Complications of Maxillary Sinus Bone Augmentation: Prevention and Management

Tourbah, Bahige; Maarek, Harry

doi:10.1007/978-3-319-11448-4_8

Cited by 5 publications

(11 citation statements)

References 33 publications

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“…19 Bleeding can hinder a clear vision of the surgical field and should be adequately treated with electrocautery or bone wax to complete the procedure and to avoid the possibility that postoperative secondary vasodilatation could cause a hemosinus, which can occur even several hours after the end of the surgery. 3,60 Moreover, maintenance of the integrity of the anastomosis could contribute to bone graft neoangiogenesis, improving formation of regenerated tissue. 61 The purpose of this systematic review was to assess the type and incidence of intraoperative complications during sinus floor elevation with a lateral approach to ultimately evaluate whether there is evidence supporting the association between different surgical techniques and occurrence of complications.…”

Section: Risk Of Bias In Individual Studiesmentioning

confidence: 99%

Intraoperative Complications During Sinus Floor Elevation with Lateral Approach: A Systematic Review

Stacchi¹,

Andolsek²,

Berton³

et al. 2017

Int J Oral Maxillofac Implants

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To analyze the occurrence of intraoperative complications during sinus floor elevation with a lateral approach and their correlations with the technique adopted by surgeons. Materials and Methods: Electronic and manual searches resulted in 4,417 records on sinus floor elevation. Twenty-one randomized clinical trials (RCTs) and 11 prospective controlled clinical trials (CCTs) reporting occurrence of intraoperative complications were included. Risk of bias was assessed according to the Cochrane tool and a modified Downs and Black quality analysis for RCTs and CCTs, respectively. Results: Sinus membrane perforation and hemorrhagic events following vascular lesions were the only intraoperative complications reported by the selected studies with overall occurrences of 15.7% and 0.4%, respectively. Three different surgical devices (rotary instruments, piezoelectric osteotomes, and manual bone scrapers) were used to perform the lateral antrostomy. Ultrasonic devices and bone scrapers showed a lower incidence (10.9% and 6.0%, respectively) of membrane perforation compared with that of rotary instruments (20.1%). Among the different ultrasonic procedures, erosion of the lateral antral wall showed the lowest membrane perforations (4.7% incidence). Hemorrhagic complications seemed to be extremely infrequent with any surgical technique. Conclusion: Sinus membrane perforation was the most frequently described intraoperative complication during sinus floor elevation with a lateral approach. Thinning the lateral wall of the sinus before performing the antrostomy (either with ultrasonic devices or manual bone scrapers) seemed to be an important factor in preventing membrane perforation during sinus surgery. Further high-quality RCTs specifically investigating intraoperative complication occurrence are needed.

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Section: Risk Of Bias In Individual Studiesmentioning

confidence: 99%

Intraoperative Complications During Sinus Floor Elevation with Lateral Approach: A Systematic Review

Stacchi¹,

Andolsek²,

Berton³

et al. 2017

Int J Oral Maxillofac Implants

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show abstract

“…If the septum is low, a modified ''W'' shaped window may be created. 1,2 In either septum situation, the risk of perforating the Schneiderian membrane is very high and the buccal window of bone should not be inverted (trapdoor technique) 3 in the presence of the septum.…”

Section: Introductionmentioning

confidence: 99%

Osseodensified Crestal Sinus Window Augmentation: An Alternative Procedure to the Lateral Window Technique

Salgar

2020

Journal of Oral Implantology

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A novel minimally invasive technique, osseodensification, is proposed to facilitate maxillary sinus bone graft augmentation. The Osseodensified Crestal Window overcomes the previous limitations of traditional crestal approaches with respect to residual bone height (RBH) of ≤ 1.5 mm as well as vertical height of augmentation (> 10 mm). Three patients, healthy and non-smoking, with three distinct and difficult clinical situations requiring sinus augmentation and having a maximum of 1.5 mm RBH (0.4 mm – 1.5 mm) were selected for this procedure. Edentulous sections were large (entire posterior sextant, both with and without sinus septa), and small (single maxillary molar). The author ensured compliance with EQUATOR Guidelines (CARE Case Report Checklist). All healing was rapid and uneventful with no instances of sinus membrane perforation or other complications seen. The vertical increase in bone height ranged from 10.3 mm to 13.6 mm. The proposed crestal sinus lift technique is a potentially safe and effective procedure that overcomes the long-established restrictions of transalveolar sinus augmentation. The increase in bone height is comparable to that obtained with lateral window procedures. This innovative technique may possibly provide a viable alternative to the rationale for the lateral window approach.

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“…Complications appeared during or after the sinus membrane elevation are under meticulous investigation of different specialists. 1 Among peroperative ones are: sinus membrane perforation, hemorrhage/bleeding, buccal bone fracture, nonachievement of primary stability, and infraorbital nerve injury. 1 Postoperative complications are usually divided into acute and chronic: 2 bleeding, graft leak, wound opening, infections, endosinus extrusion of the implant, and modification of the mucosa.…”

Section: Sirmentioning

confidence: 99%

“…1 Among peroperative ones are: sinus membrane perforation, hemorrhage/bleeding, buccal bone fracture, nonachievement of primary stability, and infraorbital nerve injury. 1 Postoperative complications are usually divided into acute and chronic: 2 bleeding, graft leak, wound opening, infections, endosinus extrusion of the implant, and modification of the mucosa. 1 According to Barone et al 3 a Schneiderian membrane (synonym: mucoperiosteal lining of the maxillary sinus) perforation is the most common complication (noted in the 25 percent of performed sinus lifts).…”

Section: Sirmentioning

confidence: 99%