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Assessment of Benign Paroxysmal Positional Vertigo (BPPV) Incidence Following Closed Sinus Lift and Ridge Splitting Surgeries: A Cohort Study

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Abstract

Background

With a notable increase in demand for implant placement in atrophic cases, this study aimed to evaluate the occurrence of benign paroxysmal positional vertigo (BPPV) following closed sinus lift and ridge splitting surgeries.

Materials and Methods

Healthy patients requiring posterior maxillary closed sinus lift or ridge split surgeries at Mashhad Dental School from September 2021 to September 2022 were enrolled in this cohort study. A single surgeon performed all surgeries under standard protocols. The intervention groups consisted of closed sinus lift and ridge splitting procedures. The primary outcome variable was BPPV, and the Dix-Hallpike maneuver was used before and after the operation to diagnose BPPV. The data were statistically analyzed using SPSS 23, and the significance level was set at 0.05.

Results

A total of 112 patients (51 women and 61 men) with a mean age of 48.4 ± 9.5 years participated in the study. The average BMI was 21.5 ± 2.4, and the mean duration of surgery was 31.9 ± 6.6 min. Of the patients, 10.7, 36.6, 27.7, 12.5, and 1.8% presented with hypertension, headache, dizziness, nausea, and BPPV, respectively. Two patients (3.1%) in the closed sinus lift group were diagnosed with BPPV, whereas no patients in the ridge split group were diagnosed. However, there was no significant difference (P = 0.509). No statistically significant difference in the occurrence of certain symptoms between two groups was found. There was a significant association between certain health conditions and the onset of BPPV.

Conclusion

The study suggests closed sinus lift surgery may have a higher risk of BPPV than ridge split surgery, but further studies with larger sample are needed to confirm this association.

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Acknowledgements

The authors would like to appreciate the continued support of the Research Council of Mashhad University of Medical Sciences and Student Research Committee of Mashhad University of Medical Sciences.

Funding

None. This study was self-funded.

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Authors and Affiliations

  1. Dental Research Center, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran

    Mohammadamin Damsaz, Kimia Jafarpour & Kiana Mazhari

  2. Department of Oral and Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran

    Majid Eshghpour

  3. Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis – Faculty of Dentistry of the University of São Paulo, São Paulo, Brazil

    Ricardo Grillo

  4. Department of Oral and Maxillofacial Surgery, Oral and Maxillofacial Diseases Research Center, Mashhad Dental School, Mashhad University of Medical Sciences, University Campus, Mashhad, Iran

    Sahand Samieirad

Authors
  1. Mohammadamin Damsaz
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  2. Majid Eshghpour
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  3. Ricardo Grillo
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  4. Kimia Jafarpour
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  5. Kiana Mazhari
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Contributions

SS, MD, RG contributed to Concepts; SS, ME, KJ, KM, MD, RG contributed to Design; SS, MD contributed to Definition of intellectual content; SS, KJ, KM, MD contributed to Clinical studies Experimental studies: SS, ME, MD, RG; SS, ME, MD, RG contributed to Data acquisition; SS contributed to Statistical analysis, Data analysis and Manuscript preparation; SS, MD contributed to Manuscript review, Literature search and Manuscript editing; SS, ME, KJ, KM, MD, RG contributed to Guarantor.

Corresponding author

Correspondence to Sahand Samieirad.

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Conflicts of interest

None.

Ethical Approval

All procedures performed in this study involving the human participant were in accordance with the ethical standards of our institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The protocol of this cohort study was approved by the Research and Ethics Committee of Mashhad University of Medical Sciences, Mashhad, Iran under the code IR.MUMS.DENTISTRY.REC.1400.103. The guidelines of declaration of Helsinki were followed in this study. The informed consent was taken from each patient.

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Damsaz, M., Eshghpour, M., Grillo, R. et al. Assessment of Benign Paroxysmal Positional Vertigo (BPPV) Incidence Following Closed Sinus Lift and Ridge Splitting Surgeries: A Cohort Study. J. Maxillofac. Oral Surg. 23, 1–6 (2024). https://doi.org/10.1007/s12663-023-02007-1

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  • DOI: https://doi.org/10.1007/s12663-023-02007-1

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