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Article: Volume 44 Number 10 Page 988 - November 2017

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  Dent Update 2017; 44: 988-990

Oral surgery:  Migration of Bone Graft Material into the Maxillary Sinus: A Case Report

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Abstract: A 48-year-old patient presented at the Oral and Maxillofacial Surgery department complaining of symptoms of chronic sinusitis and gave a history of a recent sinus lift procedure in primary care. The patient was examined and investigated via a CBCT which showed extruded bone graft material in the left maxillary antrum. The patient then had to undergo surgery under general anaesthetic to remove the foreign material from the antrum, which eventually relieved his symptoms. This paper discusses potential complications of sinus lift procedures, including perforation of the Schneiderian membrane, perioperative recognition, potential management and how to avoid this complication.

Clinical relevance: Membrane perforation is the most common complication of sinus lift procedures. Clinicians need to be aware of the risk, presenting symptoms, investigation and necessary treatment of this complication.

Author notes: Christina Evangelou, BDS(Hons), MFDS RCSEdin, Royal Free Trust, Oral and Maxillofacial Department, Georgina Peck, BSc(Hons), BDS(Hons), MFDS RCS(Glas), Royal Free Trust, Oral and Maxillofacial Department, Nishma Somaia, BSc(Hons), BDS(Hons), MFDS RCS(Edin), MSc Implant Dent, FFD(OSOM) RCSI, Royal Free Trust, Oral and Maxillofacial Department, Wayne Halfpenny, BDS, MBBS, FDS RCS, FRCS, FRCS(maxfax), Royal Free Trust, Oral and Maxillofacial Department, Barnet Hospital, Wellhouse Lane, Barnet, Hertfordshire, EN5 3DJ, UK.

Objective: To understand the risk of a sinus life procedure and recognize the symptoms of membrane perforation and how to avoid this complication and its management.