{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T02:15:01Z","timestamp":1781662501072,"version":"3.54.5"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T00:00:00Z","timestamp":1639267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Maxillary sinus membrane perforation (SMP) during lateral window sinus floor elevation (SFE) might be associated with postoperative complications (PC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the prevalence of PC and clinical implant outcome for different forms of SMP with lateral window SFE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>The prevalence of PC such as maxillary sinusitis, graft necrosis and wound infection was retrospectively evaluated for 434 lateral window SFE (334 patients) with 331 SFE (241 patients) without and 103 SFE (93 patients) with SMP. SMP was additionally classified into four subgroups regarding to membrane perforation size (small\u2010moderate [&lt;10\u2009mm] vs. large [&gt;10\u2009mm]) and membrane biotype ([BT] thin vs. thick). Additionally, patient\u2010 and surgery\u2010related risk factors affecting PC and the 1\u2010year implant survival rate were evaluated for SFE without and with SMP and subgroups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A significantly higher prevalence including significant odds ratios of PC such as maxillary sinusitis (10\/103 [9.7%] vs. 4\/331 [1.2%]; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.021; OR: 8.85; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.021) and graft necrosis (7\/103[6.8%] vs. 1\/103[0.3%]; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.017; OR:7.43; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.017) was found for SFE with than without SMP. The SMP subgroup with large size and thin BT involved significantly (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.005) more PC (15\/20[75%]) than all other SMP subgroups (5\/20[25%]). For the risk factors evaluated the univariate analysis demonstrated differences of PC for the presence versus absence of SMP (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and for thin versus thick sinus mucosa (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.038; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.006) but not for sex, smoking, sinus septa and surgical stage. In the multivariate risk factors analysis, PC were significantly related to risk factors such as large size with thin BT (OR:18.049; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.007). The 1\u2010year implant survival rate did not differ between SFE without (99.5%) and with SMP (99.1%), regardless of successfully repaired subtype of SMP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The synopsis of perforation size and membrane biotype is crucial in differentiating different forms of SMP assessing and anticipating different prevalences of PC in lateral window SFE.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.13056","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T02:53:58Z","timestamp":1639364038000},"page":"13-23","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The influence of different forms of sinus membrane perforation on the prevalence of postoperative complications in lateral window sinus floor elevation: A retrospective study"],"prefix":"10.1111","volume":"24","author":[{"given":"Stefan","family":"Krennmair","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Kepler University Linz  Linz Austria"},{"name":"Medical Faculty Johannes Kepler University  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Weinl\u00e4nder","sequence":"additional","affiliation":[{"name":"School of Dentistry Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5935-7336","authenticated-orcid":false,"given":"Thomas","family":"Forstner","sequence":"additional","affiliation":[{"name":"Department of Applied Systems Research and Statistics Johannes Kepler University Linz  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Malek","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Kepler University Linz  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9940-1300","authenticated-orcid":false,"given":"Gerald","family":"Krennmair","sequence":"additional","affiliation":[{"name":"Dental School Sigmund Freud Private University Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Postl","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Kepler University Linz  Linz Austria"},{"name":"Medical Faculty Johannes Kepler University  Linz 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