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Related Experiment Video

Updated: May 15, 2026

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
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Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique

Published on: May 23, 2021

Indirect osteotome maxillary sinus floor elevation: an update.

Javier Romero-Millán1, Luis Martorell-Calatayud, Maria Peñarrocha

  • 1Department of Oral Surgery, University of Valencia, Valencia, Spain.

The Journal of Oral Implantology
|January 16, 2013
PubMed
Summary

Indirect osteotome maxillary sinus floor elevation (OMSFE) is a predictable procedure for dental implants. Graft materials enhance bone height gain, though membrane perforation is a risk.

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Area of Science:

  • Dental Surgery
  • Oral Implantology
  • Maxillofacial Reconstruction

Background:

  • Low bone height in the posterior maxilla presents challenges for dental implant placement.
  • Sinus floor elevation techniques aim to augment bone volume in the maxillary sinus.
  • Indirect osteotome maxillary sinus floor elevation (OMSFE) is one such surgical approach.

Purpose of the Study:

  • To systematically review existing literature on indirect osteotome maxillary sinus floor elevation (OMSFE) procedures.
  • To evaluate the efficacy, complications, and outcomes of OMSFE based on published studies.
  • To determine the indications and success rates of OMSFE for dental implantology.

Main Methods:

  • A comprehensive literature search was conducted for studies published between 1999 and 2010.

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Last Updated: May 15, 2026

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
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Published on: May 23, 2021

  • Studies involving patients with a minimum 1-year follow-up after OMSFE were included.
  • Fourteen relevant studies were selected and analyzed for key outcomes and complications.

    • Main Results:

    • Indirect OMSFE is indicated for patients with existing bone heights between 6-8 mm.
    • The use of graft materials significantly increased the amount of bone height gained.
    • Schneiderian membrane perforation was identified as the most common complication, with survival rates ranging from 93.5% to 100%.

    Conclusions:

    • Osteotome sinus membrane elevation is a predictable and effective surgical procedure.
    • OMSFE facilitates the successful placement of dental implants in the posterior maxilla with limited bone height.
    • Careful technique and consideration of graft materials can optimize outcomes and minimize complications.