When is it necessary to refer patients to an Ear, Nose and Throat Specialist prior to sinus grafting?

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Methods:

63 ENT specialists responded to mailed questionnaire that include various sinus pathology scenarios.  Their responses were statistically evaluated and analyzed.

Results:

58% recommend routine CT Scan prior to sinus-lift surgery.  

Patient symptoms that indicate referral to ENT prior to sinus grafting include nose problems and sinus issues.  

CT- scan findings that suggested a referral in the opinion of a majority of ENT specialists :  

1) Occluded sinus with septum.  

2) Inflammation at the base of the sinus only

3) Generalized thickened sinus membrane

4) Oro-antral fistula

5) Thickened sinus membrane in association with perio or endo involved teeth.

6 ) Near completely occluded sinus 

Other concerns included past history of sinus surgery, chronic sinusitis, ostium stenosis, nasal obstruction and oro-antral fistula 

Conclusions:

A CT Scan prior to sinus-lift surgery was recommended by 58.7% of ENT specialists.  Their greatest concerns were prior sinus surgery, severe sinus inflammation, nasal/sinus obstruction and oro-antral fistula.

                                                                                                                                                     

for more information please refer to:

New York State Ear, Nose and Throat Specialists view on pre-sinus lift referral.

Cote MT, Segelnick SL, Rastogi A, Schoor R

Journal of Periodontology Feb 2011, Vol. 82, No.2, Pages 227- 233. E-publication: 2010, September 1

 

6 thoughts on “When is it necessary to refer patients to an Ear, Nose and Throat Specialist prior to sinus grafting?”

  4. When is it necessary to refer patients to an Ear, Nose and Throat Specialist prior to sinus grafting?—-better question would be: what percentage of ENT doctors have no understanding of what we are doing when we do sinus grafting for implants. An understanding of sinus morphology with respect to grafting makes me think that the 58% figure should really be 0.58%

  5. excellent topic ,timely ,in view of the many sinus graft procedures which are are attempted this is an excellent presentation .and i recomend it very highly
    thank you very much for your hard work Dr GEBRAEL

    k.Galil

  6. Dr k.Galil on July 23, 2013 at 8:55 pm said:
    Excellent topic ,timely ,in view of the many sinus graft procedures which are are attempted this is an excellent presentation .and i recomend it very highly
    thank you very much for your hard work Dr GEBRAEL

    k.Galil