The prophylactic meatal antrostomy and risk of sinusitis among patients receiving zygomatic implants: A systematic review and meta-analysis

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI:10.1016/j.jormas.2025.102443

Yixuan Liu , Nuozhou Liu , Jingyan Huang , Huanhuan Liu , Yan Wang

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引用次数: 0

Abstract

Background

Zygomatic implants (ZIs) have shown promise in reconstruction of defective arches. Sinusitis is the most common complication following ZIs placement, causing impaired quality of life (QoL) and even implantation failure. Whether prophylactic meatal antrostomy is effective to reduce the risk of sinusitis after ZIs is unclear.

Methods

This study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines with a prespecified Prospero registration (registration ID: CRD42024615186). The Newcastle-Ottawa Scale (NOS) for cohorts or Cochrane Risk of Bias (ROB) for trials was used to evaluate primary study quality.

Results

1 prospective cohort study and 1 randomized clinical trial with 80 patients receiving ZI surgery were enrolled in this study. We observed a significant reduction in the risk of sinusitis with meatal antrostomy (OR=0.22, 95 %CI:0.05–0.98). The results from the 2 studies were consistent (I² statistic for heterogeneity=0 %, Q test p > 0.05).

Conclusion

The present study suggests that prophylactic meatal antrostomy during ZI implantation surgery reduced the risk of postoperative sinusitis. However, limited primary studies with broad confidence interval and invasive nature of meatal antrostomy warrant cautious implementation. We call for higher-quality prospective studies incorporating and standardized outcome measures to validate these findings.

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接受颧骨种植体的患者预防性金属窦口造口和鼻窦炎的风险：系统回顾和荟萃分析。

背景：颧骨植入物（ZIs）在缺损弓的重建中显示出良好的前景。鼻窦炎是植入ZIs后最常见的并发症，导致生活质量下降，甚至植入失败。预防性金属窦口造口术是否能有效降低ZIs术后鼻窦炎的发生风险尚不清楚。方法：本研究遵循系统评价和荟萃分析首选报告项目（PRISMA）和流行病学观察性研究荟萃分析（MOOSE）指南进行，预先指定了Prospero注册（注册ID: CRD42024615186）。队列采用纽卡斯尔-渥太华量表（NOS），试验采用Cochrane偏倚风险量表（ROB）评价主要研究质量。结果：本研究纳入1项前瞻性队列研究和1项随机临床试验，共纳入80例ZI手术患者。我们观察到金属窦口造口术显著降低鼻窦炎的风险（OR=0.22, 95%CI:0.05-0.98）。两项研究结果一致（I2统计量异质性=0%，Q检验p < 0.05）。结论：ZI植入术中预防性金属窦口造口可降低术后鼻窦炎的发生风险。然而，有限的初步研究具有广泛的置信区间和侵入性，因此需要谨慎实施。我们呼吁进行高质量的前瞻性研究，纳入标准化的结果测量来验证这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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