Dr. T asks:
I recently placed 4 implants as shown in the OPG 5 weeks ago (please see images below). Since the surgery my patient has had watery nasal discharge (a runny nose). The discharge is colorless and he has no symptoms of sinusitis, no sneezing or congestion. He reports his nose running occasionally 2 or 3 times a day for short durations. He notes it is getting less but still not gone away.
Details of the surgery: Healthy patient being a former smoker 10 years ago. CT showed no sinus pathology. Sinus was elevated. The bone graft was a mix of autogenous bone, and harvested from the patient’s hip, mixed with Cerasorb [Curasan], a synthetic bone material and metronidazole. A small perforation was evident and covered with collatape (Zimmer). Implants 16 and 17 were placed at the same time with excellent stability. 14 implant has been angled away from the anterior wall. Tooth 15 will be extracted later. Patient placed on Augmentim 625mg bidx10days.
My question: Should this runny nose be indication to restart antibiotics now? Have other Drs seen acute/chronic post nasal drip or watery discharge occurring after sinus lift augmentation? If so, what can be done? Should this just be referred to an ENT?