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Comparison of sinusitis rate after sinus lift procedure and zygomatic implant surgery: a meta-analysis

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Abstract

Purpose

To evaluate and compare the reported sinusitis occurrence after the sinus lift procedure and zygomatic implant placement.

Methods

This meta-analysis has been registered at PROSPERO. Studies were searched on six databases. Two authors screened titles and abstracts and fully analyzed the studies against the inclusion and exclusion criteria. The RoB 2.0 and the ROBINS-I tools were used to assess the quality and risk of bias of the included studies. The random-effects model was used for the meta-analysis. The prevalence of sinusitis was calculated based on the total of patients. Subgroup analysis was performed by sinus lift or zygomatic implant surgery technique.

Results

The search identified 2419 references. After applying the inclusion criteria, 18 sinus lift and 9 zygomatic implant placement studies were considered eligible. The pooled prevalence of sinusitis after sinus lift procedure was 1.11% (95% CI 0.30–2.28). The prevalence after zygomatic implant placement was 3.76% (95% CI 0.12–10.29). In the subgroup analysis, the lateral window approach showed a prevalence of sinusitis of 1.35% (95% CI 0.34–2.8), the transcrestal technique of 0.00% (95% CI 0.00–3.18), and the SALSA technique of 1.20% (95% CI 0.00–5.10). Regarding the techniques for zygomatic implant placement, the sinus slot technique showed a prevalence of 21.62% (95% CI 9.62–36.52) and the intrasinus technique of 4.36% (95% CI 0.33–11.08), and the prevalence after the extrasinus technique was 0.00% (95% CI 0.00–1.22).

Conclusion

The sinusitis occurrence rate was higher after zygomatic implant placement than after sinus lift procedure and this occurrence was different depending on the used technique.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Authors and Affiliations

  1. Graduate Program in Cell and Molecular Biology, Cellular and Molecular Biology Department, Federal University of Paraná, Av. Cel. Francisco H. dos Santos, 100, Paraná, 81530-000, Curitiba, Brazil

    Roberta Schroder Rocha

  2. Independent research, Curitiba, Brazil

    Camila Pereira Vianna

  3. Straumann LLC, Irvine, United States of America

    Larissa Carvalho Trojan

  4. ILAPEO College, Curitiba, Brazil

    Luis Eduardo Marques Padovan

  5. Department of Cell Biology, Federal University of Parana, Curitiba, Brazil

    Maria Cristina Godoy Leme dos Santos

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Roberta S. Rocha: Concept/design, data collection, data analysis/interpretation, drafting article, statistics

Camila P. Vianna: Data collection, drafting article

Larissa Trojan: Concept/design and revision and approval of article

Luis E. M. Padovan: Revision and approval of article

Maria Cristina L. dos Santos: Critical revision of article

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Correspondence to Roberta Schroder Rocha.

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Author Maria Cristina Godoy Leme dos Santos declarse to have no financial interests. Author Luis Eduardo Marques Padovan has received speaker and consultant honoraria from Company Neodent. Authors Roberta Schroder Rocha and Camila Pereira Vianna are Neodent employees. Author Larissa Carvalho Trojan is a Straumann employee.

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Rocha, R.S., Vianna, C.P., Trojan, L.C. et al. Comparison of sinusitis rate after sinus lift procedure and zygomatic implant surgery: a meta-analysis. Oral Maxillofac Surg 28, 63–77 (2024). https://doi.org/10.1007/s10006-023-01159-1

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