{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T04:11:36Z","timestamp":1778731896247,"version":"3.51.4"},"reference-count":43,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>In the present retrospective study, we aimed to assess the replicability and reproducibility of a novel digital measurement technique for analyzing the volumes of the left and right maxillary sinuses and the nasal and maxillary sinus airway complex after a sinus lift procedure using the lateral window approach, to provide an accurate measurement technique for easily applying in clinical practice and to allow pre-operative assessment of maxillary sinus lift surgery, avoiding complications and making surgery more predictable. Material and Methods: Thirty patients with partially edentulous posterior maxilla were selected and submitted to bilateral sinus lift using the lateral window approach technique, with grafting materials selected and submitted to cone beam computed tomography (CBCT) scans, both pre- and postoperatively. Then, datasets were uploaded to therapeutic digital planning software to measure the volume of the right and left maxillary sinuses and the nasal and maxillary sinus airway complex. Gage R&amp;R statistical analysis was performed to assess the replicability and reproducibility of the digital measurement technique. Results: The variability attributable to the novel digital measurement technique was 3.4% for replicability and 3.4% for reproducibility of the total variability of the samples. Conclusion: The novel digital method proposed is a replicable and reproducible technique for analyzing the volume of the right and left maxillary sinuses and the nasal and maxillary sinus airway complex after a sinus lift using the lateral window approach technique, allowing an accurate pre-operative assessment of maxillary sinus lift surgery, avoiding complications and making surgery more predictable.<\/jats:p>","DOI":"10.3390\/jpm11111093","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T23:54:33Z","timestamp":1635292473000},"page":"1093","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A Replicable and Reproducible Digital Method for Quantifying Maxillary Sinus Airway Changes after Sinus Lifts Using the Lateral Window Approach Technique\u2014A Retrospective Study"],"prefix":"10.3390","volume":"11","author":[{"given":"H\u00e9ctor","family":"Gonz\u00e1lez Men\u00e9ndez","sequence":"first","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulina","family":"Rodr\u00edguez Torres","sequence":"additional","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blanca","family":"Mu\u00f1oz Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agust\u00edn","family":"Galparsoro Catal\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pilar","family":"Velasco Boh\u00f3rquez","sequence":"additional","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Tzironi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"San Hip\u00f3lito Mar\u00edn","sequence":"additional","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1lvaro","family":"Zubizarreta Macho","sequence":"additional","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"},{"name":"Department of Surgery, Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sof\u00eda","family":"Hern\u00e1ndez Montero","sequence":"additional","affiliation":[{"name":"Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1111\/j.1600-0501.2007.01459.x","article-title":"What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe?","volume":"18","author":"Naharro","year":"2007","journal-title":"Clin. Oral Implants Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s007840050029","article-title":"The role of alveolar ridge width in dental implantology","volume":"1","author":"Eufinger","year":"1997","journal-title":"Clin. Oral Investig."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1007\/PL00014501","article-title":"Significance of the height and width of the alveolar ridge in implantology in the edentulous maxilla. Analysis of 95 cadaver jaws and 24 consecutive patients","volume":"3","author":"Eufinger","year":"1999","journal-title":"Mund Kiefer Gesichtschir."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/01.id.0000220550.27164.74","article-title":"An alternative sinus floor elevation procedure: Trephine osteotomy","volume":"15","author":"Emtiaz","year":"2006","journal-title":"Implant. Dent."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.1016\/S0278-2391(98)90761-3","article-title":"A cadaveric study of maxillary sinus size as an aid in bone grafting of the maxillary sinus floor","volume":"56","author":"Uchida","year":"1998","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/S0011-8532(22)02107-3","article-title":"Maxillary and sinus reconstructions","volume":"20","author":"Tatum","year":"1986","journal-title":"Dent. Clin. North. Am."},{"key":"ref_7","first-page":"613","article-title":"Grafting of the maxillary sinus floor with autogenous marrow and bone","volume":"38","author":"Boyne","year":"1980","journal-title":"J. Oral Surg."},{"key":"ref_8","first-page":"e512-6","article-title":"Pre-operative evaluation of the volume of bone graft in sinus lifts by means of CompuDent","volume":"15","year":"2010","journal-title":"Med. Oral Patol Oral Cir. Bucal."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1111\/j.1600-0501.2010.01984.x","article-title":"Ridge dimensions of the edentulous posterior maxilla: A retrospective analysis of a cohort of 127 patients using computerized tomography data","volume":"22","author":"Pramstraller","year":"2011","journal-title":"Clin. Oral Implants Res."},{"key":"ref_10","first-page":"73","article-title":"Rapid Expansion of the maxillary dental arch and nasal cavity by opening the midpalatal Suture","volume":"31","author":"Haas","year":"1961","journal-title":"Angle Orthod."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/0889-5406(87)90467-7","article-title":"The nasal airway following maxillary expansion","volume":"91","author":"Warren","year":"1987","journal-title":"Am. J. Orthod. Dentofac. Orthop"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"491","DOI":"10.3109\/00016355908993936","article-title":"Expansion of the Midpalatal Suture, Studied by Means of Metallic Implants","volume":"17","author":"Krebs","year":"1959","journal-title":"Acta Odontol. Scand."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S50.e1","DOI":"10.1016\/j.ajodo.2009.11.010","article-title":"Measuring the airway in 3 dimensions: A reliability and accuracy study","volume":"137","author":"El","year":"2010","journal-title":"Am. J. Orthod. Dentofacial Orthop."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/S0889-5406(05)81524-0","article-title":"Rapid maxillary expansion in the primary and mixed dentitions: A cephalometric evaluation","volume":"100","author":"Boas","year":"1991","journal-title":"Am. J. Orthod. Dentofacial Orthop."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1093\/ejo\/21.2.175","article-title":"A comparison of sagittal and vertical effects between bonded rapid and slow maxillary expansion procedures","volume":"21","author":"Akkaya","year":"1999","journal-title":"Eur. J. Orthod."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.ajodo.2003.10.035","article-title":"Skeletal and dental changes in the sagittal, vertical, and transverse dimensions after rapid palatal expansion","volume":"126","author":"Chung","year":"2004","journal-title":"Am. J. Orthod. Dentofacial Orthop."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/0002-9416(79)90223-9","article-title":"Computed tomography: A three-dimensional study of the nasal airway","volume":"76","author":"Montgomery","year":"1979","journal-title":"Am. J. Orthod."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1152\/jappl.1989.66.1.295","article-title":"Acoustic rhinometry: Evaluation of nasal cavity geometry by acoustic reflection","volume":"66","author":"Hilberg","year":"1989","journal-title":"J. Appl. Physiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.ajodo.2006.10.034","article-title":"Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: Short- and long-term effects","volume":"134","author":"Viana","year":"2008","journal-title":"Am. J. Orthod. Dentofacial Orthop."},{"key":"ref_20","first-page":"66","article-title":"Rapid maxillary expansion and surgically assisted rapid maxillary expansion effects on nasal volume","volume":"76","author":"Babacan","year":"2006","journal-title":"Angle Orthod."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1093\/ejo\/cjl069","article-title":"Comparison of nasal volume changes during rapid maxillary expansion using acoustic rhinometry and computed tomography","volume":"29","author":"Doruk","year":"2007","journal-title":"Eur. J. Orthod."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"45","DOI":"10.5624\/isd.2019.49.1.45","article-title":"Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: A cone-beam computed tomography study","volume":"49","author":"Uthman","year":"2019","journal-title":"Imaging Sci. Dent."},{"key":"ref_23","first-page":"144","article-title":"Three-dimensional evaluation of airway volume changes in two expansion activation protocols","volume":"16","author":"Lotfi","year":"2018","journal-title":"Int. Orthod."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1016\/j.ijom.2017.04.010","article-title":"Does pterygomaxillary disjunction in surgically assisted rapid maxillary expansion influence upper airway volume? A prospective study using Dolphin Imaging 3D","volume":"46","year":"2017","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1001\/archotol.1993.01880240091011","article-title":"Maxillary sinus hypoplasia, embryology, and radiology","volume":"119","author":"Wake","year":"1993","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1080\/000164800750001080","article-title":"Morphometric study of the paranasal sinuses in normal and pathological conditions","volume":"120","year":"2000","journal-title":"Acta Otolaryngol."},{"key":"ref_27","first-page":"43","article-title":"Maxillary sinus hypoplasia\u2014a not-so-uncommon clinical entity: A review","volume":"9","author":"Bhargava","year":"2016","journal-title":"Clin. Rhinol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"5463","DOI":"10.1007\/s00784-021-03854-3","article-title":"Prevalence of maxillary sinus hypoplasia and association with variations in the sinonasal complex: A cone beam CT study","volume":"25","author":"Alsufyani","year":"2021","journal-title":"Clin. Oral Investig."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.4103\/njcp.njcp_695_19","article-title":"Evaluation of maxillary sinus findings after dental implant and sinus floor augmentation procedures with cone-beam computed tomography","volume":"23","author":"Karslioglu","year":"2020","journal-title":"Niger J. Clin. Pract."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"P1","DOI":"10.1164\/rccm.1961P1","article-title":"What Is Obstructive Sleep Apnea in Adults?","volume":"196","author":"Rowley","year":"2017","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"556","DOI":"10.2319\/080819-520.1","article-title":"Decreased maxillary sinus volume is a potential predictor of obstructive sleep apnea","volume":"90","author":"Kim","year":"2020","journal-title":"Angle Orthod."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"278","DOI":"10.5125\/jkaoms.2016.42.5.278","article-title":"Correlations between anatomic variations of maxillary sinus ostium and postoperative complication after sinus lifting","volume":"42","author":"Lee","year":"2016","journal-title":"J. Korean Assoc. Oral Maxillofac. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1111\/j.1600-0501.2011.02408.x","article-title":"Pre- and postoperative assessment of sinus grafting procedures using cone-beam computed tomography compared with panoramic radiographs","volume":"24","author":"Baciut","year":"2013","journal-title":"Clin. Oral Impl. Res."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1007\/s00784-018-2552-5","article-title":"Is the pneumatisation of the maxillary sinus following tooth loss a reality? A retrospective analysis using cone beam computed tomography and a customised software program","volume":"23","author":"Schriber","year":"2019","journal-title":"Clin. Oral Investig."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1111\/clr.12488","article-title":"Impact of human maxillary sinus volume on grafts dimensional changes used in maxillary sinus augmentation: A multislice tomographic study","volume":"26","author":"Favato","year":"2015","journal-title":"Clin. Oral Implants Res."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Sahlstrand-Johnson, P., Jannert, M., Str\u00f6mbeck, A., and Abul-Kasim, K. (2011). Computed tomography measurements of different dimensions of maxillary and frontal sinuses. BMC Med. Imaging, 5.","DOI":"10.1186\/1471-2342-11-8"},{"key":"ref_37","first-page":"907","article-title":"Computerized tomography-assisted calculation of sinus augmentation volume","volume":"21","author":"Krennmair","year":"2006","journal-title":"Int. J. Oral Maxillofac. Implants."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.ijom.2010.10.008","article-title":"Reproducibility of volumetric measurements on maxillary sinuses","volume":"40","author":"Kirmeier","year":"2011","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Giacomini, G., Pavan, A.L.M., Altemani, J.M.C., Duarte, S.B., Fortaleza, C.M.C.B., Miranda, J.R.A., and de Pina, D.R. (2018). Computed tomography-based volumetric tool for standardized measurement of the maxillary sinus. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0190770"},{"key":"ref_40","first-page":"14","article-title":"Uses of maxillary sinus lateral wall bony window in an open window sinus lift procedure: Literature review","volume":"20","author":"Juzikis","year":"2018","journal-title":"Stomatologija"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/prd.12286","article-title":"Risk factors in lateral window sinus elevation surgery","volume":"81","author":"Testori","year":"2019","journal-title":"Periodontology 2000"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1002\/lary.26856","article-title":"A paradigm for evaluation and management of the maxillary sinus before dental implantation","volume":"128","author":"Chen","year":"2018","journal-title":"Laryngoscope"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"178","DOI":"10.11607\/jomi.2739","article-title":"Relationship between prognosis of dental implants and maxillary sinusitis associated with the sinus elevation procedure","volume":"28","author":"Kim","year":"2013","journal-title":"Int. J. Oral Maxillofac. Implant."}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/11\/11\/1093\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:24:05Z","timestamp":1760167445000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/11\/11\/1093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,26]]},"references-count":43,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11]]}},"alternative-id":["jpm11111093"],"URL":"https:\/\/doi.org\/10.3390\/jpm11111093","relation":{},"ISSN":["2075-4426"],"issn-type":[{"value":"2075-4426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,26]]}}}