title: Maxillary sinus augmentation with autogenous tibial bone graft as an in-office procedure.
abstract: This retrospective study evaluates the efficacy of maxillary sinus grafting using autologous tibial bone in an outpatient setting. Twenty-seven patients undergoing lateral proximal tibial bone graft with subsequent sinus lifts were involved in this study. All surgeries were performed by the same surgeon in a private practice setting. A total of 28 tibial bone grafts and sinus lifts were performed on 27 patients. All subjects had minimal morbidity without any major complications. At the 1-year follow-up all implants that were placed into the grafted sites maintained stability, and no implants were lost. Two patients complained of hypertrophic scars at the site of bone harvesting (7.4%). One patient complained of leg pain for 10 weeks after the procedure, which resolved completely (2.7%). Overall complication rate was 10.1%. We conclude that the surgical harvesting of proximal tibial bone is associated with a low incidence of overall complications, mild postoperative pain, relative ease of harvest, minimal operative time, immediate ambulation, and rapid recovery, which make it an ideal office procedure when a significant amount of corticocancellous bone is required for maxillary sinus grafting.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Temple University Hospital, Philadelphia, PA, USA. dmitrypey@yahoo.com
authors.forename: Dmitry
authors.initials: D
authors.lastname: Peysakhov
authors.forename: Elie M
authors.initials: EM
authors.lastname: Ferneini
authors.forename: Richard G
authors.initials: RG
authors.lastname: Bevilacqua
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D016025:Bone Transplantation / Q000379:methods*; D017439:Cicatrix, Hypertrophic / Q000209:etiology; D015921:Dental Implants; D003770:Dental Offices; D004434:Early Ambulation; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D059546:Sinus Floor Augmentation / Q000379:methods*; D013977:Tibia / Q000601:surgery; D013997:Time Factors; D020858:Tissue and Organ Harvesting / Q000379:methods; D014182:Transplantation, Autologous
chemical_list: D015921:Dental Implants