Maxillary Sinusitis as a Complication of Zygomatic Implants Placement: A Narrative Review

Nocini, Riccardo; Panozzo, Giorgio; Trotolo, Alessandro; Sacchetto, Luca

doi:10.3390/app12020789

Cited by 4 publications

(3 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, in some anatomical situations, the extra-maxillary technique allows maintaining the sinus membrane intact and thus avoids rhinosinusal complications. Finally, a prosthetic-driven implant positioning with an optimized biomechanical design of the prosthesis is expected to reduce prosthetic complications [ 56 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

Success Rates of Zygomatic Implants for the Rehabilitation of Severely Atrophic Maxilla: A Systematic Review

Solà Pérez,

Pastorino,

Aparicio

et al. 2022

Dentistry Journal

View full text Add to dashboard Cite

Zygomatic implants are a treatment solution for patients with severe maxillary atrophy. This treatment option allows delivering immediate fixed teeth within 24 h. Numerous peer-reviewed publications have reported different success rates, resulting in a disagreement on the topic. Therefore, the overall efficacy and predictability of this rehabilitation is still a matter of discussion. With this study, we aimed to identify the published literature on the use of zygomatic implants for the reconstruction of the severely atrophic maxilla and report the cumulative success rate (CSR) as a function of follow-up time. A systematic review of the literature on zygomatic implant for the treatment of severe maxillary atrophy was performed and 196 publications were included in the study. The cumulative success rate of zygomatic implants for the treatment of severe maxillary atrophy was 98.5% at less than 1 year, 97.5% between 1 and 3 years, 96.8% between 3 and 5 years and 96.1% after more than 5 years. The most commonly reported complications were soft tissue dehiscence, rhinosinusitis and prosthetic failures. The treatment of severe lack of bone in the upper maxilla with zygomatic implants is a safe procedure, reaching a cumulative success rate of 96.1% after more than 5 years.

show abstract

Section: Discussionmentioning

confidence: 99%

Success Rates of Zygomatic Implants for the Rehabilitation of Severely Atrophic Maxilla: A Systematic Review

Solà Pérez,

Pastorino,

Aparicio

et al. 2022

Dentistry Journal

View full text Add to dashboard Cite

show abstract

“…Nocini systematically reviewed maxillary sinusitis as a complication of zygomatic implant placements in 11 papers, and found that 12.3% patients presented maxillary sinusitis. 9 However, only 4 studies evaluated sinusitis (both clinical and radiological evaluations). The most common treatment was antibiotics alone or combined with FESS.…”

Section: Prevention Of Sinusitis In Zygomatic Implant Surgerymentioning

confidence: 99%

Sinusitis Following Reduction Malarplasty

Hwang

Park

2023

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

The aim of this paper was to search for reported cases of sinus infection following reduction malarplasty and present guidelines for the prevention of sinusitis. Two cases of maxillary sinusitis that developed after reduction malarplasty has been reported, which were treated with endoscopic sinus surgery. Histologically, thickness of the mucosal lining of the maxillary sinus (Schneiderian membrane) was 0.41 mm at sinus floor, and 0.38 mm at 2 mm above the floor. In functional endoscopic sinus surgery (FESS), the uncinate process is removed, exposing the hiatus semilunaris. The anterior ethmoid air cells are opened, allowing better ventilation but leaving the bone covered with mucosa. FESS improves the function of the osteomeatal complex and therefore provides better ventilation of the sinuses. In odontogenic maxillary sinusitis, regeneration of the mucosal lining (ciliated epithelium regeneration and bone healing) was achieved in 1.4±1.2 years after modified endoscopic sinus surgery. In in zygomatic implant surgery, 12.3% patients presented maxillary sinusitis, and the most common treatment was antibiotics alone or combined with FESS. To prevent sinusitis after reduction malarplasty, accurate osteotomy and fixation are needed, especially when using only an intraoral incision. After surgery, radiological examinations (Water’s view, computed tomography if needed) should be performed as part of follow-up. Prophylactic antibiotics (macrolides) are recommended for 1 week if the sinus wall is opened. If swelling or air-fluid level persists, re-exploration and drainage should be performed. In patients with risk factors such as age, comorbidities, smoking, nasal septal deviation, or other anatomical variants, simultaneous FESS is suggested.

show abstract

“…Zygomatic implants have demonstrated their effectiveness as a viable solution in addressing the challenges of managing atrophic edentulous maxilla [3][4][5][6] and maxillectomy defects [7]. Brånemark introduced these implants to cater to patients requiring prosthetic rehabilitation due to extensive maxillary defects resulting from tumor resections, trauma, and congenital issues [8].…”

Section: Introductionmentioning

confidence: 99%

Five Steps for the Maintenance and Interception of Complications in Zygomatic Implants

Sanavia,

Vallerga,

Alessi

et al. 2023

Dentistry Journal

View full text Add to dashboard Cite

Zygomatic implants are used for the rehabilitation of the upper jaw of patients with severe and moderate bone atrophy. Possible post-surgical complications include soft tissue dehiscence, sinusitis, and prosthodontic fractures, and maintaining an accurate control is crucial. Additionally, zygomatic implants have a unique peri-implant anatomy, making traditional periodontal parameters unsuitable. The present paper aims to provide guidelines for the maintenance and interception of complications in patients rehabilitated with these kinds of implants. The proposed protocol includes: 1. intra/extraoral and temporo-mandibular joint examination; 2. soft tissue and transmucosal path observation with magnifiers; 3. peri-implant health indices and digital stimulation of tissues; 4. examination of prosthodontic devices; and 5. photographic recording. These steps facilitate the comprehensive evaluation and monitoring of clinical conditions of zygomatic-supported rehabilitations, including dehiscence and occlusal wear during follow-up appointments.

show abstract

Maxillary Sinusitis as a Complication of Zygomatic Implants Placement: A Narrative Review

Cited by 4 publications

References 38 publications

Success Rates of Zygomatic Implants for the Rehabilitation of Severely Atrophic Maxilla: A Systematic Review

Success Rates of Zygomatic Implants for the Rehabilitation of Severely Atrophic Maxilla: A Systematic Review

Sinusitis Following Reduction Malarplasty

Five Steps for the Maintenance and Interception of Complications in Zygomatic Implants

Contact Info

Product

Resources

About