Complications of maxillary sinus augmentations in a selective series of patients

Anavi, Yakir; Allon, Dror M.; Avishai, Gal; Calderon, Shlomo

doi:10.1016/j.tripleo.2007.09.021

Cited by 86 publications

(81 citation statements)

References 14 publications

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“…17 Others have reported that significant risk factors for postoperative maxillary sinusitis include perforation of the schneiderian membrane and age of patient, with the risk increasing for each additional year. [8][9][10][11] Interestingly, they showed a significant association between intraoperative perforation of the sinus membrane and subsequent occurrence of sinusitis, which was, nevertheless, found also in cases with an intact membrane. [8][9][10][11] Moreno Vazquez et al reviewed 200 consecutive sinus lift procedures, and they found postoperative sinusitis in 3.9% of the patients and intraoperative membrane perforation in 25.7% of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10][11] Interestingly, they showed a significant association between intraoperative perforation of the sinus membrane and subsequent occurrence of sinusitis, which was, nevertheless, found also in cases with an intact membrane. [8][9][10][11] Moreno Vazquez et al reviewed 200 consecutive sinus lift procedures, and they found postoperative sinusitis in 3.9% of the patients and intraoperative membrane perforation in 25.7% of the cases. 15 In contrast to the previous study, they did not find a relation between sinus membrane perforation and sinusitis.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

“…In most cases, complications resolve with no need for further surgery and with no substantial impact on implant survival; however, in some cases, complications may lead to complete loss of the graft material, thus compromising the subsequent implant-supported dental restoration. [8][9][10][11][12][13][14][15][16][17] Although the literature contains many reports describing the use of a myriad of bone substitutes, including allografts, xenografts, and alloplasts, autologous bone graft has been shown to be the only "material" to possess the three fundamental properties ("regenerative triad") of an ideal graft: osteogenesis, osteoinduction, and osteoconduction. [18][19][20][21] For this reason, autologous bone graft remains the gold standard for biologic management of alveolar ridge augmentation despite the risk of donor site morbidity and graft resorbtion.…”

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confidence: 99%

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Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Scolozzi

Perez

Verdeja

et al. 2016

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Objective. To evaluate the association between sinus bone graft and the development of fungus ball (FB) of the maxillary sinus. Study Design. The charts of all patients seen for surgical treatment of maxillary sinus FB following sinus bone grafting between 2006 and 2014 were reviewed. The charts of 49 participants were selected from our internal registry for comparison as controls. The association between FB and age, gender, smoking habits, associated co-morbidities, and bone grafting material was evaluated. FB of the maxillary sinus was estimated by using an odds ratio with a Yates' correction. P values were computed using Fisher's exact test, and the statistical significance was set at a P value < .05. Results. All 13 cases (100%) with FB of the maxillary sinus had received anorganic bovine bone as the bone substitute (P ¼ .0001). There were significantly more women in the case group than in the control group (84.6% in the cases vs 40.8% in the controls; P ¼ .01).Conclusions. This study demonstrated a significant association between a specific deproteinized bovine bone substitute use as sinus bone graft material and subsequent development of FB of the maxillary sinus. (Oral Surg Oral Med Oral Pathol Oral Radiol 2016;121:e143-e147) Fungus ball (FB) represents the most common form of noninvasive extramucosal fungal infection involving the paranasal sinuses and is encountered in almost 28.5% of patients suffering from chronic maxillary sinusitis. 1-3 Aspergillus fumigatus is, by far, the most frequent causative agent found in Europe, and the root canal overfilling with the passage of zinc oxide endodontic sealers into the maxillary sinus is the most commonly recognized risk factor for the development of FB in up to 84% of patients. [1][2][3][4][5][6] Although this form of sinusitis typically affects healthy adults and has a striking female predominance, several pathologic conditions, such as diabetes, immunodeficiency diseases, and immunosuppressive and chronic corticosteroid and antibiotic treatments have been pointed out as potential predisposing factors favoring the colonization and subsequent overgrowth of the fungal hyphae. [1][2][3] Since its first report in 1980 by Boyne and James, grafting of the maxillary sinus floor has rapidly become the most common surgical procedure used to increase the subantral alveolar bone height of the posterior maxilla for subsequent dental implant placement. 7 Although reported as a predictable and reliable procedure, sinus bone graft has, nevertheless, been associated with several intra-and postoperative complications, such as sinus membrane perforation, maxillary sinusitis, wound dehiscence with graft exposure, and graft infection. In most cases, complications resolve with no need for further surgery and with no substantial impact on implant survival; however, in some cases, complications may lead to complete loss of the graft material, thus compromising the subsequent implant-supported dental restoration. [8][9][10][11][12][13][14][15][16][17] Although the literature co...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Scolozzi

Perez

Verdeja

et al. 2016

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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“…The donor site was then protected with surgical cement (Coe Laboratories Inc. Chicago, IL, USA), which, after epithelization, leads to oroantral fistulae. The treatment for these fistulae, regardless of cause or level of progression, encompasses sinus decontamination and surgical closure of the communication, a procedure that should be carried out by an experienced oral surgeon, many times in association with an otolaryngologist 9 .…”

Section: Case Reportmentioning

confidence: 99%

Use of a palatal pedicle flap for closure of an oroantral fistula

Marcantonio

Palmieri

Gorga

et al. 2015

RGO, Rev. Gaúch. Odontol.

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Sinus lifting has become a routine procedure in modern implant dentistry. Despite RESUMOA cirurgia de elevação da mucosa do seio maxilar para enxerto ósseo e posterior colocação de implantes osseointegráveis vem se tornando um procedimento de rotina na implantodontia moderna. Embora previsível, em alguns casos, tal procedimento, pode levar a complicações e sequelas consideráveis. Na maioria das vezes, essas complicações são ocasionadas por falhas técnicas, como a perfuração da membrana sinusal no momento transcirúrgico, o que pode acarretar perda do enxerto devido a um processo infeccioso no interior do seio maxilar, cuja via de drenagem acaba provocando a comunicação com a cavidade oral. A fístula bucossinusal é caracterizada pela persistência e epitelização desse pertuito. Neste relato é apresentado um caso de fechamento de fístula bucossinusal com o uso de um retalho palatino pediculado, em um paciente que havia desenvolvido um processo infeccioso, após ter sido submetido à realização de uma cirurgia para a elevação do seio maxilar. A cirurgia para o fechamento das comunicações bucossinusais apresenta técnicas variadas, que podem ser eleitas de acordo com as preferências do operador, além da localização e características da comunicação. Para o presente relato de caso, a técnica do retalho palatino pediculado foi eleita para o tratamento cirúrgico, proporcionando a cura do paciente. A técnica do retalho palatino pediculado mostrou-se uma opção adequada para o fechamento da fístula bucossinusal em um único ato cirúrgico, sem perda de mucosa ceratinizada ou diminuição do sulco vestibular na região da fístula.Termos de indexação: Implantes dentários. Transplante. Transplante homólogo. Use of a palatal pedicle flap for closure of an oroantral fistulaFechamento de fístula bucossinusal com retalho palatino pediculado

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The Applications and Limitations of Advanced (3‐Dimensional) Radiographic Imaging Techniques

Tai¹,

Tatakis²,

Chien³

2014

Clinical Maxillary Sinus Elevation Surgery

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Complications of maxillary sinus augmentations in a selective series of patients

Cited by 86 publications

References 14 publications

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

Use of a palatal pedicle flap for closure of an oroantral fistula

The Applications and Limitations of Advanced (3‐Dimensional) Radiographic Imaging Techniques

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