An unusual complication of osteotome sinus floor elevation: benign paroxysmal positional vertigo

Vernamonte, S.; Mauro, Vincenzo; Messina, Antonello Maria

doi:10.1016/j.ijom.2010.07.010

Cited by 32 publications

(15 citation statements)

References 8 publications

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“…None of the patients reported disorientation, nausea, or vertigo after OMSFE, but discomfort during osteotome hammering was frequently described. Benign paroxysmal positional vertigo has previously been reported after OMSFE with osteotome hammering due to detachment of otoliths from the otoconia layer of the utricular macula [17][18][19]. Although OMSFE induced benign paroxysmal positional vertigo is rare, the experience of postoperative disorientation and vertigo will certainly affect patient's perception of recovery.…”

Section: Discussionmentioning

confidence: 99%

Patient’s perception of recovery after osteotome-mediated sinus floor elevation with Bio-Oss collagen compared with no grafting material: a randomized single-blinded controlled trial

Starch‐Jensen

Bruun

2021

Int J Implant Dent

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Background Osteotome-mediated sinus floor elevation with or without a grafting material is associated with high implant survival, intrasinus bone gain, and low frequency of complications. However, patient’s perception of recovery and satisfaction with the surgical intervention are rarely reported. The objective of the present randomized controlled trial was to assess patient’s perception of recovery after osteotome-mediated sinus floor elevation with Bio-Oss collagen compared with no grafting material. Forty healthy patients were randomly allocated to Bio-Oss collagen or no grafting material. Oral health-related quality of life was assessed by Oral Health Impact Profile-14 at enrollment. Patient’s perception of recovery was assessed by self-administrated questionnaires and visual analog scale evaluating pain, social and working isolation, physical appearance, duration and quality of life alterations, eating and speaking ability, diet variations, and sleep impairment after 1 week and 1 month, respectively. Descriptive statistics was expressed as mean percentage with standard deviation. Correlation between impaired oral health-related quality of life, age, gender, and recovery were assessed by T test. Level of significance was 0.05. Results Osteotome-mediated sinus floor elevation is associated with high patient satisfaction, limited postoperative discomfort, and willingness to undergo similar surgery. Influence on patient’s daily life activities seems to be minimal and limited to the first postoperative days. Most patients managed to return to work and their routine daily activities after 0-2 days. Impaired preoperative oral health-related quality of life, gender, or younger age seems not to predispose for delayed recovery. However, number of days with pain, eating difficulties, and sleep disturbances were significantly increased with Bio-Oss collagen compared with no grafting material (P<0.05). Conclusion Patient’s discomfort seems to be minimal and limited to the first postoperative days following osteotome-mediated sinus floor elevation with or without a grafting material. Impaired preoperative oral health-related quality of life, gender, or younger age seems not to predispose for delayed recovery.

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Section: Discussionmentioning

confidence: 99%

Patient’s perception of recovery after osteotome-mediated sinus floor elevation with Bio-Oss collagen compared with no grafting material: a randomized single-blinded controlled trial

Starch‐Jensen

Bruun

2021

Int J Implant Dent

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“…The incidence ranged from 0% to 2.5% with a mean of 0.8%. Other complications reported were postoperative hemorrhage, nasal bleeding, blocked nose, hematomas and loosening of cover screws, resulting in suppuration and benign paroxysmal positional vertigo . The benign paroxysmal positional vertigo may cause substantial stress in the patient if not correctly identified and properly managed .…”

Section: Complicationsmentioning

confidence: 99%

Sinus floor elevation utilizing the transalveolar approach

Pjetursson¹,

Lang²

2014

Periodontology 2000

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A transalveolar approach for sinus floor elevation with subsequent placement of dental implants was first suggested by Tatum in 1986. In 1994, Summers described a different transalveolar approach using a set of tapered osteotomes with increasing diameters. The transalveolar approach of sinus floor elevation, also referred to as 'osteotome sinus floor elevation', the 'Summers technique' or the 'Crestal approach', may be considered as being more conservative and less invasive than the conventional lateral window approach. This is reflected by the fact that more than nine out of 10 patients who experienced the surgical procedure would be willing to undergo it again. The main indication for transalveolar sinus floor elevation is reduced residual bone height, which does not allow standard implant placement. Contraindications for transalveolar sinus floor elevation may be intra-oral, local or medical. The surgical approach utilized over the last two decades is the technique described by Summers, with or without minor modifications. The surgical care after implant placement using the osteotome technique is similar to the surgical care after standard implant placement. The patients are usually advised to take antibiotic prophylaxis and to utilize antiseptic rinses. The main complications reported after performing a transalveolar sinus floor elevation were perforation of the Schneiderian membrane in 3.8% of patients and postoperative infections in 0.8% of patients. Other complications reported were postoperative hemorrhage, nasal bleeding, blocked nose, hematomas and benign paroxysmal positional vertigo. Whether it is necessary to use grafting material to maintain space for new bone formation after elevating the sinus membrane utilizing the osteotome technique is still controversial. Positive outcomes have been reported with and without using grafting material. A prospective study, evaluating both approaches, concluded that significantly more bone gain was seen when grafting material was used (4.1 mm mean bone gain compared with 1.7 mm when no grafting material was utilized). In a systematic review, including 19 studies reporting on 4388 implants inserted using the transalveolar sinus floor elevation technique, the 3-year implant survival rate was 92.8% (95% confidence interval: 87.4-96.0%). Furthermore, a subject-based analysis of the same material revealed an annual failure rate of 3.7%. Hence, one in 10 subjects experienced implant loss over 3 years. Several of the included studies demonstrated that transalveolar sinus floor elevation was most predictable when the residual alveolar bone height was 5 mm and the sinus floor anatomy was relatively flat. AbstractA trans-alveolar approach for sinus floor elevation with subsequent placement of dental implants was first suggested by Tatum in 1986. Later on, Summers (1994) described a different transalveolar approach using set of tapered osteotomes with increasing diameters. The trans-alveolar approach, also referred to as "Osteotome Sinus Floor Elevation (OSFE)",...

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“…BPPV is poorly recognized as a complication of OSFE among dental and maxillofacial surgeons [3][4][5]. To the best of our knowledge, there are six reported cases of BPPV after OSFE [7][8][9][10][11][12]. The deficiency of awareness with this clinical disorder can cause probable under-diagnosis and miss-out of BPPV cases.…”

Section: Discussionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo Following Sinus Floor Elevation in Patient with Antecedents of Vertigo

Akçay

Ulu

Kelebek

et al. 2016

J. Maxillofac. Oral Surg.

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Benign paroxysmal positional vertigo (BPPV) is an unfamiliar and rare complication occurring following osteotome sinus floor elevation (OSFE) and simultaneous implant placement. Etiology of this disorder is commonly displacement of otoliths by vibratory forces transmitted by osteotomes and mallet along with the hyperextension of the head during the operation, causing them to float around in the endolymph. This report presents a case of protracted BPPV following OSFE and simultaneous implant placement. A 43-year-old female suffered intense vertigo and nausea immediately after implant placement using an OSFE procedure. Upon further questioning after the procedure she gave an account of two times vertigo history within the last 9 years. Despite nootropic drug medication and canalith repositioning procedure applied by a specialist at operation night, the condition did not improve. Patient did not totally recover and was admitted again after 1 month. After repeated maneuvers, nine dosage intravenous serous fluid and piracetam administration the patient recovered. Duration of these procedures took 10 days and the patient was successfully treated with no recurrence of dizziness. Prevention and management of OSFE related BPPV are reviewed especially in patients having prior vertigo history in this report.

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An unusual complication of osteotome sinus floor elevation: benign paroxysmal positional vertigo

Cited by 32 publications

References 8 publications

Patient’s perception of recovery after osteotome-mediated sinus floor elevation with Bio-Oss collagen compared with no grafting material: a randomized single-blinded controlled trial

Patient’s perception of recovery after osteotome-mediated sinus floor elevation with Bio-Oss collagen compared with no grafting material: a randomized single-blinded controlled trial

Sinus floor elevation utilizing the transalveolar approach

Benign Paroxysmal Positional Vertigo Following Sinus Floor Elevation in Patient with Antecedents of Vertigo

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