Comparison of Two Surgical Procedure of Maxillary Sinus Lifting after Decompression of Maxillary Sinus Pseudocyst

doi:10.13701/j.cnki.kqyxyj.2022.04.007

Abstract

Abstract: Objective: To compare the clinical effects of two types of operation for patients who had insufficient bone mass in the maxillary posterior region accompanied with maxillary sinus pseudocyst. Methods: Patients were divided into experimental group and control group. In the experimental group, cyst decompression combined with crestal-approach maxillary sinus lifting and implantation was performed simultaneously, while in the control group, cyst decompression combined with lateral-approach maxillary sinus lifting was performed simultaneously. The operation time, postoperative pain and swelling, success rate of implantation, and recurrence rate of cyst were compared between two methods. Results: A total of 34 patients were enrolled in the experiment. The operation time of the experimental group [(27.88±3.02) min] was significantly shorter than that of the control group [(34.94±3.50) min, P<0.001], and the postoperative reaction, including pain (P<0.05) and swelling (P<0.001) was significantly better than that of the control group. The success rate of early implantation was 100%. No cyst recurred in each group. Conclusion: Decompression of cyst in maxillary sinus combined with simultaneous implantation and crestal-approach sinus lifting can significantly shorten the operation time, and the postoperative reaction of patients is significantly reduced with a high success rate of implantation. This method is worthy of clinical promotion.

Key words: maxillary sinus, cysts, sinus floor augmentation, dental implants

HU Zhiqiao, LIU Xian, LIU Shifeng, BAO Chongyun. Comparison of Two Surgical Procedure of Maxillary Sinus Lifting after Decompression of Maxillary Sinus Pseudocyst[J]. Journal of Oral Science Research, 2022, 38(4): 325-329.

References

[1] Chiapasco M, Palombo D. Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a micro-invasive intraoral access[J]. Int J Oral Maxillofac Surg, 2015, 44(12): 1499-1505.
[2] Küçükkurt S. Evaluation of the survival of implant placement simultaneously with sinus augmentation: relationship in maxillary sinus pathologies[J]. Oral Radiol, 2020, 36(3): 225-237.
[3] 李率,陈波.保留上颌窦假性囊肿穿牙槽嵴顶入路上颌窦底提升的临床研究[J].实用口腔医学杂志,2015,31(1):44-47.
[4] 王清联,余优成.伴假性囊肿上颌窦外提升同期牙种植的临床研究[J].实用口腔医学杂志,2019,35(1):148-150.
[5] 武东辉,曹少萍,朱韵莹,等.伴上颌窦囊肿或慢性上颌窦炎的上颌窦底外提升术效果评价[J/CD].中华口腔医学研究杂志(电子版),2020,14(2):108-114.
[6] 包立,张令达,施乐,等.伴上颌窦囊肿的上颌窦底提升牙种植临床分析[J].口腔颌面外科杂志,2015,25(6):436-439.
[7] Fang Y, An X, Jeong SM, et al. Crestal sinus augmentation in the presence of severe sinus mucosal thickening: A report of 3 cases[J]. Implant Dent, 2018, 27(3): 388-393.
[8] Lin Y, Hu X, Metzmacher AR, et al. Maxillary sinus augmentation following removal of a maxillary sinus pseudocyst after a shortened healing period[J]. J Oral Maxillofac Surg, 2010, 68(11): 2856-2860.
[9] Yu H, Qiu L. Histological and clinical outcomes of lateral sinus floor elevation with simultaneous removal of a maxillary sinus pseudocyst[J]. Clin Implant Dent Relat Res, 2019, 21(1): 94-100.
[10] 李娜,陈灼庚,徐普.伴上颌窦囊肿的上颌窦外提升术后牙种植1例[J/CD].中华口腔医学研究杂志(电子版),2017,11(4):252-255.
[11] Manji A, Faucher J, Resnik RR, et al. Prevalence of maxillary sinus pathology in patients considered for sinus augmentation procedures for dental implants[J]. Implant Dent, 2013, 22(4): 428-435.
[12] Zhao Y, Cheng J, Yang J, et al. Modified endoscopic inferior meatal fenestration with mucosal flap for maxillary sinus diseases[J]. Wideochir Inne Tech Maloinwazyjne, 2018, 13(4): 533-538.
[13] Scott RA. ITI treatment guide, volume 5: sinus floor elevation procedures[J]. Br Dent J ,2012,212(10):512.
[14] Oh JH, An X, Jeong SM, et al. Crestal sinus augmentation in the presence of an antral pseudocyst[J]. Implant Dent, 2017, 26(6): 951-955.
[15] Ritter A, Rozendorn N, Avishai G, et al. Preoperative maxillary sinus imaging and the outcome of sinus floor augmentation and dental implants in asymptomatic fatients[J]. Ann Otol Rhinol Laryngol, 2020, 129(3): 209-215.
[16] Rodriguez Y Baena R, D'Aquino R, Graziano A, et al. Autologous periosteum-derived micrografts and PLGA/HA enhance the bone formation in sinus lift augmentation[J]. Front Cell Dev Biol, 2017, 5: 87.