Browse > Article

REPAIR OF THE PERFORATED SINUS MEMBRANE WITH A MICRO-SUTURE TECHNIQUE : REPORT OF CASES  

Im, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
Jang, So-Jeong (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
Kim, Kyoung-A (Department of Oral and Maxillofacial Radiology, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
Ko, Seong-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.29, no.3, 2007 , pp. 241-249 More about this Journal
Abstract
An augmentation of the maxillary sinus floor facilitates placement of dental implants in the posterior atrophic maxilla. However, a maxillary sinus augmentation has potential complications that can lead to early failure and loss of the bone graft. One specific complication is sinus membrane perforation. Especially, large perforations may cause loss of the graft materials into the sinus and infection, so, early failure of the sinus lift. Attempts at managing sinus membrane perforations are difficult because of the limited access to them and friability of the thin Schneiderian membrane. Repair of sinus membrane perforations intraoperatively may be performed using a variety of techniques and materials, including sutures, collagen membranes, fibrin glue. Inspite of various repair technique, as has been reported extensively in the literature, large perforations represent an absolute contraindication to the continuation of surgery. But, we obtained clinically favorable results in cases that show repair of the perforated sinus membrane with a micro-suture technique by 4X Loupe ($Surgitel^{(R)}$ Loupe, General Scientific Corporation) in large perforation. The objective of this presentation is to report of several cases of repair of the perforated sinus membrane with micro-suture technique using 7.0 or 8.0 suture materials, to make a brief review of the literature about various technique managing perforated sinus membrane.
Keywords
Maxillary sinus augmentatioin; Perforated Schneiderian membrane; Micro-suture technique;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Garg AK, Mugnolo GM, Sasken H : Maxillary antral mucocele and its relevance for maxillary sinus augmentation grafting : a case report. Int J Oral Maxillofac Implants 15 : 287, 2000   PUBMED
2 Bergh van den JPA, Bruggenkate ten CM, Disch FJM et al : Anatomical aspects of sinus floor elevations. Clin Oral Impl Res 11 : 256, 2000   DOI   ScienceOn
3 Benjamimn Shlomi, Itzhak Horowitz, Adrian Kahn et al: The effect of sinus membrane perforation and pepair with lambone on the outcome of maxillary sinus floor augmentation : A radiographic assessment. Int J Oral Maxillofac Implants 19 : 559, 2004   PUBMED
4 Periklis Proussaefs, Jaime Lozada, Jay Kim et al : Effects of sealing the perforated sinus membrane with a resorbable collagen membrane : A pilot study in humans. J Oral Implantol 29 : 235, 2003   DOI   ScienceOn
5 Byung-Ho Choi, Shi-Jiang Zhu, Jae-Hyung Jung et al : The use of autologous fibrin glue for closing sinus membrane perforations during sinus lifts. Oral Surg Oral Med oral Pathol Oral Radiol Endod 101 : 150, 2006   DOI   ScienceOn
6 Su-Gwan Kim, Soo-Min Kim, In-Soon Park : Maxillary sinus graft for endosseous implant placement : Review of the literatures. J Kor oral Maxillofac Surg 26 : 527, 2000
7 JJ Thorn, H Sorensen, Weis-Fogh U et al : Autologous fibrin glue with growth factors in reconstructive maxillofacial surgery. Int J Oral Maxillofac Surg 33 : 95, 2004   DOI   ScienceOn
8 Aimetti M, Romagnoli R, Ricci G et al : Maxillary sinus elevation : The effect of macrolacerations and microlacerations of the sinus membrane as determined by edoscopy. Int J Periodontics Restorative Dent 21 : 581, 2001   PUBMED
9 Valassis James M, Fugazzotto Paul A : A simplified classification and repair system for sinus membrane perforations. J Periodontol 74 : 1534, 2003   DOI   ScienceOn
10 Leon Ardekian, Efrat Oved-Peleg, Eli E Mactei et al : The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus. J Oral Maxillofac Surg 64 : 277, 2006   DOI   ScienceOn
11 Ki-Tae Ku, Suk-Kyu Kim, Young-Kyun Kim et al : Textbook of Oral & Maxillofacial Implantology. Vol. II. Advanced Concepts and Techniques. 1st ed. Seoul, Korea. Daehan Narae Publishing, 2006, p. 198
12 Valassis James M, Fugazzotto Paul A : A classification system for sinus membrane perforations during augmentation with option to repair. J Periodontol 70 : 692, 1999   DOI   PUBMED
13 Arun K. Garg : Bone Biology, Harvesting, Grafting for Dental Implants. Rationale and Clinical Applications. 1st ed. Kimberly. Quintessence, 2004, p.131
14 Ofer Mardinger, Ifat Manor, Eitan Mijiritsky et al : Maxillary sinus augmentation in the presence of antral pseudocyst: A clinical approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Article in press. september 1, 2006
15 Periklis Proussaefs, Jaime Lozada, Jay Kim et al : Repair of the perforated sinus membrane with a resorbable collagen membrane: A human study. Int J Oral Maxillofac Implants 19 : 413, 2004   PUBMED
16 Steven M Sullivan, Ronald A Bulard, Richard Meaders et al : The use of fibrin adhesive in sinus lift procedures. Oral Surg Oral Med oral Pathol Oral Radiol Endod 84 : 616, 1997   DOI   ScienceOn
17 Chanavaz M : Maxillary sinus : Anatomy, physiology, surgery, and bone grafting related to implantology-eleven years of experience(1979-1990). J Oral Implantol 16 : 199, 1990
18 Byung-Ho Choi, Shi-Jiang Zhu, Byung-Young Kim et al : Cyanoacrylate adhesive for closing of sinus membrane perforation during sinus lifts. J Kor oral Maxillofac Surg 30 : 526, 2004