Perforation of the sinus membrane during sinus floor elevation: a retrospective study of frequency and possible risk factors

Thomas von Arx; Ivo Fodich; Michael M. Bornstein; Simon S. Jensen

doi:10.11607/jomi.3657

Perforation of the sinus membrane during sinus floor elevation: a retrospective study of frequency and possible risk factors

Thomas von Arx, Ivo Fodich, Michael M. Bornstein, Simon S. Jensen

35 Citations (Scopus)

Abstract

To analyze the frequency of perforation of the sinus membrane during maxillary sinus floor elevation (SFE) and to assess possible risk factors. Materials and Methods: Seventy-seven cases of SFE performed with a lateral window approach were evaluated retrospectively. Clinical and radiographic variables potentially influencing the risk of sinus membrane perforation were evaluated and divided into patient-related factors (age, sex, smoking habit); surgery-related factors (type of surgical approach, side, units, sites, and technique of osteotomy); and maxillary sinus-related factors (presence and height of septum, height of residual ridge, thickness of lateral sinus wall, width of antrum, and thickness and status of sinus membrane). Results: The following factors presented with at least a 10% difference in rates of perforations: smokers (46.2%) versus nonsmokers (23.4%), simultaneous (32%) versus staged (18.5%) approach, mixed premolar-molar sites (41.2%) versus premolar-only sites (16.7%) versus molar-only sites (26.2%), presence of septa (42.9%) versus no septa (23.8%), and minimum height of residual ridge ≤ 4 mm (34.2%) versus > 4 mm (20.5%). These same parameters, except minimum height of residual ridge, also showed an odds ratio above 2. However, none of the comparisons reached statistical significance. Conclusion: The present study failed to demonstrate any factor that statistically significantly increased the risk of sinus membrane perforation during SFE using the lateral window approach.

Original language	English
Journal	International Journal of Oral & Maxillofacial Implants
Volume	29
Issue number	3
Pages (from-to)	718-726
Number of pages	9
ISSN	0882-2786
DOIs	https://doi.org/10.11607/jomi.3657
Publication status	Published - 2014
Externally published	Yes

Keywords

Adult
Age Factors
Aged
Aged, 80 and over
Bicuspid/surgery
Female
Humans
Male
Maxilla/diagnostic imaging
Maxillary Sinus/diagnostic imaging
Middle Aged
Molar/surgery
Osteotomy/adverse effects
Radiography
Retrospective Studies
Risk Factors
Sex Factors
Sinus Floor Augmentation/adverse effects
Smoking/adverse effects
Wounds, Penetrating/epidemiology
Young Adult

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10.11607/jomi.3657

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@article{11e2383182704e7885eba0bf61cb2b09,

title = "Perforation of the sinus membrane during sinus floor elevation: a retrospective study of frequency and possible risk factors",

abstract = "To analyze the frequency of perforation of the sinus membrane during maxillary sinus floor elevation (SFE) and to assess possible risk factors. Materials and Methods: Seventy-seven cases of SFE performed with a lateral window approach were evaluated retrospectively. Clinical and radiographic variables potentially influencing the risk of sinus membrane perforation were evaluated and divided into patient-related factors (age, sex, smoking habit); surgery-related factors (type of surgical approach, side, units, sites, and technique of osteotomy); and maxillary sinus-related factors (presence and height of septum, height of residual ridge, thickness of lateral sinus wall, width of antrum, and thickness and status of sinus membrane). Results: The following factors presented with at least a 10% difference in rates of perforations: smokers (46.2%) versus nonsmokers (23.4%), simultaneous (32%) versus staged (18.5%) approach, mixed premolar-molar sites (41.2%) versus premolar-only sites (16.7%) versus molar-only sites (26.2%), presence of septa (42.9%) versus no septa (23.8%), and minimum height of residual ridge ≤ 4 mm (34.2%) versus > 4 mm (20.5%). These same parameters, except minimum height of residual ridge, also showed an odds ratio above 2. However, none of the comparisons reached statistical significance. Conclusion: The present study failed to demonstrate any factor that statistically significantly increased the risk of sinus membrane perforation during SFE using the lateral window approach.",

keywords = "Adult, Age Factors, Aged, Aged, 80 and over, Bicuspid/surgery, Female, Humans, Male, Maxilla/diagnostic imaging, Maxillary Sinus/diagnostic imaging, Middle Aged, Molar/surgery, Osteotomy/adverse effects, Radiography, Retrospective Studies, Risk Factors, Sex Factors, Sinus Floor Augmentation/adverse effects, Smoking/adverse effects, Wounds, Penetrating/epidemiology, Young Adult",

author = "{von Arx}, Thomas and Ivo Fodich and Bornstein, {Michael M.} and Jensen, {Simon S.}",

year = "2014",

doi = "10.11607/jomi.3657",

language = "English",

volume = "29",

pages = "718--726",

journal = "International Journal of Oral & Maxillofacial Implants",

issn = "0882-2786",

publisher = "Quintessence Publishing",

number = "3",

}

TY - JOUR

T1 - Perforation of the sinus membrane during sinus floor elevation

T2 - a retrospective study of frequency and possible risk factors

AU - von Arx, Thomas

AU - Fodich, Ivo

AU - Bornstein, Michael M.

AU - Jensen, Simon S.

PY - 2014

Y1 - 2014

N2 - To analyze the frequency of perforation of the sinus membrane during maxillary sinus floor elevation (SFE) and to assess possible risk factors. Materials and Methods: Seventy-seven cases of SFE performed with a lateral window approach were evaluated retrospectively. Clinical and radiographic variables potentially influencing the risk of sinus membrane perforation were evaluated and divided into patient-related factors (age, sex, smoking habit); surgery-related factors (type of surgical approach, side, units, sites, and technique of osteotomy); and maxillary sinus-related factors (presence and height of septum, height of residual ridge, thickness of lateral sinus wall, width of antrum, and thickness and status of sinus membrane). Results: The following factors presented with at least a 10% difference in rates of perforations: smokers (46.2%) versus nonsmokers (23.4%), simultaneous (32%) versus staged (18.5%) approach, mixed premolar-molar sites (41.2%) versus premolar-only sites (16.7%) versus molar-only sites (26.2%), presence of septa (42.9%) versus no septa (23.8%), and minimum height of residual ridge ≤ 4 mm (34.2%) versus > 4 mm (20.5%). These same parameters, except minimum height of residual ridge, also showed an odds ratio above 2. However, none of the comparisons reached statistical significance. Conclusion: The present study failed to demonstrate any factor that statistically significantly increased the risk of sinus membrane perforation during SFE using the lateral window approach.

AB - To analyze the frequency of perforation of the sinus membrane during maxillary sinus floor elevation (SFE) and to assess possible risk factors. Materials and Methods: Seventy-seven cases of SFE performed with a lateral window approach were evaluated retrospectively. Clinical and radiographic variables potentially influencing the risk of sinus membrane perforation were evaluated and divided into patient-related factors (age, sex, smoking habit); surgery-related factors (type of surgical approach, side, units, sites, and technique of osteotomy); and maxillary sinus-related factors (presence and height of septum, height of residual ridge, thickness of lateral sinus wall, width of antrum, and thickness and status of sinus membrane). Results: The following factors presented with at least a 10% difference in rates of perforations: smokers (46.2%) versus nonsmokers (23.4%), simultaneous (32%) versus staged (18.5%) approach, mixed premolar-molar sites (41.2%) versus premolar-only sites (16.7%) versus molar-only sites (26.2%), presence of septa (42.9%) versus no septa (23.8%), and minimum height of residual ridge ≤ 4 mm (34.2%) versus > 4 mm (20.5%). These same parameters, except minimum height of residual ridge, also showed an odds ratio above 2. However, none of the comparisons reached statistical significance. Conclusion: The present study failed to demonstrate any factor that statistically significantly increased the risk of sinus membrane perforation during SFE using the lateral window approach.

KW - Adult

KW - Age Factors

KW - Aged

KW - Aged, 80 and over

KW - Bicuspid/surgery

KW - Female

KW - Humans

KW - Male

KW - Maxilla/diagnostic imaging

KW - Maxillary Sinus/diagnostic imaging

KW - Middle Aged

KW - Molar/surgery

KW - Osteotomy/adverse effects

KW - Radiography

KW - Retrospective Studies

KW - Risk Factors

KW - Sex Factors

KW - Sinus Floor Augmentation/adverse effects

KW - Smoking/adverse effects

KW - Wounds, Penetrating/epidemiology

KW - Young Adult

U2 - 10.11607/jomi.3657

DO - 10.11607/jomi.3657

M3 - Journal article

C2 - 24818213

SN - 0882-2786

VL - 29

SP - 718

EP - 726

JO - International Journal of Oral & Maxillofacial Implants

JF - International Journal of Oral & Maxillofacial Implants

IS - 3

ER -

Perforation of the sinus membrane during sinus floor elevation: a retrospective study of frequency and possible risk factors

Abstract

Keywords

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