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Most complications are intraoperative, such as Schneiderian membrane perforation or hemorrhage, and are often resolved immediately. Postoperative complications, like sinusitis, graft loss, and voice alterations, are less frequent but clinically relevant. This study evaluates the long\u2010term effects of intraoperative and postoperative complications in maxillary sinus augmentation. A specific classification was used to differentiate these complications, focusing on their impact on bone graft maintenance and dental implant survival. Special attention was given to the progression of sinus inflammatory pathology, from preoperative conditions to acute and chronic sinusitis. While intraoperative complications are generally manageable, they can predispose patients to postoperative issues that affect long\u2010term outcomes. Sinus membrane perforation emerged as a key intraoperative factor linked to later sinusitis, compromising graft integrity and implant stability. The evolution of sinus inflammation significantly influences the long\u2010term success of both graft material and implants. Complications in maxillary sinus augmentation, if not properly managed, can have lasting effects. Careful surgical technique and thorough postoperative monitoring are essential to mitigate risks and ensure long\u2010term success. Recognizing the long\u2010term impact of these complications is crucial for optimizing outcomes in maxillary sinus augmentation.<\/jats:p>","DOI":"10.1111\/prd.70021","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T04:59:26Z","timestamp":1763009966000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010term stability of sinus complication management"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6614-6470","authenticated-orcid":false,"given":"Pablo","family":"Galindo\u2010Moreno","sequence":"first","affiliation":[{"name":"Department of Oral Surgery and Implant Dentistry, School of Dentistry University of Granada  Granada Spain"},{"name":"Center for Biomedical Research (CIBM) University of Granada  Granada Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitaria IBS.GRANADA  Granada 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