One-Step Maxillary Sinus Augmentation in Association With Endoscopic Sinus Surgery: Case Series and Review of the Literature.
BACKGROUND
Sinonasal anatomical anomalies and inflammatory conditions may reduce success rates of maxillary sinus elevation (MSE) procedures used to allow implant placement in the atrophic posterior maxilla. Approaches combining endoscopic sinus surgery (ESS) and MSE were firstly proposed by our group and have already been described in the literature. This article aims to re-evaluate the procedure in a larger sample of patients comparing results and indications with the pertaining literature.


METHODS
Thirty-three patients (19 men and 14 women, mean age 52.79 ± 11.95 years) underwent combined ESS/MSE with 48 MSE procedures performed.


RESULTS
No intraoperative complications were reported. An uneventful and complete graft integration was obtained after 6 months in all but one patient. All patients completed prosthetic rehabilitation within 9 to 12 months.


CONCLUSIONS
Combined ESS and MSE has proven to be a safe and reliable procedure, which can be proposed to selected patients presenting with reversible sinonasal contraindications to MSE and should be no more considered an experimental procedure.
*Resident, Otolaryngology Department, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy.†Assistant Professor, Otolaryngology Department, San Paolo Hospital, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.‡Vice-Head, Otolaryngology Department, San Paolo Hospital, Milan, Italy.§Staff Doctor, Otolaryngology Department, San Paolo Hospital, Milan, Italy.¶Head, Unit of Oral Surgery, San Paolo Hospital, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.‖Head, Otolaryngology Department, San Paolo Hospital, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.
Alberto Maria
AM
Saibene
Carlotta
C
Pipolo
Alberto
A
Maccari
Paolo
P
Lozza
Matteo
M
Chiapasco
Alberto
A
Scotti
Roberto
R
Borloni
Giovanni
G
Felisati