a bone block stabilised with screws is used.
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A meno di utilizzare blocco osseo stabilizzato con viti
Should it be placed in 4% formalin?
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va in formalina 4%?
Between 3% and 10%; this must be agreed with the receiving pathology laboratory.
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Dal 3 al 10. Va concordato con l'istituto ricevente
Why do you describe it as a bone sequestrum?
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Perché parli di sequestro?
because it is not connected to anything
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perchè non è connesso a nulla
It was clearly trapped within inflamed mucosal tissue that held it in place.
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chiaramente era imbrigliato in una mucosa infiammatoria che lo tratteneva
Please keep us informed. If it is an osteoma, to my knowledge it requires intrasinus curettage to prevent recurrence. Thank you for sharing the case.
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Tienici informati! Perché se è un osteoma da quel che so necessita di un curettage intrasinusale altrimenti recidiva. Grazie della condivisione
what I noticed, is that there was a lot of inflammatory tissue
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quello che ho notato, è che c era molto tessuto infiammatorio
During membrane elevation, I felt a type of firm tissue. To describe the sensation approximately: imagine rubbing a finger over a drop of cyanoacrylate glue, which forms a harder layer on the fingertip. The membrane felt similar to that.
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e quando ho scollato avvertivo una sorta di tessuto pseudo duro...per darvi la sensazione grossolanamente : avete presente quando strusciate il dito su una gocciolina di attack?si forma quello strato più duro sulla superficie del polpastrello. ecco la membrana era tipo così
I am referring to the thickened portion, and I removed everything I could see.
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parlo della parte inspessita....e ho tolto via tutto ciò che ho potuto vedere
Are you sure there was not a previous failed lateral-window sinus lift? The CBCT video you showed appears to reveal a lateral window.
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Sicuro che non ci sia stato il fallimento di un grande rialzo con botola laterale prima? Al video della cbct che hai mostrato sembra sia ststa effettuata una botola
I am 100% certain that there was no previous failure.
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100% nessun fallimento
I did it.
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l ho fatta io
Yes, after opening the site and elevating the membrane.
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si, dopo aperto e scollato
So the CBCT showing the osteoma inside the sinus was acquired afterwards. My apologies; I had not understood that.
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Quindi la cbct con l’osteona debtro la hai fatta dopo…scusami allora, non lo avevo capito
to understand if it was connected to the medial wall
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per capire se era collegato alla parete mediale
or if it was just floating
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o se era proprio fluttuante
I didn't get it.
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Non l'ho ricevuta
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