Endoscopy-mediated sinus augmentation (E.M.S): A technique report

This technique report demonstrates the use of a novel endoscope which enhanced visualization during implant placement with simultaneous sinus augmentation in 3 patients. An endoscope with a 3.9 mm high-definition camera, adjustable-angle and detachable tips for instrumentation, was used to visualize and lift the Schneiderian membrane, detect perforations, and guide bone graft placement. The endoscope was inserted through either a lateral window or the crestal implant osteotomy. Implant success, surgical outcomes, and postoperative healing were assessed over a 6-month period. Four implants were successfully placed without complication in the three patients. Endoscope-assisted sinus augmentation, or E.M.S, allowed for continuous magnified visualization while lifting the membrane, ensuring its integrity and precise bone graft placement. The novel endoscope supports a minimally invasive, patient-centered approach which may offer improved intraoperative control and potentially reduces the incidence of complications.