Residual ridge height as a potential risk factor for membrane perforation during lateral-window sinus elevation surgery: a systematic review and meta-analysis

doi:10.1186/s12903-025-06902-6

AutoresMingfu Ye, Xiuwen Lin, Wenjun Liu, Javier Calatrava, Wenxia Huang, Hom‐Lay Wang

Por qué importa

Este estudio sistemático y meta-análisis evalúa la altura del reborde residual como un posible factor de riesgo para la perforación de la membrana sinusal durante la elevación del seno maxilar mediante abordaje lateral. Se analizaron diez estudios que incluyeron a más de 1600 pacientes. La investigación encontró que una menor altura del reborde residual se asoció significativamente con una mayor tasa de perforación. Si bien una altura de reborde pequeña (3-4 mm) mostró una tendencia a aumentar el riesgo, la significación estadística requirió la exclusión de un estudio anómalo. Estos hallazgos son relevantes para los profesionales que realizan este tipo de procedimientos, sugiriendo la necesidad de considerar la altura del reborde en la planificación preoperatoria para minimizar complicaciones.

Abstract original

PURPOSE: Perforation of the sinus membrane is a common complication during maxillary sinus lift surgery. This systematic review aimed to evaluate if the residual ridge height (RRH) is a risk factor for membrane perforations during the lateral-window sinus lift surgery. METHODS: PubMed, Embase, CENTRAL, Scopus, and Web of Science databases were searched for studies reporting the association between RRH and sinus membrane perforations during the lateral-window sinus lift surgery. The last date of the search was 17th June 2024. RESULTS: Ten studies were eligible. 1601 patients undergoing 1809 sinus lift procedures were included in the studies. The overall sinus membrane perforation rate was 19.2%. The meta-analysis found that mean RRH was significantly lower in the perforation group than the non-perforation group (MD: -0.89 95% CI: -1.47, -0.31 I2 = 90%). The included studies classified Small RRH as a 3–4 mm ridge. Meta-analysis showed a tendency of increased risk of perforation with small RRH, but the difference was not statistically significant (OR: 2.47 95% CI: 0.49, 12.21 I2 = 88%). The exclusion of one outlier study showed statistically significant results. CONCLUSIONS: Small RRH seems to be a potential risk factor for sinus membrane perforation during lateral-window sinus lift surgery. More evidence is needed for improving the validity of the current results.

Leer texto completo ↗DOI · 10.1186/s12903-025-06902-6

Autor Doctor&Cols

Javier Calatrava Serrano de Haro
Cirugía Oral e Implantología

Cómo citar

Ye M, Lin X, Liu W, Calatrava J, Huang W, Wang H. Residual ridge height as a potential risk factor for membrane perforation during lateral-window sinus elevation surgery: a systematic review and meta-analysis. BMC Oral Health. 2025. doi:10.1186/s12903-025-06902-6