Combined maxillary sinus floor elevation and endonasal endoscopic sinus surgery for coexisting inflammatory sinonasal pathologies: a one‐stage double‐team procedure

Abu‐Ghanem, Sara; Kleinman, Shlomi; Horowitz, Gilad; Balaban, Sagi; Reiser, Vadim; Koren, Ilan

doi:10.1111/clr.12497

Cited by 20 publications

(13 citation statements)

References 28 publications

(52 reference statements)

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“…Forty-nine studies reported specific diagnostic criteria 7,10,16–62 and 14 studies did not report any diagnostic criteria (either original or referenced) for OS. 8,11,63–74 It should be noted that four articles 10,21,31,39 were retrospective radiological analyses and provided radiologic diagnostic criteria only.…”

Section: Resultsmentioning

confidence: 99%

Diagnostic Criteria for Odontogenic Sinusitis: A Systematic Review

Allevi

Fadda

Rosso

et al. 2020

Am J Rhinol�Allergy

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Background Odontogenic sinusitis affects a significant proportion of patients with paranasal sinus infections. Nevertheless, no shared diagnostic criteria for this condition have yet been implemented and published studies differ in their definition of the disease. Objective The present systematic review of the literature was undertaken to characterize and analyze the different diagnostic criteria currently employed for odontogenic sinusitis. Methods Systematic searches for studies published between 2009 and 2019 were performed in Medline, Embase, Web of Science, Cochrane Library, and ClinicalTrials.gov databases. Search criteria were designed to identify all studies focusing, even partially, on odontogenic sinusitis. Human original studies except single case reports published in the English, French, German, Spanish, or Italian language were included. We removed duplicate abstracts and conducted full-text reads, data extraction, and quality assessment procedures (using the Oxford Centre for Evidence-based Medicine levels of evidence and National Heart Lung and Blood Institute Study Quality Assessment Tools). We reviewed articles for diagnostic criteria, both in terms of definition and etiology identification. Results Among 1,000 unique citations, 63 studies were deemed eligible. Most articles (n = 45) were retrospective case series; a single randomized clinical trial was available. Only 49 studies reported diagnostic criteria, yet relied marginally on published guidelines (n = 10 articles) for identifying sinusitis, often choosing instead to develop their own clinical (n = 15 articles), endoscopic (n = 12 articles), and/or radiologic (n = 30 articles) criteria. For odontogenic focus identification, 14 papers required a multidisciplinary evaluation, 11 papers required a time relationship between dental procedures and sinusitis, 24 papers required oroscopy and/or dental evaluation, and 53 papers required computed tomography. Conclusions Current diagnostic criteria for odontogenic sinusitis are extremely heterogeneous. Establishing shared diagnostic criteria aimed at defining both sinusitis and related odontogenic foci would spur collaboration between investigators and support more comprehensive outcomes evaluations together with a better understanding of treatment options.

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Section: Resultsmentioning

confidence: 99%

Diagnostic Criteria for Odontogenic Sinusitis: A Systematic Review

Allevi

Fadda

Rosso

et al. 2020

Am J Rhinol�Allergy

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“…The present study showed that presence of a cyst in the maxillary sinus does not affect prognosis of the sinus bone graft. In this study, the total implant survival rate was 97.0%, which is similar to rates reported in previous studies, in which Bio‐Oss was used along or as a composite graft with amounts of autogenous bone …”

Section: Discussionmentioning

confidence: 99%

“…In this study, the total implant survival rate was 97.0%, which is similar to rates reported in previous studies, in which Bio-Oss was used along or as a composite graft with amounts of autogenous bone. 1,10 Although Caldwell-Lec surgery and endoscopic sinus surgery can be performed for complete cyst removal and to avoid recurrences, studies have proposed a period of 6 to 12 months for sinus augmentation after removal of an antral pseudocyst to allow for regeneration of new respiratory ciliated epithelium. 19,20 However, high complication rates and operative trauma can create challenges in terms of patient cooperation.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, according to a prospective study by Timmenga et al, the effect of maxillary sinus surgery does not appear to have clinical consequences in patients without signs of preexisting maxillary sinusitis . Several recent studies have considered the presence of a large cyst without signs of sinusitis as a reversible contraindication for sinus floor elevation, one that does not affect the prognosis of bone grafts . Complete cyst removal is the gold standard to manage cystic lesions; however, these techniques are limited by higher rates of injury and complications.…”

Section: Introductionmentioning

confidence: 99%

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Histological and clinical outcomes of lateral sinus floor elevation with simultaneous removal of a maxillary sinus pseudocyst

Qiu

2018

Clin Implant Dent Rel Res

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Background Maxillary sinus pathologies are a potential risk for failure of implant and bone augmentation. Management of lateral sinus floor elevation in the presence of a pseudocyst remains controversial, and reports on histological outcomes of endo‐sinus bone augmentation with maxillary cysts are scarce. Purpose To present a modified surgical technique for removal of maxillary pseudocyst with simultaneous sinus floor elevation, and to evaluate clinical and histological outcomes of the bone grafting. Materials and Methods Patients with a radiographic dome‐shaped opacity in the posterior maxillary sinus were included to receive lateral sinus floor elevation with simultaneous pseudocyst removal. Bone core specimens harvested from the lateral aspect of the augmentation sites were histomorphometrically analyzed. Data were recorded and evaluated in terms of survival rates and complications. Results A total of 15 patients were included who underwent 17 maxillary sinus augmentation surgeries. Implant survival rate was 97.0%. Bone biopsy specimens were obtained at 6 months after surgery. Histomorphometric analysis revealed that mean percentages of mineralized bone, bone substitute, and nonmineralized tissue were 24.9% ± 18.1%, 14.4% ± 12.5%, and 60.1% ± 12.44%, respectively. No recurrence of the pseudocyst was detected on radiographic examination. Conclusions The described technique could be successfully applied in clinical practice to perform sinus augmentation in the presence of pseudocysts.

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“…Additionally, rather than two‐stage or even three‐stage procedures, we applied one‐stage surgery that completed AP removal, MSFA and immediate implant placement all at once in all patients for the first time. A similar study completed simultaneous treatment of sinus diseases, MSFA and delayed implant placement by otorhinolaryngologists and maxillofacial surgeons (Abu‐Ghanem et al, 2015). At an average 9.9‐month follow‐up, recovered sinus function and good integration of bone grafts were observed in all patients, indicating promising outcomes of two‐stage surgery.…”

Section: Discussionmentioning

confidence: 99%

Maxillary sinus floor augmentation comparing removing versus retaining antral pseudocyst: A retrospective cohort study

Jiang

Ren

et al. 2022

Clinical Oral Implants Res

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Objectives: To retrospectively compare multilevel volumetric changes in both hard and soft tissues between antral pseudocyst (AP) removal and retainment before maxillary sinus floor augmentation (MSFA) and immediate implant placement. Material and methods:Twenty-six patients with 38 implants placed from 2016 to 2021 were included and divided according to a cohort design as follows: 13 removing the cyst (RC group) and 13 "leaving alone" the cyst (LC group). 3D radiographic parameters (primary outcome), 2D parameters and clinical records (secondary outcome) involving both hard and soft tissues were evaluated for four periods (T1: immediate postoperative, T2: 6-month, T3: 12-month, and T4: 2-to 5-year follow-up). Possible confounding factors, including sinus anatomical features and implant distribution, were also analyzed to eliminate their disturbance. Results:The 3D volumetric change rate of bone grafts in the RC group (−9.32% ± 10.01%) from T2 to T3 was significantly lower than that in the LC group (−19.8% ± 10.59%) (p < .05). The change rate of apical bone height (ABH), endo-sinus bone gain (ESBG) and other 2D parameters were not significantly different between the two groups.5.3% implants in RC group and 9.1% implants in LC group failed during follow-ups. 0% postoperative complications were observed in RC group. The Schneiderian membrane of RC group was significantly thinner than that of LC group at two measuring points in sinus. Conclusion:The present study demonstrated that compared to AP retainment, AP removal before MSFA and immediate implant placement can obtain higher bone graft volumetric stability and favorable prognosis.

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Combined maxillary sinus floor elevation and endonasal endoscopic sinus surgery for coexisting inflammatory sinonasal pathologies: a one‐stage double‐team procedure

Abstract: We first report the promising outcomes of the double-team one-stage SFE+ESS procedure performed by a combined team of otorhinolaryngologist and maxillofacial surgeons, including on patients presenting with an infection of the sinuses at the time of surgery.

Cited by 20 publications

References 28 publications

Diagnostic Criteria for Odontogenic Sinusitis: A Systematic Review

Diagnostic Criteria for Odontogenic Sinusitis: A Systematic Review

Histological and clinical outcomes of lateral sinus floor elevation with simultaneous removal of a maxillary sinus pseudocyst

Maxillary sinus floor augmentation comparing removing versus retaining antral pseudocyst: A retrospective cohort study

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