Chronic sinusitis complicating sinus lift surgery

Sinusitis has been reported as a complication of sinus lift surgery, with antral bone augmentation The procedure involves the creation of a submucoperiosteal pecker in the floor of the maxillary sinus for placement of a graft consisting of autogenous, allogenic, or alloplastic material. This can result in inadvertent rearing of the mucoperiosteal flap with extrusion of graft material into the antrum. Obstruction of the sinus outflow tract by mucosal edema and particulate graft material may result in sinusitis. We M ill discuss the clinical presentation and management of 14 cases of chronic sinusitis following sinus lift surgery with alloplastic hydroxyapatite (HA) augmentation of the maxillary antrum.