Sinus pathology what do you do if you encounter?

Sat, 01/16/2010 - 19:33 — Dr. Barbie

Looking for opinions on what the latest is if you encounter sinus pathology (mucous retention cysts, polops)when doing a sinus lift? Do people still remove the entire membrane?

Sinus Lifts

Fri, 03/26/2010 - 08:29 — Dr. Cohen

Sinus Pathology Management: Avoid the implant

This is a tough scenario. Dont know how you can do a sinus lift in the presence of pathology. I think you are asking for trouble for the patient. Opinions?

Sat, 03/27/2010 - 06:45 — zivmazor

Sinus Pathology

Placing the implants with sinus augmentation in the presence of a pathology is a dilemma.In case of cysts and foreign bodies it is straight forward- The patient need to be treated first and resolve the pathology. In case of thickened membranes and polyps it is not clear cut.In an unpublished study done lately by Dr Landsberg an ENT it seems that in 15% of the thickened membranes there is an obstruction of the ostium which will lead to inability of drainage after sinus aug will be performed.Especially in irregular and circumferencial thickening.Therefore it is advocated in these cases to refer for ENT consultation and potential FESS surgery(Functional Endoscopy of the Sinus).

Thu, 02/04/2010 - 18:04 — hawkeye

Sinus path....Get an ENT consult

An ENT consult is a must to cover your but and make sure it isnt serious. Get a Cone Beam or MRI.

You may have to remove the pathology prior to the implant or do a bridge if it is not possible to do the implant due the pathology.

Tue, 02/02/2010 - 07:28 — Mental Foramen

Read the Pikos articles

Pikos 1998, Pikos 2008. These articles answer exactly what you are asking.

Sun, 01/31/2010 - 18:20 — Dr. X

Sinus Pathology....What I do when I encounter it during surgery.

First off you should send the patient for a CT Scan or get an opinion from an ENT prior to doing surgery.

If you encounter it intra op you may have no choice but to remove it. I would not recommend removing the entire membrane as research shows the membrane losses its cilia and you may subject the patient to chronic issues.