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Treatment of Severe Sinus Infection After Sinus Lift Procedure: A Case Report

Almaghrabi, Bandar Abdulrahman BDS, MS*; Hatton, Michael N. DDS, MS; Andreana, Sebastiano DDS, MS; Hoeplinger, Mark A. C. MD§

doi: 10.1097/ID.0b013e318236525c
Clinical Science and Techniques
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Maxillary sinus floor augmentation may have a variety of postoperative complications including infection, sequestration of bone, and maxillary sinusitis. Complications can also occur due to a preexisting sinus condition called ostium stenosis. This case report presents a complication after sinus lift and grafting procedure due to an unrecognized ostium stenosis.

Case Report: A 50-year-old male patient had sinus augmentation on his right side. However, postoperatively, his symptoms were protracted. A CT scan showed thickening of the Schneiderian membrane and scattered graft material. Management included endoscopic nasal examination and ostium enlargement, antibiotic coverage, and full enucleation of the graft and diseased tissue.

Conclusion: Patency of the sinus ostium should be carefully evaluated before sinus lift/grafting procedure using CT technology. Radiology and otolaryngology consultations may be necessary to rule out ostium stenosis before surgery.

*Research Instructor, Postgraduate Periodontal Resident, Department of Periodontics and Endodontics, SUNY at Buffalo, Buffalo, NY.

†Clinical Associate Professor, Department of Oral Diagnostic Sciences; Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery SUNY at Buffalo, Buffalo, NY.

‡Associate Professor, Director of Implant Dentistry, Department of Restorative Dentistry, SUNY at Buffalo, Buffalo, NY.

§Private Practice, Clinical Instructor, Department of Otolaryngology, University of Buffalo School of Medicine; Medical staff of Mercy Hospital of Buffalo, Women and Children's Hospital and Millard Filmore Gates Circle Hospital at Buffalo, NY.

Reprint requests and correspondence to: Bandar Abdulrahman Almaghrabi, BDS, MS, SUNY at Buffalo, 250 Squire Hall, Buffalo, NY 14214, Phone: 716-907-8444, Fax: 716-829-6840, E-mail: baa8@buffalo.edu

© 2011 Lippincott Williams & Wilkins, Inc.