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Scripta Scientifica Medicinae Dentalis

A clinical case of perforation of the maxillary sinus membrane during sinus lift surgery and a proposed methodology for the management of subsequent complications

Elitsa Djongova, Tihomir Georgiev, Karen Dzhabalyan, Radosveta Andreeva, Mariana Dimova-Gabrovska

Abstract

Introduction

Bony projections at the inner surface of the maxillary sinus are divided into two main groups: exostoses,which are rounded bone structures; and septa, defined as having a pointed end. Bony septa are common anatomical structures and can lead to complications during sinus augmentation procedures.

Materials and methods

The study reports a clinical case of a vertical partial basal bony septum, where upon elevation of the sinus membrane, its perforation was observed (size >5 mm).

Results

The present study proposes a method of treatment of perforated sinus membranes.The post-surgical period was uneventful. The bone grafting material remained compact in the sinus augmentation site.

Conclusions

The proposed method for the management of perforated sinus membranes can be applied in surgical procedures for perforations > 5 mm in size.


Keywords

cone-beam computed tomography, bony septum, maxillary sinus, sinus lift, bone augmentation, complications

Full Text


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DOI: http://dx.doi.org/10.14748/ssmd.v1i1.1683

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About The Authors

Elitsa Djongova

Tihomir Georgiev
Medical University of Varna
Bulgaria

Karen Dzhabalyan

Radosveta Andreeva

Mariana Dimova-Gabrovska

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