Russian Federation
Moscow, Moscow, Russian Federation
from 01.01.2016 until now
Russian Federation
UDK 61 Медицина. Охрана здоровья
GRNTI 76.01 Общие вопросы медицины и здравоохранения
GRNTI 76.29 Клиническая медицина
OKSO 31.08.69 Челюстно-лицевая хирургия
OKSO 31.08.74 Стоматология хирургическая
OKSO 31.05.03 Стоматология
BBK 53 Клиническая медицина в целом
BISAC MED016050 Dentistry / Oral Surgery
Subject. In some clinical cases maxillary sinus lift is a nessesary surgery preparing for dental implantation in the distal parts of the upper jaw. However, despite the widespread using of this type of surgery in clinical practice, the percentage of postoperative complications leading to the development of odontogenic maxillary sinusitis after sinus-lifting surgery does not decrease from year to year. Among the complications of sinus lifting, the following main ones are distinguished: perforation of the maxillary sinus mucosa and nasal cavity; rejection of a previously installed dental implant; migration of the implant and/or bone material to the maxillary sinus; bleeding; acute maxillary sinusitis. The aim is to conduct a systematic analysis of domestic and foreign literature sources to determine the main factors of development of postoperative odontogenic sinusitis, as well as features of diagnosis and prevention of this complication. Methodology. The review of research allows us to consider the etiology of odontogenic maxillary sinusitis after sinus-lifting surgery and the pathogenesis of the disease, to draw conclusions about possible ways to prevent its development. Results. Odontogenic sinusitis that developed after the sinus-lifting operation is very common in clinical practice, despite the widespread use of this type of bone augmentation and proven methods of surgical intervention. The reason for this can be both anatomical prerequisites and iatrogenic factors, as well as insufficient diagnosis of pathologies of the paranasal sinuses in the preoperative period. Conclusions. The development of postoperative sinusitis can be avoided with careful planning of the operation, necessarily with computer tomography (preferably, cone-beam (dental) computed tomography, which is characterized by a relatively low load for optimal visualization of the maxillofacial tissues). Pathological changes in the sinus cavity and paranasal structures should be eliminated as planned before the sinus-lifting operation.
maxillary sinus lifting, maxillary sinus, odontogenic maxillary sinusitis, dental inplantation, sinus lifting complications
1. Blaschyuk, Yu. V. (2007). Implantation in difficult conditions [Implantation in difficult conditions]. Problemy stomatologii [Actual problems in dentistry], 2, 38-39 (In Russ.)
2. Velichko, E. V., Khabadze, Z. S., Kulikova, A. A., Abdulkerimova, S. M., Skichko, N. S. (2018). Povtornyy sinus-lifting: pomoshch' ili risk? [Repeated sinus-lifting: help or risk?]. Trudny patient [Difficult patient], 16, 10, 47-50. (In Russ.)
3. Vishnyakov, V. V., Makarova, N. V., Pashovkina, O. V. (2014). Izmeneniya slizistoy obolochki pri khronicheskom verkhnechelyustnom sinusite, vyzvannom inorodnymi telami [Changes in the mucous membrane in chronic maxillary sinusitis caused by foreign bodies]. Vestnik otorhinolaryngologii [Bulletin of otorhinolaryngology], 1, 12-14. (In Russ.)
4. Gulyuk, A. G., Varzhapetyan, S. D., Tashyan, A. E. (2015). Yatrogennyye oslozhneniya v praktike khirurga-stomatologa na primere verkhnechelyustnykh sinusitov [Iatrogenic complications in the practice of a dental surgeon on the example of maxillary sinusitis]. Vestnik stomatologii [Bulletin of stomatology], 2 (91), 43-51. (In Russ.)
5. Zernitsky, A. Yu., Kuzmina, I. V. (2012). Faktory, vliyayushchiye na blagopriyatnyy iskhod operatsii sinus-lifting [Factors affecting the favorable outcome of the sinus-lifting operation]. Institut stomatologii [Institute of Dentistry], 3 (56), 56-57. (In Russ.)
6. Kim, I. A., Parakhina, O. V., Ragimova, D. R. (2018). Odontogennyy verkhnechelyustnoy sinusit posle operatsii sinus-liftinga i dental'noy implantatsii (klinicheskoye nablyudeniye i obzor literatury) [Odontogenic maxillary sinusitis after sinus lift and dental implantation (clinical observation and literature review)]. Rossiyskaya rinologiya [Russian rhinology], 26 (3), 54-56. (In Russ.)
7. Krasnov, A. S. (2014). Sovremennyye predstavleniya ob etiologii i luchevoy diagnostike odontogennogo verkhnechelyustnogo sinusita [Modern ideas about the etiology and radiological diagnosis of odontogenic maxillary sinusitis]. Golova i sheya [Head and neck], 4, 39-42 (in Russ.).
8. Kulakov, A. A., Daminov, R. O., Sheludchenko, T. P., Kozlov, V. S. (2008). Endoskopicheskaya sanatsiya okolonosovykh pazukh u bol'nykh pered sinus-liftingom i dental'noy implantatsiyey [Endoscopic rehabilitation of the paranasal sinuses in patients before sinus lift and dental implantation]. Vestnik otorhinolaryngologii [Bulletin of otorhinolaryngology (appendix)], 5, 172-173. (In Russ.)
9. Kucherova, L. R., Belyaeva, J. G. (2010). Osobennosti anatomicheskogo stroyeniya verkhnechelyustnykh pazukh [Features of the anatomical structure of the maxillary sinuses]. Rossiyskaya otolaryngologia [Russian otolaryngology], 1, 57-62. (In Russ.)
10. Liang, M., ed. Urgin, M. M. (2008). Sinus-lift. Ot zakrytogo sinus-lifta do sinus-implantat-stabilizatora [Sine-lift. From the closed sinus lift to the sinus implant stabilizer]. Lviv : Galdent, 100. (In Russ.)
11. Maksyukov, S. Yu., Shcheplyakov, D. S., Ivanov, A. S., Kurbatov, M. G., Antonenko, G. V. (2015). Struktura oslozhneniy operatsii sinus-liftinga, implantatsionnogo i byugel'nogo protezirovaniya u patsiyentov s chastichnym otsutstviyem zubov pri povtornom ortopedicheskom lechenii v klinikakh Rostovskoy oblasti [Structure of complications of sinus-lifting, implantation and clasp prosthetics in patients with partial absence of teeth during repeated orthopedic treatment in clinics of the Rostov region]. Glavny vrach Yuga Rossii [Chief Physician of the South of Russia], 5 (47), 19-21. (In Russ.)
12. Maksyukov, S. Yu., Boyko, N. V., Pilipenko, K. D., Maksyukova, E. S., Kipiani, Sh. G., Demidov, I. A. (2019). Profilaktika operatsionnykh i posleoperatsionnykh oslozhneniy otkrytogo sinus-liftinga u patsiyentov s patologiyey okolonosovykh pazukh [Prevention of operating and postoperative complications of open sinus lifting in patients with pathology of the paranasal sinuses]. Glvny vrach Yuga Rossii [Chief Physician of the South of Russia], 3 (67), 27-29. (In Russ.)
13. Nechaeva, N. K. (2011). Diagnostika oslozhneniy khirurgicheskogo etapa dental'noy implantatsii [Diagnostics of complications of the surgical stage of dental implantation]. Saint Petersburg : FOLIO, 95. (In Russ.)
14. Piotrovich, A. V., Latyushina, L. S. (2016). Analiz struktury i chastoty oslozhneniy zakrytogo sinus-liftinga s odnomomentnoy dental'noy implantatsiyey [Analysis of the structure and frequency of complications of closed sinus lift with simultaneous dental implantation]. Sovremennye problemy nauki I obrazovaniya [Modern problems of science and education], 1, 4. (In Russ.)
15. Polupan, P. V. (2014). Implantatsiya: perezagruzka. Odnoetapnyy protokol i monolitnyye implantaty [Implantation: reloaded. Single stage protocol and one-phase implants]. Problemy stomatologii [Actual problems in dentistry], 2, 48-53. (In Russ.)
16. Ushakov, A. R. (2012). Povysheniye effektivnosti operatsii sinus-lifting pri podgotovke k dental'noy implantatsii : dis. … kand. med. nauk [Improving the efficiency of sinus lift surgery in preparation for dental implantation : dis. ... cand. med. science]. Moscow, 140. (In Russ.)
17. Shleiko, V. V., Zholudev, S. E. (2013). Komp'yuternaya tomografiya kak osnovnoy instrument pri planirovanii i prognozirovanii kompleksnogo stomatologicheskogo lecheniya [Computer tomografy as a basic tool in the planning and forecasting of complex dental treatment]. Problemy stomatologii [Actual problems in dentistry], 2, 55-57. (In Russ.)
18. Anavi, Y. (2008). Complications of maxillary sinus augmentations in a selective series of patients. Oral. Surg. Oral. Med. Oral. Pathol. Oral.Radiol. Endod, 1 (106), 34-38.
19. Barone, A. A (2006). Clinical study of the outcomes and complicationsassociated with maxillary sinus augmentation. Int. J. Oral. Maxillofac. Implants, 1 (21), 81-85.
20. Candotto, V., Gallusi, G., Piva, A., Baldoni, M., Di Girolamo, M. (2020). Complications in sinus lift. J Biol Regul Homeost Agents, 34, 1, 139-142.
21. Chappuis, V., Suter, V., Bornstein, M. Displacement of a dental implant into the maxillary sinus: report of an unusual complication when performing stages sinus floor elevation procedures. Perio IQ, 18, 63-69.
22. Doud Galli, S. K. (2001). Chronic sinusitis complicating sinus lift surgery. Am. J. Rhinol, 3 (15), 181-186.
23. French, D., Larjava, H., Tallarico, M. (2018). Retrospective Study of 1087 Anodized Implants Placed in Private Practice: Risk Indicators Associated with Implant Failure and Relationship Between Bone Levels and Soft Tissue Healt. Implant Dent, 54 (7), 1011-1016.
24. Katranji, A., Fotek, P., Wang, H. L. (2008). Sinus augmentation complication: etiology and treatment. Implant Dent, 17 (3), 339-349.
25. Kim, S. W., Lee, I. H., Kim, S. W., Kim, D. H. (2019). Points to consider before the insertion of maxillary implants: the otolaryngologist's perspective. J Periodontal Implant Sci, 9, 49 (6), 346-354.
26. Krennmair, G., Ulm, C., Lugmayr, H. (1997). Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg, 25 (5), 261-265.
27. Pignataro, L. (2008). ENT assessment in the integrated management of candidate for (maxillary) sinus lift. Acta otorhinolaryngologica italica, 28, 110-119.
28. Selcuk, A., Ozcan, K. M., Akdogan, O., Bilal, N., Dere, H. (2008). Variations of maxillary sinus and accompanying anatomical and pathological structures. J Craniofac Surg, 19, 159-164.
29. Shekhi, M., Rozve, N. J., Khorrami, L. (2014). Using cone beam computed tomography to detect the relationship between the periodontal bone loss and mucosal thickening of the maxillary sinus. Dent. Res. J. (Isfahan), 11 (4), 495-501.
30. Singhal, P., Sonkhya, N., Mishra, P., Srivastava, S. P. (2012). Impact of anatomical and radiological findings for consideration of functional endoscopic sinus surgery. Indian J. Otolaryngol. Head Neck Surg, 64 (4), 382-385.
31. Sisti, A., Canullo, L., Mottola, M. P. et al. (2012). Crestal minimally-invasive sinus lift on severely resorbed maxillary crest:prospective study. Biomed Tech, 57 (1), 45-51.
