China Journal of Oral and Maxillofacial Surgery ›› 2023, Vol. 21 ›› Issue (6): 621-625.doi: 10.19438/j.cjoms.2023.06.015

• Case Reports • Previous Articles     Next Articles

Zygomatic implantation and external elevation in the treatment of anatomic variation of maxillary sinus: a case report

LIU Meng-yu1,2, SHEN Yi-han1, WEI Ling-fei1,3, YU De-dong1, WU Yi-qun1   

  1. 1. Department of Second Dental Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 201999;
    2. Department of Binzhou Medical University Yantai Campus. Yantai 264003, Shandong Province;
    3. Department of Oral Implantology, Yantai Stomatological Hospital. Yantai 264003, Shandong Province, China
  • Received:2022-11-25 Revised:2023-05-26 Online:2023-11-20 Published:2023-12-07

Abstract: Pneumatization of the maxillary sinus extending to the zygomatic bone is a rare anatomic abnormality. Zygomatic implants cannot be performed for patients with insufficient zygomatic bone quantity. In this paper, a case of congenital severe left maxillary sinus gasification was reported. The patient was treated with right (healthy side) zygomatic bone implantation combined with conventional implant in the maxillary anterior dental area for immediate repair, and left (affected side) external maxillary sinus lifting delayed implant repair and implantation for fixed implant repair, which achieved ideal therapeutic effect. This article discussed the possible etiology, differential diagnosis of the variant maxillary sinus, and the selection of implant treatment methods for patients with severe maxillary defects, aiming to provide an optimal implant fixation treatment for this type of patients.

Key words: Maxillary sinus pneumatization, Zygomatic implant, Sinus floor elevation with lateral window approach, Immediate repair

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