Mucosal cyst aspiration in conjunction with maxillary sinus elevation: A clinical cohort study

Tiziano Testori; Riccardo Scaini; Matteo Deflorian; Silvio Taschieri; Ann M Decker; Muhammad Saleh; Francesco Zuffetti; Alberto Maria Saibene; Giovanni Felisati; Stephen S Wallace; Luca Francetti; Hom-Lay Wang; Massimo Del Fabbro

doi:10.1111/cid.13315

Mucosal cyst aspiration in conjunction with maxillary sinus elevation: A clinical cohort study

Clin Implant Dent Relat Res. 2024 Mar 10. doi: 10.1111/cid.13315. Online ahead of print.

Authors

Tiziano Testori^{1

2

3

4}, Riccardo Scaini^{1

2}, Matteo Deflorian^{1

2}, Silvio Taschieri^{2

5}, Ann M Decker³, Muhammad Saleh^{3

6}, Francesco Zuffetti^{1

2}, Alberto Maria Saibene⁷, Giovanni Felisati⁷, Stephen S Wallace⁸, Luca Francetti^{2

5}, Hom-Lay Wang³, Massimo Del Fabbro^{2

9}

Affiliations

¹ IRCCS Orthopedic Institute Galeazzi, Dental Clinic, Section of Implant Dentistry and Oral Rehabilitation, Milan, Italy.
² Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.
³ Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
⁴ Department of Oral Medicine, Infection and Immunity Harvard University, School of Dental Medicine, Boston, Massachusetts, USA.
⁵ IRCCS Orthopedic Institute Galeazzi, Dental Clinic, Milan, Italy.
⁶ Department of Periodontics, University of Louisville School of Dentistry, Louisville, Kentucky, USA.
⁷ Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.
⁸ Department of Periodontics, Columbia University College of Dental Medicine, New York, New York, USA.
⁹ UOC Maxillofacial Surgery and Dentistry, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.

PMID: 38462798
DOI: 10.1111/cid.13315

Abstract

Introduction: Patients with mucosal cysts in the maxillary sinus require special consideration in patients who require implant therapy for the restoration when undergoing implant therapy for the restoration of the posterior maxillary dentition. Treatment strategies for these clinical situations remain controversial in the literature. Thus, this study seeks to describe a safe and effective therapeutic strategy for sinus augmentation in patients with pre-existing maxillary antral cysts.

Methods: A total of 15 patients and 18 sinuses were consecutively enrolled in this cohort study and underwent maxillary antral cyst treatment by needle aspiration and simultaneous maxillary sinus augmentation (MSA). During surgical procedures, threeimplants (Zimmer Biomet, Indiana, USA) were positioned in 11 sinuses and two implants (Zimmer Biomet, Indiana, USA) were positioned in 5 sinuses.

Results: Overall implant success and survival rates were 100% and 97.8%, respectively at 1 year and 5-year follow-ups. Crestal bone resorption averaged 0.3 ± 0.2 mm 5-year post-loading, showing bone stability. Implant survival rate at 5-year follow-up expressed predictability of the technique comparable to historical data when MSA was performed alone. Crestal bone resorption averaged 0.3 ± 0.2 mm 5 years post-loading and shows bone stability utilizing mucosal cyst aspiration with concomitant MSA procedures. Quality of life evaluation at 1-week post-op showed similar results to published historical data. In 81% (13 sinuses), the CBCT examination at 5-year follow-up showed no cyst reformation, in 19% (3 sinuses) cyst reformation was visible, but smaller in size when compared to the pre-op CBCT evaluation, and all the patients were asymptomatic.

Conclusions: Maxillary sinus mucosal cyst aspiration with concomitant MSA, may be a viable option to treat maxillary sinus cyst.

Keywords: cysts; maxillary sinus; mucocele; mucus retention cysts; sinus floor augmentation.