Gokhan Gocmen

By Gökhan Göçmen and Yasar Özkan

Pneumatization of the maxillary sinus secondary to posterior maxillary tooth loss is an extremely common finding. Significant atrophy of the maxilla prevents dental implant placement in this region. Grafting the floor of the maxillary sinus has emerged as the most common surgical modality for correcting this inadequacy. Graft material is introduced into the space created inferior to the sinus membrane. Various grafting materials and techniques might be used in this procedure. The aim of this article is to review the essentials of maxillary sinus augmentation, clarify this procedure for otolaryngologists, explain its function, and describe the augmentation materials, techniques, and complications.

Part of the book: Paranasal Sinuses

By Gokhan Gocmen, Ferit Bayram and Ozan Ates

Oral and maxillofacial surgical procedures, such as tooth extractions, surgical treatment of odontogenic maxillary sinus pathologies, dental implant surgery, orthognathic surgery, and sinus lift procedures, often correlate with the maxillary sinuses, due to anatomical proximity. For instance, in Le Fort I osteotomy, which is the predominant surgical technique preferred for the treatment of dentofacial deformities of the maxilla, the osteotomy line includes maxillary sinus and nasal walls. Maxillary sinus-lifting surgery is performed to regenerate bone in the posterior maxilla for dental implant placement. Additionally, maxillary sinus pathologies of odontogenic origin, such as sinusitis, cysts, and neoplasms, can impact the oral and maxillofacial region, and surgical intervention may be required to manage these conditions. Proper diagnosis, treatment planning, and surgical techniques are essential to optimize patient outcomes and minimize complications related to the maxillary sinuses in oral and maxillofacial surgical procedures.

Part of the book: Paranasal Sinuses