[Comparison of two operative techniques for odontogenic maxillary sinusitis]

Area of Science:

• Oral and Maxillofacial Surgery
• Otolaryngology
• Surgical Innovation

Background:

• The Lindorf bone lid method is a surgical technique for maxillary sinus procedures.
• Endoscopic assistance is increasingly utilized in sinus surgeries.
• Evaluating surgical outcomes and patient comfort is crucial for optimizing procedures.

Purpose of the Study:

• To compare the outcomes of the Lindorf bone lid method with a conservative sinus surgery technique.
• To assess the incidence of dysesthesia and postoperative discomfort associated with each method.

Main Methods:

• A comparative study involving 60 patients undergoing maxillary sinus operations.
• One group underwent the bone lid method, partly with endoscopic assistance.
• The control group received a conservative procedure with a small defect in the malar buttress.

Main Results:

• The bone lid method demonstrated a higher incidence of dysesthesia (nerve-related discomfort).
• Patients undergoing the bone lid method reported increased postoperative discomfort.
• No significant difference in other outcomes was specified, but discomfort was higher.

Conclusions:

• The bone lid method is associated with greater patient discomfort and dysesthesia.
• The conservative approach may offer a better post-operative experience for most patients.
• The bone lid technique should be reserved for specific indications where its benefits outweigh the risks of discomfort.