Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Prognosis of closure of large sinus membrane perforations using pedicled buccal fat pads and a resorbable collagen membrane: case series study

  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Section of Dentistry, Seoul National University) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Section of Dentistry, Seoul National University) ;
  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
  • Received : 2014.04.22
  • Accepted : 2014.05.22
  • Published : 2014.08.29
Download PDF
⟨ Previous Next ⟩

Abstract

For large membrane perforations that develop during sinus-bone grafting, we performed repairs using a pedicled buccal fat pad and a resorbable collagen membrane simultaneously with the bone graft. This study included eight patients. Postoperative maxillary sinusitis developed in two patients, which we managed with incision and drainage, and antibiotics. Ultimately, six patients received 12 implants, three of which failed (75% success). Implant replacement was performed after the removal of the failed replacement, at which point the prosthetic treatment was considered complete. In all of the six cases that we were able to follow-up with, the sinus-bone graft was healing favorably. We observed that the sinus bone height decreased gradually with time. Based on these case series, we conclude that our procedure of repairing large sinus-membrane perforations with a pedicled buccal fat pad and a collagen membrane is a reliable technique.

Keywords

References

  1. Pikos MA. Maxillary sinus membrane repair: report of a technique for large perforations. Implant Dent 1999;8:29-34.
  2. Kim YK, Choe GY, Yun PY. Management of perforated sinus membrane using absorbable hemostat and fibrin adhesive for sinus lift procedure. Asian J Oral Maxillofac Surg 2008;20:129-34.
  3. Testori T, Wallace SS, Del Fabbro M, Taschieri S, Trisi P, Capelli M, et al. Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success. Int J Periodontics Restorative Dent 2008;28:9-17.
  4. Kim YK, Yi YJ, Yun PY, Yeo IS, Lee HJ, Kim SG, et al. All about implants in Q&A. Yongin: Quint Korea; 2010:300-7.
  5. Proussaefs P, Lozada J. The "Loma Linda pouch": a technique for repairing the perforated sinus membrane. Int J Periodontics Restorative Dent 2003;23:593-7.
  6. Kim YK, Hwang JW, Yun PY. Closure of large perforation of sinus membrane using pedicled buccal fat pad graft: a case report. Int J Oral Maxillofac Implants 2008;23:1139-42.
  7. Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997;25:261-5.
  8. Peleg M, Mazor Z, Chaushu G, Garg AK. Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla. J Periodontol 1998;69:1397-403.
  9. Kasabah S, Krug J, Simůnek A, Lecaro MC. Can we predict maxillary sinus mucosa perforation? Acta Medica (Hradec Kralove) 2003;46:19-23.
  10. Ardekian L, Oved-Peleg E, Mactei EE, Peled M. The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus. J Oral Maxillofac Surg 2006;64:277-82.
  11. Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum. J Oral Maxillofac Surg 1994;52:332-3.
  12. Cho SC, Wallace SS, Froum SJ, Tarnow DP. Influence of anatomy on Schneiderian membrane perforations during sinus elevation surgery: three-dimensional analysis. Pract Proced Aesthet Dent 2001; 13:160-3.
  13. Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus-lift procedures. Int J Oral Maxillofac Implants 1995;10:462-5.
  14. van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11:256-65.
  15. Thorn JJ, Sorensen H, Weis-Fogh U, Andersen M. Autologous fibrin glue with growth factors in reconstructive maxillofacial surgery. Int J Oral Maxillofac Surg 2004;33:95-100.
  16. van den Bergh JP, ten Bruggenkate CM, Krekeler G, Tuinzing DB. Maxillary sinusfloor elevation and grafting with human demineralized freeze dried bone. Clin Oral Implants Res 2000;11:487-93.
  17. Hernandez-Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clin Oral Implants Res 2008;19:91-8.
  18. Jensen J, Sindet-Pedersen S, Oliver AJ. Varying treatment strategies for reconstruction of maxillary atrophy with implants: results in 98 patients. J Oral Maxillofac Surg 1994;52:210-6.
  19. Karabuda C, Arisan V, Ozyuvaci H. Effects of sinus membrane perforations on the success of dental implants placed in the augmented sinus. J Periodontol 2006;77:1991-7.
  20. Proussaefs P, Lozada J, Kim J. Effects of sealing the perforated sinus membrane with a resorbable collagen membrane: a pilot study in humans. J Oral Implantol 2003;29:235-41.
  21. Proussaefs P, Lozada J, Kim J, Rohrer MD. Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study. Int J Oral Maxillofac Implants 2004;19:413-20.
  22. Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75:511-6.
  23. Egyedi P. Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. J Maxillofac Surg 1977;5:241-4.
  24. Neder A. Use of buccal fat pad for grafts. Oral Surg Oral Med Oral Pathol 1983;55:349-50.
  25. Kim YK. The use of a pedicled buccal fat pad graft for bone coverage in primary palatorrhaphy: a case report. J Oral Maxillofac Surg 2001;59:1499-501.
  26. Loh FC, Loh HS. Use of the buccal fat pad for correction of intraoral defects: report of cases. J Oral Maxillofac Surg 1991;49:413-6.

Cited by

  1. Sinus floor elevation outcomes following perforation of the Schneiderian membrane. An experimental study in sheep vol.27, pp.2, 2014, https://doi.org/10.1111/clr.12576
  2. Effects of a collagen membrane positioned between augmentation material and the sinus mucosa in the elevation of the maxillary sinus floor. An experimental study in sheep vol.27, pp.11, 2014, https://doi.org/10.1111/clr.12762
  3. Clinical Application of the Pedicled Buccal Fat Pad Flap in Immediate Reconstruction of Oral Tissue Defects in Oral Surgery vol.28, pp.6, 2014, https://doi.org/10.1097/scs.0000000000003757
  4. Influence of a collagen membrane positioned subjacent the sinus mucosa following the elevation of the maxillary sinus. A histomorphometric study in rabbits vol.28, pp.12, 2017, https://doi.org/10.1111/clr.13027
  5. The use of the buccal fat pad flap for oral reconstruction vol.39, pp.None, 2014, https://doi.org/10.1186/s40902-017-0105-5
  6. Buccal Fat Pad: Report of 24 Cases and Literature Review of 1,635 Cases of Oral Defect Reconstruction vol.81, pp.1, 2014, https://doi.org/10.1159/000494027
  7. Tomographic evaluation of the influence of the placement of a collagen membrane subjacent to the sinus mucosa during maxillary sinus floor augmentation: a randomized clinical trial vol.5, pp.None, 2014, https://doi.org/10.1186/s40729-019-0183-5