Maxillary sinus polyps secondary to dental extraction

Polyps of the maxillary sinus were obtained from six patients who had repor ted upper tooth extraction with oroantral perforation prior to the developm ent of symptoms, from 11 patients with chronic sinusitis, and from 12 patie nts with allergy. Histopathological features, scanning electron microscopy of the polyp epithelium and clinical data were compared in those groups of patients. The post-traumatic polyps differed from those of other aetiologie s by showing the presence of granulomas, less numerous inflammatory cells w ith very few eosinophils, nearly normal surface epithelium (smaller surface area occupied by nonciliated epithelium, absence of epithelial squamous ce lls, normal frequence of goblet cells), rapid appearance of symptoms, and s horter duration of the disease. It seems that the specific characteristics of the injury-induced polyps results from a different mechanism of their fo rmation, involving primarily abnormal mucosal repair and to a lesser extent an inflammatory process.