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Chirurgia 2007 December;20(6):317-23

language: English

Complications after sinus floor augmentation. Three cases and literature review

Acocella A., Acocella G., Nardi P.

Division of Maxillo-Facial Surgery Faculty of Medicine - University of Florence, Italy


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Maxillary sinus elevation is a surgical procedure that enables us to solve many upper maxillary atrophy situations. The technique is used a lot today and a high success rate has been reported in the international literature. There is not much scientific documentation regarding technique-related complications, and most clinical papers confine themselves to reporting that complications are rare and generally speaking unimportant. This paper reports 3 clinical cases of maxillary sinus elevation characterised by noteworthy inflammatory complications in the mucosa of the maxillary sinus, due however above all to gross errors in operating technique. The paper systematically examines minor and more important complications that may occur during the procedure, in the immediate post-operative period and long-term and compares them with the data present in the literature. We therefore considered it worth underlining the importance of being aware of these complications and their correct management as well as the importance of indications for sinus elevation. We especially underline the importance of carefully assessing the state of health of the sinus membrane as the procedure can affect the integrity of the structure which may be modified and in the production of bioactive molecules, situations that may lead to the development of serious infectious complications that could potentially jeopardise the patient’s life.

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