{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:41:06Z","timestamp":1789594866830,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,3,8]],"date-time":"2012-03-08T00:00:00Z","timestamp":1331164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim of the study<\/jats:title><jats:p>To present the results of a prospective study on the management of infectious complications following maxillary sinus floor elevation procedures with a combined endoscopic (<jats:styled-content style=\"fixed-case\">FESS<\/jats:styled-content>) and intra\u2010oral approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>From 2005 to 2009, twenty consecutive patients were diagnosed for sinusal chronic infectious complications refractory to medical treatment following maxillary sinus floor elevation and grafting procedures. All patients were treated with a combination of functional endoscopic sinus surgery (<jats:styled-content style=\"fixed-case\">FESS<\/jats:styled-content>) through a transnasal approach and an intra\u2010oral approach, performed by an ear, nose, and throat team and an oral and maxillofacial team, respectively, in the same surgical session under general anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 16 of 20 patients, the 4\u2010week endoscopic control demonstrated a complete clinical healing and recovery of the normal sinus ventilation and drainage. In two patients, the persisting sinusitis at the 4\u2010week control was successfully treated (8th week) with an antibiotic therapy based on the antibiogram carried out on the bacterial culture obtained by the aspiration of the sinusal content. In one patient, the persisting sinusitis (3\u00a0months after surgery) was successfully treated with the aspiration of the infectious material from the maxillary sinus. In one patient, finally, it was necessary to perform a second combined surgical treatment to treat the persisting sinusitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and conclusions<\/jats:title><jats:p>In this study, a relevant number of cases of chronic infectious complications following sinus floor elevation procedures are presented. To the authors' knowledge, it is the first time that well\u2010defined treatment protocols based on a combined endoscopic (<jats:styled-content style=\"fixed-case\">FESS<\/jats:styled-content>) and intra\u2010oral surgical approach are proposed. The positive, albeit preliminary, results obtained in this study seem to validate this treatment modality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1600-0501.2012.02440.x","type":"journal-article","created":{"date-parts":[[2012,3,8]],"date-time":"2012-03-08T09:41:05Z","timestamp":1331199665000},"page":"623-629","source":"Crossref","is-referenced-by-count":47,"title":["The treatment of sinusitis following maxillary sinus grafting with the association of functional endoscopic sinus surgery (FESS) and an intra\u2010oral approach"],"prefix":"10.1111","volume":"24","author":[{"given":"M.","family":"Chiapasco","sequence":"first","affiliation":[{"name":"Unit of Oral Surgery Department of Medicine, Surgery, and Dentistry S. Paolo Hospital University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Felisati","sequence":"additional","affiliation":[{"name":"Unit of Otorinolaryngology Department of Medicine, Surgery, and Dentistry S. Paolo Hospital University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Zaniboni","sequence":"additional","affiliation":[{"name":"Unit of Oral Surgery Department of Medicine, Surgery, and Dentistry S. Paolo Hospital University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Pipolo","sequence":"additional","affiliation":[{"name":"Unit of Otorinolaryngology Department of Medicine, Surgery, and Dentistry S. Paolo Hospital University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Borloni","sequence":"additional","affiliation":[{"name":"Unit of Maxillofacial Surgery Istituto Stomatologico Italiano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Lozza","sequence":"additional","affiliation":[{"name":"Unit of Otorinolaryngology Department of Medicine, Surgery, and Dentistry S. 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