After wisdom tooth extraction, man had water flowing back out of his nose when drinking

After having his wisdom teeth extracted at an outside facility, Mr. LVS, 47 years old, in Tay Ninh, began to experience a strange phenomenon: every time he drank water, the water flowed back out of his nose.

The condition lasted for several months, leaving Mr. S. exhausted, accompanied by recurring headaches, facial heaviness, pain in both eye sockets, and nasal congestion with foul-smelling discharge. Despite using various medications, 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.

A perforation communicating with the maxillary sinus.

At the ENT Clinic, Mr. S. was examined directly by Specialist Doctor Pham Ngoc Thai Son and ordered a CT scan of the maxillofacial region.

The results showed that there was The hole near tooth number 18 communicates with the maxillary sinus. This causes the patient to experience reflux into the nose whenever they drink water, leading to chronic sinusitis, nasal congestion, headaches, and facial heaviness.

The doctors consulted and agreed on a surgical plan to close the perforation using a temporalis fascia graft. The doctor will take a piece of temporalis fascia and graft it into the perforated area. Then, using palatal mucosa and local mucosa, the perforation will be closed, helping to reconstruct the structure and prevent communication between the mouth and sinus.

The surgery was successful, and just a few days after the operation, Mr. S.'s health improved significantly. His nasal congestion and discharge stopped, and his airways became clear again. The patient was discharged in stable condition and able to resume normal activities.

Doctor examines patient after surgery

PHOTO: YV

Maxillary sinus perforation after wisdom tooth extraction.

On October 23rd, Dr. Pham Ngoc Thai Son, Head of the Interdisciplinary Department at Xuyen A Long An General Hospital, stated 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.

Therefore, it can be seen that although wisdom tooth extraction is a minor surgery, if performed at a less reputable facility, 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