Risk factors, Consequences and Treatment Alternatives of Schneiderian Membrane Perforation: Case Report and Review of the Literature

Year 2024, Volume: 13 Issue: 1, 256 - 263, 26.01.2024

Antigoni Delantoni Dilara Nur Şengün Abdulkerim Bayındır Kaan Orhan

https://doi.org/10.54617/adoklinikbilimler.1352345

Abstract

Maxillary sinuses are the greatest sinus cavities in the human cranium and they are the closest to the oral cavity. Thus, perforation of the Schneiderian membrane is a common complication that may be encountered during various oral surgery procedures in the molar and premolar regions of the maxilla such as teeth extractions, implant placement or sinus augmentation procedures. Membrane perforations lead to oroantral communications, which may later turn into oroantral fistulas. Moreover, these perforations may cause infections, loss of graft or implant if encountered during sinus augmentation procedures. The purpose of this review was to determine the risk factors associated with this complication and present the various treatment alternatives used to manage this type of complication. In the literature, the selected surgical technique, the thickness of the sinus membrane, the quality and quantity of the residual alveolar bone, the anatomy of the area and patients’ habits such as smoking were reported as points to be considered. A case of Schneiderian membrane perforation during implant placement and successful management of the complication was also presented.

Keywords

Complications, maxillary sinus, risk factors, schneiderian membrane

Schneideryen Membran Perforasyonu için Risk faktörleri, Perforasyonun Sonuçları ve Tedavi Seçenekleri: Vaka Takdimi ve Derleme

Abstract

Maksiller sinüsler insan kafatasındaki en büyük sinüs boşluklarıdır ve ağız boşluğuna en yakın olanlardır. Bu nedenle Schneideryen membran perforasyonu, maksillanın molar ve premolar bölgelerinde uygulanan diş çekimi, implant yerleştirme veya sinüs ogmentasyon prosedürleri gibi çeşitli cerrahi işlemler sırasında karşılaşılabilecek yaygın bir komplikasyondur. Membran perforasyonları oroantral ilişkilere yol açar ve bu açıklıklar zamanla oroantral fistüllere dönüşebilir. Dahası eğer bu perforasyonlar sinüs ogmentasyon işlemleri sırasında meydana geldiğinde enfeksiyonlara, greft veya implant kaybına neden olabilir. Bu derlemenin amacı bu komplikasyonla ilişkili risk faktörlerini belirlemek ve bu tip komplikasyonları yönetmek için kullanılan çeşitli tedavi alternatiflerini anlatmaktır. Yapılan literatür taramasında, seçilen cerrahi tekniğin, sinüs membranının kalınlığının, rezidüel alveoler kemiğin kalite ve miktarının, bölge anatomisinin ve hastaların sigara kullanımı gibi alışkanlıklarının membrane perforasyonları için önemli noktalar olduğu bildirilmiştir. Bu derlemede implant yerleştirilmesi esnasında meydana gelen bir Schneideryen membran perforasyonu olgusunun başarılı tedavisi de sunulmuştur.

Keywords

Komplikasyonlar, maksiller sinus, risk faktörleri, schneideryen membran

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