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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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2009=\u200990%). The included studies classified Small RRH as a 3\u20134\u00a0mm 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\u2009=\u200988%). The exclusion of one outlier study showed statistically significant results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12903-025-06902-6","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T11:22:10Z","timestamp":1759490530000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Residual ridge height as a potential risk factor for membrane perforation during lateral-window sinus elevation surgery: a systematic review and meta-analysis"],"prefix":"10.1186","volume":"25","author":[{"given":"Mingfu","family":"Ye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuwen","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Calatrava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxia","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hom-Lay","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"6902_CR1","first-page":"e168","volume":"25","author":"N Lozano-Carrascal","year":"2020","unstructured":"Lozano-Carrascal N, Anglada-Bosqued A, Salom\u00f3-Coll O, Hern\u00e1ndez-Alfaro F, Wang HL, Gargallo-Albiol J. 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