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Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial

Identifieur interne : 003F05 ( Istex/Corpus ); précédent : 003F04; suivant : 003F06

Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial

Auteurs : Gilberto Sammartino ; Mauro Mariniello ; Maria Serena Scaravilli

Source :

RBID : ISTEX:7F3FC9F78DB26590211263AD7D2A4811CAADEA02

English descriptors

Abstract

Objective: To compare mallet osteotomes with screwable osteotomes determining benign paroxysmal positional vertigo (BPPV) following the osteotome closed sinus floor elevation procedure.

Url:
DOI: 10.1111/j.1600-0501.2010.01998.x

Links to Exploration step

ISTEX:7F3FC9F78DB26590211263AD7D2A4811CAADEA02

Le document en format XML

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<head>Abstract</head>
<p>
<hi rend="bold">Objective: </hi>
To compare mallet osteotomes with screwable osteotomes determining benign paroxysmal positional vertigo (BPPV) following the osteotome closed sinus floor elevation procedure.</p>
<p>
<hi rend="bold">Materials and Methods: </hi>
This triple‐blind randomized controlled trial involved 196 patients affected by edentulous atrophic ridges (107 males and 89 females; mean age 62.05±7.10; age range 49–79 years), requiring an osteotome closed sinus floor elevation procedure. Patients were randomly allocated to either a mallet‐osteotomes group (Group 1,
<hi rend="italic">n</hi>
=98) or a screwable osteotomes group (Group 2,
<hi rend="italic">n</hi>
=98). Two different surgeons, blind to the study, performed the closed sinus lift procedure according to the blocks allocation. A complete post‐surgical examination, including the Dix–Hallpike maneuver, was performed on 196 patients before and after surgery. The diagnosis of BPPV was supported by the existence of ageotropic nystagmus concurrent with vertigo.</p>
<p>
<hi rend="bold">Results: </hi>
Three patients of Group 1 (3/98–3.06%) showed a BPPV of the posterior semicircular canal omo‐lateral to the implanted side 1 or 2 days after the surgical procedure, which was promptly solved using the Epley re‐positioning maneuver.</p>
<p>
<hi rend="bold">Conclusions: </hi>
Preparation of implant beds with osteotome and mallet transmits percussive and vibratory forces capable of detaching the otoliths from their normal location; moreover, the patient's surgical head position favors the displacement of otoliths into the posterior semicircular canal. Implant surgeons should be aware of this possible complication following closed sinus lift procedure and patients should always be informed before undergoing surgery.</p>
<p>
<hi rend="bold">To cite this article:</hi>

Sammartino G, Mariniello M, Scaravilli MS. Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial.

<hi rend="italic">Clin. Oral Impl. Res</hi>
.
<hi rend="bold">22</hi>
, 2011; 669–672
doi: 10.1111/j.1600‐0501.2010.01998.x</p>
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<copyright>© 2010 John Wiley & Sons A/S</copyright>
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<b>Corresponding author:</b>
<i>Dr Maria Serena Scaravilli</i>

Oral and Implant Surgery Section
of the Department of Oral and
Maxillo‐Facial Sciences
School of Oral Surgery
University “Federico II” of Naples
via Sergio Pansini 5
I‐80131 Naples,
Italy
Tel./Fax: +39 081 7462 118
e‐mail:
<email normalForm="serena.scaravilli@gmail.com">serena.scaravilli@gmail.com</email>
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, Accepted 29 May 2010</unparsedEditorialHistory>
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<title type="main">Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial</title>
<title type="shortAuthors">Sammartino et al.</title>
<title type="short">BPPV following closed sinus floor elevation procedure</title>
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<personName>
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<personName>
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<keyword xml:id="k1">benign paroxysmal positional vertigo (BPPV)</keyword>
<keyword xml:id="k2">mallet osteotomes</keyword>
<keyword xml:id="k3">screwable osteotomes</keyword>
<keyword xml:id="k4">sinus floor elevation</keyword>
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<p>
<b>Table S1.</b>
Supporting information in accordance with the CONSORT Statement 2001 checklist used in reporting randomized trials.</p>
<p>Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p>
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<title type="main">Abstract</title>
<p>
<b>Objective: </b>
To compare mallet osteotomes with screwable osteotomes determining benign paroxysmal positional vertigo (BPPV) following the osteotome closed sinus floor elevation procedure.</p>
<p>
<b>Materials and Methods: </b>
This triple‐blind randomized controlled trial involved 196 patients affected by edentulous atrophic ridges (107 males and 89 females; mean age 62.05±7.10; age range 49–79 years), requiring an osteotome closed sinus floor elevation procedure. Patients were randomly allocated to either a mallet‐osteotomes group (Group 1,
<i>n</i>
=98) or a screwable osteotomes group (Group 2,
<i>n</i>
=98). Two different surgeons, blind to the study, performed the closed sinus lift procedure according to the blocks allocation. A complete post‐surgical examination, including the Dix–Hallpike maneuver, was performed on 196 patients before and after surgery. The diagnosis of BPPV was supported by the existence of ageotropic nystagmus concurrent with vertigo.</p>
<p>
<b>Results: </b>
Three patients of Group 1 (3/98–3.06%) showed a BPPV of the posterior semicircular canal omo‐lateral to the implanted side 1 or 2 days after the surgical procedure, which was promptly solved using the Epley re‐positioning maneuver.</p>
<p>
<b>Conclusions: </b>
Preparation of implant beds with osteotome and mallet transmits percussive and vibratory forces capable of detaching the otoliths from their normal location; moreover, the patient's surgical head position favors the displacement of otoliths into the posterior semicircular canal. Implant surgeons should be aware of this possible complication following closed sinus lift procedure and patients should always be informed before undergoing surgery.</p>
<p>
<b>To cite this article:</b>

Sammartino G, Mariniello M, Scaravilli MS. Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial.

<i>Clin. Oral Impl. Res</i>
.
<b>22</b>
, 2011; 669–672
doi: 10.1111/j.1600‐0501.2010.01998.x</p>
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<abstract>Objective: To compare mallet osteotomes with screwable osteotomes determining benign paroxysmal positional vertigo (BPPV) following the osteotome closed sinus floor elevation procedure.</abstract>
<abstract>Materials and Methods: This triple‐blind randomized controlled trial involved 196 patients affected by edentulous atrophic ridges (107 males and 89 females; mean age 62.05±7.10; age range 49–79 years), requiring an osteotome closed sinus floor elevation procedure. Patients were randomly allocated to either a mallet‐osteotomes group (Group 1, n=98) or a screwable osteotomes group (Group 2, n=98). Two different surgeons, blind to the study, performed the closed sinus lift procedure according to the blocks allocation. A complete post‐surgical examination, including the Dix–Hallpike maneuver, was performed on 196 patients before and after surgery. The diagnosis of BPPV was supported by the existence of ageotropic nystagmus concurrent with vertigo.</abstract>
<abstract>Results: Three patients of Group 1 (3/98–3.06%) showed a BPPV of the posterior semicircular canal omo‐lateral to the implanted side 1 or 2 days after the surgical procedure, which was promptly solved using the Epley re‐positioning maneuver.</abstract>
<abstract>Conclusions: Preparation of implant beds with osteotome and mallet transmits percussive and vibratory forces capable of detaching the otoliths from their normal location; moreover, the patient's surgical head position favors the displacement of otoliths into the posterior semicircular canal. Implant surgeons should be aware of this possible complication following closed sinus lift procedure and patients should always be informed before undergoing surgery.</abstract>
<abstract>To cite this article: 
Sammartino G, Mariniello M, Scaravilli MS. Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial.
Clin. Oral Impl. Res. 22, 2011; 669–672
doi: 10.1111/j.1600‐0501.2010.01998.x</abstract>
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