Is There a Correlation Between Benign Paroxysmal Positional Vertigo and Indirect Sinus Lifting?

Year 2022, Volume: 12 Issue: 1, 102 - 106, 30.03.2022

Onur Atalı , Gühan Dergin , Murat Sarı

https://doi.org/10.33808/clinexphealthsci.827104

Abstract

Objective: The aim of this study is to inform surgeons regarding benign paroxysmal positional vertigo (BPPV) after indirect sinus lifting
procedures and to assess its relationship with age, gender, residual alveolar bone height (RAB), and cortical thickness of the sinus floor.
Methods: This study included 138 patients presenting for evaluation and management of BPPV after indirect sinus lifting. Patients with
RAB lengths of 5–8 mm had been taken for indirect sinus lifting. Preoperative RAB length and cortical thickness of the sinus floor had been
determined by cone beam computed tomography (CBCT) in each patient. The patients diagnosed with BPPV were promptly treated by an
otolaryngologist. Data were assessed by descriptive statistical methods (mean ± standard deviation). Results were evaluated at the p<0.05
significance level, in 95% confidence interval (95% CI).
Results: Totally 4 out of 138 of the patients showed BPPV. There was no statistically significant difference between the mean ages and gender
ratio between the patients with BPPV [BPPV(+)] and without BPPV [BPPV(-)] groups. It was found that BPPV is 2.48 times more prevalent in
patients with RAB criterion values <5.9 mm than in patients with criterion values >5.9 mm. BPPV is 4.54 times more prevalent in patients with
a criterion cortical thickness value >0.8 mm than in patients with a criterion value <0.8 mm.
Conclusion: Based on the results of this study, patients with cortical thickness values >0.8 mm should be informed before undergoing surgery,
and patients exhibiting postoperative symptoms associated with vertigo should be treated promptly.

Keywords

benign paroxysmal positional vertigo, maxillary sinus, osteotomy, Schneiderian membrane

References

• 1. Peleg M, Garg AK, Misch CM, Mazor Z. Maxillary sinus and ridge augmentations using a surface-derived autogenous bone graft. J Oral Maxillofac Surg 2014; 62(12):1535-44.
• 2. Pal US, Sharma NK, Singh RK, et al. Direct vs. indirect sinus lift procedure: A comparison. Natl J Maxillofac Surg 2012; 3(1):31-7.
• 3. Sforza NM, Marzadori M, Zucchelli G. Simplified osteotome sinus augmentation technique with simultaneous implant placement: a clinical study. International J Periodontics & Restorative Dent 2008; 28(3):291-9.
• 4. Alkan A, Celebi N, Bas B. Acute maxillary sinusitis associated with internal sinus lifting: report of a case. Eur J Dent 2008; 2(1):69-72.
• 5. 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(12):1285-9.
• 6. Di Girolamo M, Napolitano B, Arullani CA, Bruno E, Di Girolamo S. Paroxysmal positional vertigo as a complication of osteotome sinus floor elevation. Eur Arch Otorhinolaryngol 2005; 262(8):631-3.
• 7. Penarrocha M, Garcia A. Benign paroxysmal positional vertigo as a complication of interventions with osteotome and mallet. J Oral Maxillofac Surg 2006; 64(8):1324.
• 8. Saker M, Ogle O. Benign paroxysmal positional vertigo subsequent to sinus lift via closed technique. J Oral Maxillofac Surg 2005; 63(9):1385-7.
• 9. Sammartino G, Mariniello M, Scaravilli MS. Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial. Clin Oral Implants Res 2011; 22(6):669-72.
• 10. Balaji SM. Direct v/s Indirect sinus lift in maxillary dental implants. Ann Maxillofac Surg 2013; 3(2):148-53.
• 11. Yan X, Zhang X, Chi W, Ai H, Wu L. Comparing the influence of crestal cortical bone and sinus floor cortical bone in posterior maxilla bi-cortical dental implantation: a three-dimensional finite element analysis. Acta Odontologica Scandinavica 2015; 73(4):312-20.
• 12. Vernamonte S, Mauro V, Vernamonte S, Messina AM. An unusual complication of osteotome sinus floor elevation: benign paroxysmal positional vertigo. Int J Oral Maxillofac Surg 2011; 40(2):216-8.
• 13. Kim MS, Lee JK, Chang BS, Um HS. Benign paroxysmal positional vertigo as a complication of sinus floor elevation. J Periodontal & Implant Sci 2010; 40(2):86-9.
• 14. Su GN, Tai PW, Su PT, Chien HH. Protracted benign paroxysmal positional vertigo following osteotome sinus floor elevation: a case report. Int J Oral Maxillofac Implants 2008; 23(5):955-9.
• 15. Bruintjes TD, Companjen J, van der Zaag-Loonen HJ, van Benthem PP. A randomised sham-controlled trial to assess the long-term effect of the Epley manoeuvre for treatment of posterior canal benign paroxysmal positional vertigo. Clin Otolaryngol 2014; 39(1):39-44.
• 16. Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 2014; 12:CD003162.
• 17. Pjetursson BE, Ignjatovic D, Matuliene G, Bragger U, Schmidlin K, Lang NP. Transalveolar maxillary sinus floor elevation using osteotomes with or without grafting material. Part II: Radiographic tissue remodeling. Clin Oral Implants Res 2009; 20(7):677-83.
• 18. Penarrocha M, Perez H, Garcia A, Guarinos J. Benign paroxysmal positional vertigo as a complication of osteotome expansion of the maxillary alveolar ridge. J Oral Maxillofac Surg 2001; 59(1):106-7.
• 19. Froehling DA, Silverstein MD, Mohr DN, Beatty CW, Offord KP, Ballard DJ. Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 1991; 66(6):596-601.
• 20. Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 1987; 37(3):371-8.
• 21. Katsarkas A, Kirkham TH. Paroxysmal positional vertigo--a study of 255 cases. J Otolaryngol 1978; 7(4):320-30.