Sinus Lift Complication Case: How Should I Proceed?
Last Updated: Oct 11, 2010
Dr. M asks:
Please refer to the images below.
I did a sinus lift two and half weeks ago. There was a rupture of the sinus membrane in the mesial part of the sinus not more than 4 mm. I proceeded with the lift placed a collagen membrane covering the defect and fill the sinus, then bended the membrane outwards so it would cover the entrance too. The patient had antibiotics prior and then 8 days after surgery.
For the first 8 days the patient didn’t complain about anything. During the second week he complained that when he blew his nose there was some discharge from his nose I put him on antibiotics (augmentin + metronidazole). He got a lot better two days after.
Today almost 3 weeks after there appears to be a small oroantral fistula. But when the patient does the Valsalva maneuver no discharge is visible from the fistula. The post-operative perapical radiograph is within normal limits. Any advice on how I should proceed?
Nasal discharge and oroantral fistula after sinus lift
Small fistula
24 Comments on Sinus Lift Complication Case: How Should I Proceed?
Bruce GKnecht
10/12/2010
Dr M.
10/12/2010
Vaartjes
10/13/2010
Dr. MP
10/13/2010
younus
10/13/2010
Tony
10/13/2010
peter fairbairn
10/13/2010
OsseoNews
10/13/2010
Ziv Mazor
10/13/2010
Ron Neff
10/13/2010
Dr M.
10/13/2010
Robert J. Miller
10/13/2010
Dr.Moshirabadi
10/13/2010
Dr. Mehdi Jafari
10/14/2010
Dr.Moshirabadi
10/15/2010
Dr. Mehdi Jafari
10/16/2010
psbudi
10/17/2010
Robert J. Miller
10/18/2010
Greg Steiner
10/19/2010
carlos m. cardenas
11/03/2010
Dr. Mark Chishom
11/09/2010
ttmillerjr
11/14/2010
Robert J. Miller
11/15/2010
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10/11/2010