The Sinus Membrane–Maxillary Lateral Wall Complex: Histologic Description and Clinical Implications for Maxillary Sinus Floor Elevation

2017 ◽  
Vol 37 (6) ◽  
pp. e328-e336 ◽  
Author(s):  
Angel Insua ◽  
Alberto Monje ◽  
Istvan Urban ◽  
Laura Kruger ◽  
Carlos Garaicoa-Pazmiño ◽  
...  
Sinusitis ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 132-140
Author(s):  
Fabio Bernardello ◽  
Teresa Lombardi ◽  
Claudio Stacchi

Sinus membrane perforation is the most frequent intraoperative complication occurring during maxillary sinus floor elevation. Although numerous techniques for perforation management are present, grafting material dissemination may still occur, representing a potential trigger factor leading to acute or chronic sinusitis. This case report describes two cases of xenogeneic bone substitute in gel form accidentally dispersed into the sinus cavity during maxillary sinus floor elevation with a transcrestal approach. In both cases, immediately postoperative radiographic imaging showed an important amount of gel graft dislodged into the sinus cavity as a consequence of hidden perforations that remained undetected during surgery. Patients were monitored for 6 months after surgery and reported no signs or symptoms related to possible sinus disease. Control radiographs showed no sinus membrane hypertrophy and/or presence of residual disseminated gel, confirming complete clearance of the accidentally dispersed graft through the ostiomeatal complex. In order to minimize postoperative complications, bone substitutes in gel form could represent an interesting alternative to granular grafts for their easier clearance from the maxillary sinus cavity in case of accidental dissemination during sinus augmentation procedures.


2018 ◽  
Vol 23 (1) ◽  
pp. 369-379 ◽  
Author(s):  
Carlos Fernando de Almeida Barros Mourão ◽  
Emanuelle Stellet Lourenço ◽  
Jhonathan Raphael Barros Nascimento ◽  
Rafael Coutinho Mello Machado ◽  
Alexandre Malta Rossi ◽  
...  

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