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Related Experiment Video

Updated: Mar 22, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Are Zygomatic Implants Associated With Maxillary Sinusitis?

Antonio D'Agostino1, Lorenzo Trevisiol1, Vittorio Favero2

  • 1Associate Professor, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|April 13, 2016
PubMed
Summary

Zygomatic implants did not increase severe rhinosinusitis complications. However, many patients showed asymptomatic sinus changes after zygomatic implant surgery, highlighting the need for careful postoperative monitoring.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Radiology
  • Otolaryngology

Background:

  • Zygomatic implants offer a solution for severe maxillary atrophy.
  • Potential complications include alterations in adjacent maxillary sinuses.

Purpose of the Study:

  • To investigate the relationship between zygomatic implant placement and changes in the maxillary sinuses.
  • To assess both symptomatic and radiologic modifications post-surgery.

Main Methods:

  • Retrospective cohort study of 41 patients undergoing zygomatic implant rehabilitation.
  • Evaluated pre- and postoperative maxillary sinus changes using CT scans and the Lund-Mackay Staging System.
  • Assessed clinical symptoms with the Sino-Nasal Outcome Test-20 (SNOT-20).

Main Results:

  • Postoperative sinus findings increased significantly (12% to 46%, P=.0001).
  • No significant increase in symptomatic sinus issues was observed (12% to 15%, P=1).
  • A considerable number of patients developed asymptomatic radiologic sinus alterations.

Conclusions:

  • Zygomatic implant placement is not associated with severe rhinosinusitis complications.
  • Asymptomatic radiologic sinus alterations are common post-procedure.
  • Careful planning and monitoring of prosthetic components and sinus homeostasis are crucial.