The condition lasted for many months, making Mr. S. tired, accompanied by symptoms of headache, heavy face, pain in both eye sockets, stuffy nose, and recurring foul-smelling discharge. Although he used many types of medicine, the situation did not improve. Worried about the unusual symptoms after wisdom tooth extraction, Mr. S. decided to go to Xuyen A Long An General Hospital for examination and treatment.
Perforation into the maxillary sinus
At the ENT Clinic, Mr. S. was directly examined by specialist doctor Pham Ngoc Thai Son and ordered a CT scan of the maxillofacial area.
The results showed that there was The hole in the 18th tooth area leads to the maxillary sinus. This causes the patient to drink water back up into the nose, causing prolonged sinusitis, nasal congestion, headaches and facial heaviness.
The doctors consulted and agreed on a plastic surgery plan to close the perforation by grafting the temporalis fascia to the patient. The doctor will separate and take a piece of temporalis fascia to graft to the perforation area, then use the mucosa of the palate and local mucosa to close the perforation, helping to regenerate the structure and prevent communication between the mouth and sinuses.
The surgery was a success, just a few days after the surgery, Mr. S's health improved significantly, his stuffy nose was gone, there was no more discharge, and his airway was clear again. The patient was discharged in a stable condition, and he was able to resume normal activities.

Doctor examines patient after surgery
PHOTO: YV
Maxillary sinus perforation after wisdom tooth extraction
On October 23, specialist doctor Pham Ngoc Thai Son, in charge of the Interdisciplinary Department, Xuyen A Long An General Hospital, said that maxillary sinus perforation after wisdom tooth extraction is one of the serious complications that can occur when extracting upper wisdom teeth.
The maxillary sinus is a hollow structure, which plays a role in ventilation and voice resonance, located quite close to the upper molars (teeth number 6, 7 and especially tooth number 8), separated by only a very thin bone plate. When the tooth extraction is performed incorrectly or the instrument is too strong, this bone plate is broken, creating a hole between the mouth and the sinus cavity, allowing bacteria to easily enter, leading to infection and chronic maxillary sinusitis.
From this we can see that although wisdom tooth extraction is just a minor surgery, if performed at a facility with poor reputation, without ensuring sterility or by an inexperienced doctor, the risk of complications will be very high.
Doctor Son recommends that patients should carefully research and choose reputable dental facilities with a team of highly qualified doctors and modern equipment to ensure safety during tooth extraction. At the same time, if there are unusual signs after tooth extraction such as prolonged pain, stuffy nose, water flowing back into the nose, smelly nasal discharge, etc., go to a medical facility immediately for timely examination.
Source: https://thanhnien.vn/sau-nho-rang-khon-nguoi-dan-ong-bi-nuoc-chay-nguoc-ra-mui-khi-uong-18525102323252313.htm






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