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Medical Forum / General / Dentistry / August 2006

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Is a sinus lift (maxillary) reversible?

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desdemonadivenezia@yahoo.com - 19 Aug 2006 17:27 GMT
OK I have searched everywhere and can't find an answer to this.

Is a sinus lift with bone graft, done to support on implant on a back
molar, reversible in any way?

If it 'failed' would the sinus membrane drop back down on its own?

any comments greatly appreciated.
Alexander Vasserman DDS - 21 Aug 2006 03:48 GMT
why would you want it to be reversable surgically????

if you never get the implant put in it is possible that over time the
sinus cavity will enlarge again.
usually maxillary sinus cavity enlarges on opposite side of patients
with collapsed nostril.
ie if nostril is collapsed on the right the left sinus cavity will be
larger to compensate.

> OK I have searched everywhere and can't find an answer to this.
>
[quoted text clipped - 4 lines]
>
> any comments greatly appreciated.
desdemonadivenezia@yahoo.com - 21 Aug 2006 15:35 GMT
Thanks for your comments.

Apparently the surgeon who did this and I had differing understandings
of the phrase "whatever you do, do nothing that involves the sinuses".
I  was not expecting this procedure to be done in the first place and I
have a professional voice. Therefore I wanted to know what the
feasibility of "reversing" the lift were.

The research on results of this procedure on the professional voice
seem to indicate that there no effects, but they based on a very small
sample (4 patients) that is not broken down by type of voice use or
type of voice. So as a singer, I would opted to not have undergone this
particular procedure altogether!

I do not understand the reference to the collapsed nostril however.

Desde

> why would you want it to be reversable surgically????
>
[quoted text clipped - 13 lines]
> >
> > any comments greatly appreciated.
Dave King - 21 Aug 2006 16:27 GMT
>Thanks for your comments.
>
[quoted text clipped - 11 lines]
>
>I do not understand the reference to the collapsed nostril however.

The nostril and the sinus have no mutual correlation other than the
air that passes by.

>Desde
>
[quoted text clipped - 15 lines]
>> >
>> > any comments greatly appreciated.
~~~~~~~~~~~~~~~~~~~~~
David A. King, D.M.D.
Diplomate, American Board of OMS
Fellow, American Association of OMS
HTTP://WWW.DEOMFS.COM
Alexander Vasserman DDS - 24 Aug 2006 06:58 GMT
Not sure what you mean by "mutual correlation". Its just a clinical
observation from examining many panorex films and their correlated
patients (especially those with collapsed septums and unilateral
constricted nostrils) which happens makes sense at least to me.

> The nostril and the sinus have no mutual correlation other than the
> air that passes by.
Dave King - 24 Aug 2006 15:47 GMT
>Not sure what you mean by "mutual correlation". Its just a clinical
>observation from examining many panorex films and their correlated
>patients (especially those with collapsed septums and unilateral
>constricted nostrils) which happens makes sense at least to me.

Deviated septums often lead to enlarged turbinates away from the side
the septum is leaning. The sinuses will enlarge without any outside
influence. My point was no correlation exists, AFAIK, between the size
of the nares and the size of the maxillary sinus.

>> The nostril and the sinus have no mutual correlation other than the
>> air that passes by.
Alexander Vasserman DDS - 25 Aug 2006 04:14 GMT
I think you did not understand what I meant and we are saying the exact
same thing.

> >Not sure what you mean by "mutual correlation". Its just a clinical
> >observation from examining many panorex films and their correlated
[quoted text clipped - 8 lines]
> >> The nostril and the sinus have no mutual correlation other than the
> >> air that passes by.
Alexander Vasserman DDS - 24 Aug 2006 06:59 GMT
Not sure what you mean by "mutual correlation". Its just a clinical
observation from examining many panorex films and their correlated
patients (especially those with collapsed septums and unilateral
constricted nostrils) which happens makes sense at least to me.

> The nostril and the sinus have no mutual correlation other than the
> air that passes by.
Alexander Vasserman DDS - 24 Aug 2006 07:10 GMT
Not sure what you mean by "mutual correlation". Its just a clinical
observation from examining many panorex films and their correlated
patients (especially those with collapsed septums and unilateral
constricted nostrils) which happens makes sense at least to me.

> The nostril and the sinus have no mutual correlation other than the
> air that passes by.
mr_ravi_patil@yahoo.com - 27 Aug 2006 08:48 GMT
> Thanks for your comments.
>
[quoted text clipped - 3 lines]
> have a professional voice. Therefore I wanted to know what the
> feasibility of "reversing" the lift were.

How has the surgery it affected your voice?

Weaker? Different quality? Loss of range?
Dave King - 27 Aug 2006 16:55 GMT
>> Thanks for your comments.
>>
[quoted text clipped - 7 lines]
>
>Weaker? Different quality? Loss of range?

The likelyhood of voice changes is extremely small if not
non-existent.
~~~~~~~~~~~~~~~~~~~~~
David A. King, D.M.D.
Diplomate, American Board of OMS
Fellow, American Association of OMS
HTTP://WWW.DEOMFS.COM
Joel344 - 25 Aug 2006 00:15 GMT
Thanks Dave,

I was always worried that "nice nares ..." was a compliment that I di
not want ......

--
Joel34
Abu Khada al Karak - 27 Aug 2006 02:12 GMT
I am really surprised the Joel did not comment about "Is a sinus lift
(mandibular) reversible?"..... Ha!

Dr Abu

======================================

> Thanks Dave,
>
> I was always worried that "nice nares ..." was a compliment that I did
> not want .......
 
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