Removal of Maxillary Sinus Antrolith and Concomitant Intrasinus Augmentation

Area of Science:

• Otorhinolaryngology
• Oral and Maxillofacial Surgery

Background:

• Maxillary sinus antroliths are uncommon calcifications.
• Their presence can necessitate modifications in treatment planning for maxillary sinus augmentation.

Purpose of the Study:

• To evaluate the feasibility and benefits of combining antrolith removal with immediate intrasinus augmentation.
• To compare this combined approach with the traditional staged procedure.

Main Methods:

• Review of cases requiring maxillary intrasinus augmentation where antroliths were detected preoperatively.
• Surgical technique involved concomitant antrolith removal and intrasinus grafting using corticocancellous bone blocks.
• Utilized buccal fat pad to protect the graft within the sinus.

Main Results:

• The combined surgery avoids prolonged waiting periods associated with staged procedures.
• Concomitant approach mitigates difficulties in performing open sinus lifts in scarred or fibrotic sinuses.
• The use of a buccal fat pad effectively isolated the graft.

Conclusions:

• Simultaneous removal of maxillary sinus antroliths and intrasinus augmentation is a recommended, efficient approach.
• This combined technique offers advantages over separate surgical interventions, reducing patient morbidity and treatment time.