Cone-beam computed tomographic analysis of sinus membrane thickness, ostium patency, and residual ridge heights in the posterior maxilla: implications for sinus floor elevation

2013 ◽  
Vol 25 (6) ◽  
pp. 755-760 ◽  
Author(s):  
Siddharth Shanbhag ◽  
Prabodh Karnik ◽  
Prashant Shirke ◽  
Vivek Shanbhag
Keyword(s):  
Cone Beam ◽  
Membrane Thickness ◽  
Sinus Floor Elevation ◽  
Computed Tomographic ◽  
Posterior Maxilla ◽  
Sinus Floor ◽  
Tomographic Analysis ◽  
Sinus Membrane

Complication and salvage of sinus floor elevation in the maxillary sinus with asymptomatic and non-calcified fungus colonization: a case report

2020 ◽  
Author(s):  
Won-Bae Park ◽  
Young-Jin Kim ◽  
Jung Soo Park ◽  
Ji-Young Han ◽  
Hyun-Chang Lim
Keyword(s):  
Postoperative Management ◽  
Sinus Surgery ◽  
Radiographic Examination ◽  
Fungal Colonization ◽  
Membrane Thickness ◽  
Sinus Floor Elevation ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Sinus Floor ◽  
Sinus Membrane

The present study aimed to report: i) the sequela of sinus floor elevation (SFE) in the posterior maxilla with severe sinus membrane thickening and an undiagnosed fungal colonization but a patent ostium; and ii) a treatment course without implant removal. A 73-year-old woman underwent dental implant placement in the left posterior maxillary area. Although the patient was asymptomatic, severe sinus membrane thickening with Haller cells was observed on a radiographic examination, but the ostium was patent. After SFE and simultaneous implant placement, the patient developed acute sinusitis and was referred to an otolaryngologist. Functional endoscopic sinus surgery (FESS) was performed, resulting in resolution of the infection and salvage of the augmentation and the implant. The histopathologic examination revealed the fungal ball that could not be diagnosed on preoperative dental radiography. During the 2 years following the final prosthesis delivery, a significant reduction in membrane thickness was observed. The implants were functioning well. Clinicians should recognize fungal colonization as an etiology of sinus membrane thickening and provide proper pre- and postoperative management, including FESS.

scholarly journals Schneiderian membrane thickness: Cone Beam Computed Tomography analysis pre and post-sinus floor elevation procedures

2020 ◽  
Vol 30 (3) ◽  
pp. 11-19
Author(s):  
Cecilia González ◽  
◽  
Mario Sezin ◽  
Juan C Ibañez
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinus ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Membrane Thickness ◽  
Sinus Floor Elevation ◽  
Tomographic Images ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Sinus Mucosa

Objective: To evaluate the thickness of the maxillary sinus mucosa before and after performing the elevation of the maxillary sinus floor in partially and very edentulous patients in the posterior sector using cone beam computed tomography images. Methods: Pre and postsurgical tomographic images of 31 cases were included; 24 of which were a unilateral maxillary sinus floor elevation procedure, while 7 cases involved both pneumatic cavities. Measurements were taken at the sagittal and coronal planes. All of them, perpendicular to the sinus mucosa. A retrospective analysis of cone beam computed tomography was performed and the groups were compared with the Wilcoxon test for related samples and the variables graft size, preoperative membrane thickness, age and gender with multivariate analysis. Setting the level of statistical significance p <0.05. Results: A great variability of the thickness of the sinus membrane was confirmed, both in the pre-operative and in the post-operative. It was observed that the mean values in millimeters obtained in the pre-op were 1.45 and 1.12 in the post-op. The medians showed that the membrane thickness values are more atypical and more extreme in the preoperative values (0.79) than in the postoperative values (0.94), which are more normal and uniform. Conclusion: Under the conditions analyzed, there was an absence of changes in the dimensions of the sinus mucosa in the pre and postoperative period of the tomographic images, highlighting evidence of great inter-individual variability.

Axial Triangle of the Maxillary Sinus, and its Surgical Implication With the Position of Maxillary Sinus Septa During Sinus Floor Elevation: A CBCT Analysis

2020 ◽  
Vol 46 (4) ◽  
pp. 415-422
Author(s):  
Junho Jung ◽  
Jung Soo Park ◽  
Seoung-Jin Hong ◽  
Gyu-Tae Kim ◽  
Yong-Dae Kwon
Keyword(s):  
Maxillary Sinus ◽  
Surgical Techniques ◽  
Lateral Sinus ◽  
Sinus Floor Elevation ◽  
Second Molar ◽  
Sinus Wall ◽  
Posterior Maxilla ◽  
Significant Difference ◽  
Sinus Floor ◽  
Molar Region

The aim of this study was to measure the convexity of the lateral wall of the maxillary (Mx) sinus and identify the locational distribution of antral septa in relation to the zygomaticomaxillary buttress (ZMB), in order to suggest another anatomical consideration and surgical modification of sinus floor elevation procedures. This study was designed as a cross-sectional study, and a total of 134 patients and 161 sinuses containing edentulous alveolar ridges were analyzed. The angle between the anterior and lateral walls of the Mx sinus (lateral sinus angle [LSA]), and the angle between the midpalatal line and the anterior sinus wall (anterior sinus angle [ASA]) were measured. Mean LSAs and ASAs were 105.9° ± 9.86° and 58.4° ± 6.43°, respectively. No significant difference between left and right sides was found (LSA, P = .420; right = 105.5° ± 9.27°; left = 105.5° ± 9.27° and ASA, P = .564; right = 57.9° ± 6.80°; left = 58.8° ± 6.02°). The prevalence of septa was 37.3%, and it was most frequently noted in the second molar region (32.8%), followed by the first molar (20.9%), retromolar (16.4%), and second premolar regions (14.9%). Septa were most frequently located posterior to the ZMB (49.2%), while ZMB was mostly located in the first molar region (66.4%). Narrow LSAs may complicate the surgical approach to the posterior maxilla, especially when sinus elevation should be used in the second molar region. Considering the occasional presence of antral septa, membrane elevation may be complicated when a septum is encountered during the procedure. These results suggest that 3-dimensional examination of the convexity of the Mx sinus should be performed preoperatively to choose proper surgical techniques and minimize surgical complications.

scholarly journals Influence of Anatomical Parameters on the Dimensions of the Subantral Space and Sinus Mucosa Thickening after Sinus Floor Elevation. A Retrospective Cone Beam Computed Tomography Study

2021 ◽  
Vol 9 (7) ◽  
pp. 76
Author(s):  
Yuki Omori ◽  
Yasushi Nakajima ◽  
Hideki Imai ◽  
Daichi Yonezawa ◽  
Mauro Ferri ◽  
...  
Keyword(s):  
Cone Beam ◽  
Sinus Floor Elevation ◽  
Axis Parallel ◽  
Height Gain ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Maxillary Sinus Floor Elevation ◽  
Sinus Mucosa ◽  
Anatomical Parameters ◽  
Maxillary Sinuses

Background: Various anatomical parameters might influence the surgical approach for maxillary sinus floor elevation. The objective of the present study was to retrospectively evaluate the influence of anatomical parameters on the dimensions of the subantral space and of the sinus mucosa thickening after sinus floor elevation. Material and Methods: Seventy-eight maxillary sinuses in sixty-five patients were evaluated on cone beam computed tomographies taken before surgery and after one week (t1w) and nine months (t9m). Several parameters such as the distance XF between an axis parallel to the base of the nose (X-axes) and the sinus floor (F) were correlated with the height gain (IF) at t1w and t9m and the post-surgical edema. Results: A weak significant positive correlation was observed between height gain vs. sinus height of interest (XF), the balcony, and the sinus floor angle. The post-surgical edema was influenced by the initial mucosa thickness and the xenograft used. Conclusions: Various parameters might affect height gain and sinus mucosa thickening after sinus floor elevation. The height of interest, the balcony, and the sinus floor angle showed significant correlations with height gain. The initial thickness of the mucosa and the biomaterial used influenced the post-surgical edema.

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