title: Are Zygomatic Implants Associated With Maxillary Sinusitis?
abstract: OBJECTIVE
  The purpose of the present study was to analyze the relation between zygomatic implants and symptomatic and radiologic modifications of the maxillary sinuses.
  
  
  METHODS
  A retrospective cohort study of patients who underwent zygomatic implant rehabilitation at the Clinic of Dentistry and Maxillofacial Surgery of the University of Verona from January 2005 through May 2014 was designed. The primary predictor variable was time (pre- vs postoperative). Concerning outcome variables, radiologic findings of thickened mucosa or opacification of the maxillary sinuses were evaluated on computed tomograms using the Lund-Mackay Staging System. Clinical symptoms were evaluated using the Sino-Nasal Outcome Test-20 (SNOT-20). The parameters assessed underwent descriptive statistical analysis.
  
  
  RESULTS
  The sample was composed of 41 patients (mean age, 54 yr; 61% women). Preoperatively, 12% had sinus findings. Postoperatively, 46% had sinus findings (P = .0001 by McNemar paired test). Preoperatively, 12% had a SNOT-20 score higher than 11. Postoperatively, 15% had a SNOT-20 score higher than 11 (P = 1 by McNemar paired test).
  
  
  CONCLUSIONS
  In accordance with data in the literature data, placement of zygomatic implants does not seem to be associated with severe rhinosinusitis complications. However, in a considerable number of patients, asymptomatic radiologic alterations of the paranasal sinuses were observed. Therefore, it is important to plan assessments of the prosthetic and peri-implant components of the procedure and the postoperative homeostasis of the maxillary sinuses.
authors.affiliation: Associate Professor, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: D'Agostino
authors.affiliation: Associate Professor, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Trevisiol
authors.affiliation: Clinical Assistant, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy. Electronic address: vittorio_favero@yahoo.it.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Favero
authors.affiliation: Clinical Assistant, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: Mattia
authors.initials: M
authors.lastname: Pessina
authors.affiliation: Assistant Professor, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Procacci
authors.affiliation: Professor and Chief, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: Pier Francesco
authors.initials: PF
authors.lastname: Nocini
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D054893:Cone-Beam Computed Tomography; D015921:Dental Implants / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D015523:Maxillary Sinusitis / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015050:Zygoma / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D015921:Dental Implants