New York State Ear, Nose, and Throat Specialists' Views on Pre–Sinus Lift Referral

Abstract

Within the limits of the study, an attempt is made to develop a preoperative protocol, and 63 responses from ENT specialists suggested that the majority (58.7%) would recommend a maxillary CT scan before a sinus-lift surgery. Their greatest concerns were a prior sinus surgery, severe sinus inflammation, nasal/sinus obstruction, and oroantral fistulation.

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

“…A substantial number of responders (40.1%) recommended that patients with sinonasal symptoms, such as nasal obstruction, nasal discharge, and reduced sense of smell, also be referred by to an otorhinolaryngologist (Cote et al. ).…”

“…According to their results, the majority (58.7%) of responders recommended a maxillary CT scan before SFE and referral to an otorhinolaryngologist when there is an evidence of a pathologic maxillary sinus on CT scan. A substantial number of responders (40.1%) recommended that patients with sinonasal symptoms, such as nasal obstruction, nasal discharge, and reduced sense of smell, also be referred by to an otorhinolaryngologist (Cote et al 2011).…”

Multidisciplinary Management of Candidates for Maxillary Sinus Augmentation by a Surgeon and ENT Specialist

“…7,9 Patients with chronic sinusitis related to allergies are at higher risk of postoperative complications. 10 Therefore, it is highly recommended to control and resolve the symptoms prior to surgery, which can be done with steroids and antihistamines. It has been shown that chronic and subacute maxillary sinusitis developed in 1.3 and 4.5% of cases with sinus augmentation procedure respectively.…”

“…Referral to ENT specialist is not necessary in cases with normal anatomy or symptom-free small benign polyps (≤0.7 cm) without any compromised sinus drainage. 10 It has been demonstrated that mild postoperative inflammatory reaction is the result of transient physiological expression of mucosal lining defense system and the sinus can return to preoperative homeostasis after the procedure. Intrinsic potential of the sinus mucosal lining to achieve its original normal homeostatic status after sinus augmentation procedure is known as sinus compliance.…”

“…7,10 The main postoperative complications of sinus augmentation are protrusion of grafting materials into the sinus cavity followed by the perforation of Schneiderian membrane, formation of oroantral communication followed by wound dehiscence, displacement of the implant into the sinus due to the lack of primary stability, acute or chronic maxillary sinusitis, bone sequestration, and hematomas. 7,14,15 Perforation of the sinus membrane might happen due to overfilling of the created space, especially with sharp-angled grafting materials.…”