J Korean Assoc Maxillofac Plast Reconstr Surg.  2007 May;29(3):241-249.

Repair of the perforated sinus membrane with a micro-suture technique : Report of cases

• Im DH
• Jang SJ
• Kim KA
• Baek JA
• Ko SO
• Shin HK

Abstract

An augmentation of the maxillary sinus floor facilitates placement of dental implants in the posterior atrophic maxilla. However, a maxillary sinus augmentation has potential complications that can lead to early failure and loss of the bone graft. One specific complication is sinus membrane perforation. Especially, large perforations may cause loss of the graft materials into the sinus and infection, so, early failure of the sinus lift. Attempts at managing sinus membrane perforations are difficult because of the limited access to them and friability of the thin Schneiderian membrane. Repair of sinus membrane perforations intraoperatively may be performed using a variety of techniques and materials, including sutures, collagen membranes, fibrin glue. Inspite of various repair technique, as has been reported extensively in the literature, large perforations represent an absolute contraindication to the continuation of surgery. But, we obtained clinically favorable results in cases that show repair of the perforated sinus membrane with a micro-suture technique by 4X Loupe (Surgitel(R) Loupe, General Scientific Corporation) in large perforation. The objective of this presentation is to report of several cases of repair of the perforated sinus membrane with micro-suture technique using 7.0 or 8.0 suture materials, to make a brief review of the literature about various technique managing perforated sinus membrane.

Keyword

Maxillary sinus augmentatioin; Perforated Schneiderian membrane; Micro-suture technique

MeSH Terms

Collagen
Dental Implants
Fibrin Tissue Adhesive
Maxilla
Maxillary Sinus
Membranes*
Nasal Mucosa
Sutures
Transplants
Collagen
Dental Implants
Fibrin Tissue Adhesive