Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two Cases
Although the sinus lift procedure is relatively safe and well-known for bone augmentation in implant cases, it can occasionally lead to acute and chronic postoperative sinusitis as a complication. Generally, treatment for such complications should involve implant removal and Endoscopic Sinus Surgery...
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JCDR Research and Publications Private Limited
2025-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/20752/74285_CE[Ra1]_F(IS)_QC(AN_OM)_PF1(VD_OM)_PFA(IS)_PB(VD_IS)_PN(IS).pdf |
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| author | Noriaki Aoki Megumi Matsumoto Junichi Baba Soichiro Ishii Hiroshi Ozawa |
| author_facet | Noriaki Aoki Megumi Matsumoto Junichi Baba Soichiro Ishii Hiroshi Ozawa |
| author_sort | Noriaki Aoki |
| collection | DOAJ |
| description | Although the sinus lift procedure is relatively safe and well-known for bone augmentation in implant cases, it can occasionally lead to acute and chronic postoperative sinusitis as a complication. Generally, treatment for such complications should involve implant removal and Endoscopic Sinus Surgery (ESS). Two cases with similar complications of sinusitis following a sinus lift were reported in the Department of Oral Surgery, where they were managed with different surgical approaches, excluding implant removal and ESS, which is the standard surgical procedure. In the first case, a 50-year-old male with missing teeth and atrophic alveolar bone underwent a sinus lift, bone grafting, and implant placement. One month post-surgery, he developed chronic sinusitis, leading to persistent symptoms. Similarly, another case involved a 48-year-old man who visited the Department of Oral Surgery with a chief complaint of purulent discharge from his nose. In both cases, after clinical and radiological investigations, a final diagnosis of maxillary sinusitis was made, resulting from complications following the sinus lift and implant procedure. The Buccal Fat Pad (BFP) was successfully used to close the Oroantral Communication (OAC) without the need for implant removal or ESS. No infections were clinically or radiographically observed at six months, 12 months, and 24 months postoperatively, and the recovery course was uneventful without any complications. At the two-year follow-up, the patients expressed satisfaction with the results of the implant treatment, demonstrating appropriate implant stability. |
| format | Article |
| id | doaj-art-7ea971fb53ad43849a1e1e0378dc2a23 |
| institution | DOAJ |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-7ea971fb53ad43849a1e1e0378dc2a232025-08-20T03:03:40ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-03-01193040710.7860/JCDR/2025/74285.20752Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two CasesNoriaki Aoki0Megumi Matsumoto1Junichi Baba2Soichiro Ishii3Hiroshi Ozawa4Doctor, Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Nanbu Hospital, Kanagawa, Japan.Doctor, Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Nanbu Hospital, Kanagawa, Japan.Doctor, Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Nanbu Hospital, Kanagawa, Japan.Doctor, Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Nanbu Hospital, Kanagawa, Japan.Chief Doctor, Department of Oral Surgery, Ozawa Dental Clinic, Kanagawa, Japan.Although the sinus lift procedure is relatively safe and well-known for bone augmentation in implant cases, it can occasionally lead to acute and chronic postoperative sinusitis as a complication. Generally, treatment for such complications should involve implant removal and Endoscopic Sinus Surgery (ESS). Two cases with similar complications of sinusitis following a sinus lift were reported in the Department of Oral Surgery, where they were managed with different surgical approaches, excluding implant removal and ESS, which is the standard surgical procedure. In the first case, a 50-year-old male with missing teeth and atrophic alveolar bone underwent a sinus lift, bone grafting, and implant placement. One month post-surgery, he developed chronic sinusitis, leading to persistent symptoms. Similarly, another case involved a 48-year-old man who visited the Department of Oral Surgery with a chief complaint of purulent discharge from his nose. In both cases, after clinical and radiological investigations, a final diagnosis of maxillary sinusitis was made, resulting from complications following the sinus lift and implant procedure. The Buccal Fat Pad (BFP) was successfully used to close the Oroantral Communication (OAC) without the need for implant removal or ESS. No infections were clinically or radiographically observed at six months, 12 months, and 24 months postoperatively, and the recovery course was uneventful without any complications. At the two-year follow-up, the patients expressed satisfaction with the results of the implant treatment, demonstrating appropriate implant stability.https://jcdr.net/articles/PDF/20752/74285_CE[Ra1]_F(IS)_QC(AN_OM)_PF1(VD_OM)_PFA(IS)_PB(VD_IS)_PN(IS).pdfendoscopic sinus surgeryfistulasinus lift |
| spellingShingle | Noriaki Aoki Megumi Matsumoto Junichi Baba Soichiro Ishii Hiroshi Ozawa Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two Cases Journal of Clinical and Diagnostic Research endoscopic sinus surgery fistula sinus lift |
| title | Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two Cases |
| title_full | Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two Cases |
| title_fullStr | Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two Cases |
| title_full_unstemmed | Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two Cases |
| title_short | Closure of Oroantral Communication Utilising Buccal Fat Pad without Removing the Implants in Maxillary Sinusitis: A Case Report of Two Cases |
| title_sort | closure of oroantral communication utilising buccal fat pad without removing the implants in maxillary sinusitis a case report of two cases |
| topic | endoscopic sinus surgery fistula sinus lift |
| url | https://jcdr.net/articles/PDF/20752/74285_CE[Ra1]_F(IS)_QC(AN_OM)_PF1(VD_OM)_PFA(IS)_PB(VD_IS)_PN(IS).pdf |
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