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

Yıl 2024, Cilt: 13 Sayı: 1, 256 - 263, 26.01.2024

Antigoni Delantoni , Dilara Nur Şengün , Abdulkerim Bayındır , Kaan Orhan

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

Öz

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.

Anahtar Kelimeler

Complications, maxillary sinus, risk factors, schneiderian membrane

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

Öz

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.

Anahtar Kelimeler

Komplikasyonlar, maksiller sinus, risk faktörleri, schneideryen membran

Kaynakça

• Referans1. van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11:256-65.
• Referans2. Iwanaga J, Wilson C, Lachkar S, Tomaszewski KA, Walocha JA, Tubbs RS. Clinical anatomy of the maxillary sinus: application to sinus floor augmentation. Anat Cell Biol 2019;52:17-24.
• Referans3. Woo I, Le BT. Maxillary sinus floor elevation: review of anatomy and two techniques. Implant Dent 2004;13:28-32.
• Referans4. Srouji S, Kizhner T, Ben David D, Riminucci M, Bianco P, Livne E. The Schneiderian membrane contains osteoprogenitor cells: in vivo and in vitro study. Calcif Tissue Int 2009;84:138-45.
• Referans5. Jung YS, Chung SW, Nam W, Cho IH, Cha IH, Park HS. Spontaneous bone formation on the maxillary sinus floor in association with an extraction socket. Int J Oral Maxillofac Surg 2007;36:656-7.
• Referans6. Lundgren S, Andersson S, Sennerby L. Spontaneous bone formation in the maxillary sinus after removal of a cyst: coincidence or consequence? Clin Implant Dent Relat Res 2003;5:78-81.
• Referans7. Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg 2008;66:1426-38.
• Referans8. Rosano G, Taschieri S, Gaudy JF, Weinstein T, Del Fabbro M. Maxillary sinus vascular anatomy and its relation to sinus lift surgery. Clin Oral Implants Res 2011;22:711-15.
• Referans9. Mardinger O, Abba M, Hirshberg A, Schwartz-Arad D. Prevalence, diameter and course of the maxillary intraosseous vascular canal with relation to sinus augmentation procedure: a radiographic study. Int J Oral Maxillofac Surg 2007;36:735-8.
• Referans10. Ella B, Sedarat C, Noble Rda C, Normand E, Lauverjat Y, Siberchicot F, et al. Vascular connections of the lateral wall of the sinus: surgical effect in sinus augmentation. Int J Oral Maxillofac Implants 2008;23:1047-52.
• Referans11. Abuabara A, Cortez AL, Passeri LA, de Moraes M, Moreira RW. Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases. Int J Oral Maxillofac Surg 2006;35:155-8.
• Referans12. Rothamel D, Wahl G, d’Hoedt B, Nentwig GH, Schwarz F, Becker J. Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study. Br J Oral Maxillofac Surg 2007;45:387-91.
• Referans13. Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75:511-6.
• Referans14. Farre-Pages N, Auge-Castro ML, Alaejos-Algarra F, Mareque- Bueno J, Ferres-Padro E, Hernandez-Alfaro F. A novel trephine design for sinus lift lateral approach. Case report. Med Oral Patol Oral Cir Bucal 2011;16:e79-82.
• Referans15. Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfang J. Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Implants Res 2008;19:1285-9.
• Referans16. Hernandez-Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clin Oral Implants Res 2008;19:91-8.
• Referans17. Vercellotti T, De Paoli S, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodontics Restorative Dent 2001;21:561-7.
• Referans18. Wallace SS, Mazor Z, Froum SJ, Cho SC, Tarnow DP. Schneiderian membrane perforation rate during sinus elevation using piezosurgery: clinical results of 100 consecutive cases. Int J Periodontics Restorative Dent 2007;27:413-9.
• Referans19. Wen SC, Lin YH, Yang YC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure. Clin Oral Implants Res 2015;26:1158-64.
• Referans20. Ahn SH, Park EJ, Kim ES. Reamer-mediated transalveolar sinus floor elevation without osteotome and simultaneous implant placement in the maxillary molar area: clinical outcomes of 391 implants in 380 patients. Clin Oral Implants Res 2012;23:866-72.
• Referans21. Lin YH, Yang YC, Wen SC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation. Clin Oral Implants Res 2016;27:612- 7.
• Referans22. Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res 2011;22:1446-53.
• Referans23. Ardekian L, Oved-Peleg E, Mactei EE, Peled M. The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus. J Oral Maxillofac Surg 2006;64:277-82.
• Referans24. Yeung AWK, Hung KF, Li DTS, Leung YY. The Use of CBCTin Evaluating the Health and Pathology of the Maxillary Sinus. Diagnostics (Basel) 2022;12.
• Referans25. Karabuda C, Arisan V, Ozyuvaci H. Effects of sinus membrane perforations on the success of dental implants placed in the augmented sinus. J Periodontol 2006;77:1991-7.
• Referans26. Bravetti P, Membre H, Marchal L, Jankowski R. Histologic changes in the sinus membrane after maxillary sinus augmentation in goats. J Oral Maxillofac Surg 1998;56:1170-6; discussion 77.
• Referans27. Datta RK, Viswanatha B, Shree Harsha M. Caldwell Luc Surgery: Revisited. Indian J Otolaryngol Head Neck Surg 2016;68:90-3.
• Referans28. Vlassis JM, Fugazzotto PA. A classification system for sinus membrane perforations during augmentation procedures with options for repair. J Periodontol 1999;70:692-9.
• Referans29. Fugazzotto PA, Vlassis J. A simplified classification and repair system for sinus membrane perforations. J Periodontol 2003;74:1534-41.
• Referans30. Shlomi B, Horowitz I, Kahn A, Dobriyan A, Chaushu G. The effect of sinus membrane perforation and repair with Lambone on the outcome of maxillary sinus floor augmentation: a radiographic assessment. Int J Oral Maxillofac Implants 2004;19:559-62.
• Referans31. Vina-Almunia J, Penarrocha-Diago M, Penarrocha-Diago M. Influence of perforation of the sinus membrane on the survival rate of implants placed after direct sinus lift. Literature update. Med Oral Patol Oral Cir Bucal 2009;14:E133-6.
• Referans32. Hori M, Tanaka H, Matsumoto M, Matsunaga S. Application of the interseptal alveolotomy for closing the oroantral fistula. J Oral Maxillofac Surg 1995;53:1392-6.
• Referans33. Awang MN. Closure of oroantral fistula. Int J Oral Maxillofac Surg 1988;17:110-5.
• Referans34. Dagba AS, Mourlaas J, Ochoa Durand D, Suzuki T, Cho SC, Froum S. A novel approach to treat large Schneiderian membrane perforation-a case series. Int J Dent Oral Health 2015;6.
• Referans35. Choi BH, Zhu SJ, Jung JH, Lee SH, Huh JY. The use of autologous fibrin glue for closing sinus membrane perforations during sinus lifts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:150-4.
• Referans36. Oncu E, Kaymaz E. Assessment of the effectiveness of platelet rich fibrin in the treatment of Schneiderian membrane perforation. Clin Implant Dent Relat Res 2017;19:1009-14.