In your opinion, how did this bone sequestrum end up in there?
Original text · Italian
secondo voi come si trova sto sequestro osseo la dentro?
Original conversation
Intrasinus bone mass encountered during a sinus lift: sequestrum or osteoma? Histological examination and postponed treatment
34 messages · In conversation order
It is intrasinus. This is not a bone sequestrum.
Original text · Italian
Intrasunusale. Nessun sequestro
It's an osteoma.
Original text · Italian
È un osteoma
I was registered. Where can I find the recording?
Original text · Italian
Io ero iscritta dove trovo la registrazione?
I elevated the anterior sinus septum.
Original text · Italian
ho rialzato, il setto anteriore
Furthermore, it has an Underwood septum anatomy.
Original text · Italian
oltretutto ha l anatomia underwood
And it moves together with the Schneiderian membrane.
Original text · Italian
e naviga insieme alla schneider
It could be an osteoid osteoma or an ossifying fibroma.
Original text · Italian
Potrebbe essere osteoma osteoide. O fibroma ossificante
I would like to remove it.
Original text · Italian
io vorrei toglierlo
That would require creating an access window and postponing the sinus lift.
Original text · Italian
significa forare e rimandare il rialzo
If you remove it yourself, submit the specimen for histological examination.
Original text · Italian
Se togli tu, provvedi ad esame istologico
Of course, I'm sorry to have to postpone
Original text · Italian
certo, mi dispiace dover rimandare
Technically, I should not encounter any problems.
Original text · Italian
tecnicamente non dovrei avere probemi
What if I used resorbable sutures and stabilised the graft with fibrin glue?
Original text · Italian
se suturassi con riassorbibile e stabilizzassi innesto con colla di fibrina?
Strongly discouraged.
Original text · Italian
Sconsigliato vivamente
Unless a bone block stabilised with screws is used.
Original text · Italian
A meno di utilizzare blocco osseo stabilizzato con viti
Should it be placed in 4% formalin?
Original text · Italian
va in formalina 4%?
Between 3% and 10%; this must be agreed with the receiving pathology laboratory.
Original text · Italian
Dal 3 al 10. Va concordato con l'istituto ricevente
Why do you describe it as a bone sequestrum?
Original text · Italian
Perché parli di sequestro?
because it is not connected to anything
Original text · Italian
perchè non è connesso a nulla
It was clearly trapped within inflamed mucosal tissue that held it in place.
Original text · Italian
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.
Original text · Italian
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
Original text · Italian
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.
Original text · Italian
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.
Original text · Italian
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.
Original text · Italian
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.
Original text · Italian
100% nessun fallimento
I did it.
Original text · Italian
l ho fatta io
Yes, after opening the site and elevating the membrane.
Original text · Italian
si, dopo aperto e scollato
So the CBCT showing the osteoma inside the sinus was acquired afterwards. My apologies; I had not understood that.
Original text · Italian
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
Original text · Italian
per capire se era collegato alla parete mediale
or if it was just floating
Original text · Italian
o se era proprio fluttuante
I didn't get it.
Original text · Italian
Non l'ho ricevuta
[number omitted]. Please send us a WhatsApp message with the email address at which you would like to receive it.
Original text · Italian
[numero omesso]. Ci invii qui un whatsapp con indirizzo email dove desidera riceverlo cortesemente