国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (4): 452-457.doi: 10.7518/gjkq.2020074

• 综述 • 上一篇    下一篇

内镜技术在上颌窦异物取出术中的应用进展

石海涛,黄金霞,潘剑()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院颌面外科门诊 成都 610041
  • 收稿日期:2020-02-20 修回日期:2020-05-02 出版日期:2020-07-01 发布日期:2020-07-10
  • 通讯作者: 潘剑 E-mail:jianpancn@163.com
  • 作者简介:石海涛,住院医师,学士,Email:1991273957@qq.com
  • 基金资助:
    四川省人力资源和社会保障厅学术技术带头人培养基金(2017-A);四川省干部保健科研课题. 川干研2019-901

Application of endoscopic technique to remove the foreign bodies in the maxillary sinus

Haitao Shi,Jinxia Huang,Jian Pan()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-02-20 Revised:2020-05-02 Online:2020-07-01 Published:2020-07-10
  • Contact: Jian Pan E-mail:jianpancn@163.com
  • Supported by:
    This study was supported by Project of Human Resources and Social Security Department Academic and Technical Leader Training Fund in Sichuan(2017-A);Project of Cadres Health Research in Sichuan. 2019-901

摘要:

传统的上颌窦异物取出术是通过牙槽窝或尖牙窝开窗的途径进行操作,存在操作盲目,创伤较大,术后易出现并发症等缺点。内镜技术属于微创手术,照明好、角度多、入路简捷,同时利用监视系统的放大作用,上颌窦内的情况清晰可见,操作者可以通过内镜在直视下进行操作,具有手术创伤小、恢复快、并发症少等多种优点。本文就上颌窦内异物的类型及并发症,应用内镜技术取上颌窦异物的优缺点和手术入路,以及术中使用的填塞止血材料,术后实施的护理干预措施等方面进行综述,以便为临床医生提供参考。

关键词: 上颌窦异物, 内镜技术, 手术入路, 微创

Abstract:

The traditional methods to remove the foreign bodies in the maxillary sinus directly through the alveolar socket or canine fossa bone window have the disadvantages of operation blindness, large amounts of damage, and possible postoperative complications. The endoscopic technique is a minimally invasive procedure. The excellent illumination and the magnification of the monitoring system make the surgery field clearly visible and has the advantages of small surgical trauma, quick recovery, and less complications. Here, we review the types and complications, the advantages and disadvantages, the surgical approach of the endoscopic technique for removing foreign bodies in the maxillary sinus, the use of stuffing hemostasis materials, and postoperative care.

Key words: foreign bodies in the maxillary sinus, endoscopic technique, surgical approach, minimally invasive

中图分类号: 

  • R782.1
[1] Krause HR, Rustemeyer J, Grunert RR. Foreign body in paranasal sinuses[J]. Mund Kiefer Gesich-tschir, 2002,6(1):40-44.
[2] Lima MM, Moreira CA, da Silva VC, et al. 34 self-inflicted foreign bodies in the maxillary sinus[J]. Braz J Otorhinolaryngol, 2008,74(6):948.
doi: 10.1016/S1808-8694(15)30162-2 pmid: 19582358
[3] Ong JC, De Silva RK, Tong DC. Retrieval of a root fragment from the maxillary sinus—an appreciation of the Caldwell-Luc procedure[J]. N Z Dent J, 2007,103(1):14-16.
pmid: 17378172
[4] Aukštakalnis R, Simonavičiūtė R, Simuntis R. Treat-ment options for odontogenic maxillary sinusitis: a review[J]. Stomatologija, 2018,20(1):22-26.
pmid: 29806655
[5] Asmael HM. The modified Caldwell-luc approach in retrieval of accidentally displaced root into the maxillary sinus[J]. J Craniofac Surg, 2018,29(2):e130-e131.
doi: 10.1097/SCS.0000000000004189 pmid: 29194255
[6] Wang XM, Li SH, Huang ZQ, et al. Removal of the residual roots displaced into the maxillary sinus via endoscopy[J]. J Craniofac Surg, 2018,29(4):1034-1036.
doi: 10.1097/SCS.0000000000004382 pmid: 29481510
[7] Dundar S, Karlidag T, Keles E. Endoscopic removal of a dental implant from maxillary sinus[J]. J Cranio-facial Surg, 2017,28(4):1003-1004.
[8] Deniz Y, Zengin AZ, Karli R. An unusual foreign body in the maxillary sinus: dental impression ma-terial[J]. Niger J Clin Pract, 2016,19(2):298.
doi: 10.4103/1119-3077.164367 pmid: 26856299
[9] Kumar N, Bhutani H, Jain P, et al. Accidental entry of foreign body in maxillary sinus: a case report[J]. Open J Stomatol, 2015,5(1):1-5.
[10] Nataraj RV, Jagade M, Chavan R, et al. An unusual maxillary sinus foreign body and its endoscopic as-sisted removal[J]. Int J Otolaryngol Head Neck Surg, 2015,4(1):38-43.
[11] Gao QM, Yang C, Zheng LY, et al. Removal of long-term broken roots displaced into the maxillary sinus by endoscopic assistant[J]. J Craniofacial Surg, 2016,27(1):e77-e80.
[12] Fonseca RJ. Oral and maxillofacial surgerry[M]. Philadelphia: Saunders, 2000: 432.
[13] Kirihene RK, Rees G, Wormald PJ. The influence of the size of the maxillary sinus ostium on the nasal and sinus nitric oxide levels[J]. Am J Rhinol, 2002,16(5):261-264.
pmid: 12422970
[14] Kim E, Duncavage JA. Prevention and management of complications in maxillary sinus surgery[J]. Oto-laryngol Clin North Am, 2010,43(4):865-873.
[15] Felisati G, Borloni R, Maccari A, et al. Endoscopic removal of alloplastic sinus graft material via a wide middle antrotomy[J]. Int J Oral Maxillofac Surg, 2008,37(9):858-861.
doi: 10.1016/j.ijom.2008.04.021 pmid: 18562175
[16] Matti E, Emanuelli E, Pusateri A, et al. Transnasal endoscopic removal of dental implants from the maxillary sinus[J]. Int J Oral Maxillofac Implants, 2013,28(3):905-910.
doi: 10.11607/jomi.2894 pmid: 23748326
[17] Hosemann W, Scotti O, Bentzien S. Evaluation of telescopes and forceps for endoscopic transnasal surgery on the maxillary sinus[J]. Am J Rhinol, 2003,17(5):311-316.
pmid: 14599136
[18] Lucas JS, Barbato A, Collins SA, et al. European respiratory society guidelines for the diagnosis of primary ciliary dyskinesia[J]. Eur Respir J, 2017,49(1):1601090.
doi: 10.1183/13993003.01090-2016 pmid: 27836958
[19] Farrell PM, White TB, Ren CL, et al. Diagnosis of cystic fibrosis: consensus guidelines from the cystic fibrosis foundation[J]. J Pediatr, 2017,181S:S4-S15.
doi: 10.1016/j.jpeds.2016.09.064 pmid: 28129811
[20] Lee JY, Baek BJ, Byun JY, et al. Long-term efficacy of inferior meatal antrostomy for treatment of posto-perative maxillary mucoceles[J]. Am J Otolaryngol, 2014,35(6):727-730.
doi: 10.1016/j.amjoto.2014.07.008 pmid: 25113631
[21] Sawatsubashi M, Murakami D, Umezaki T, et al. Endonasal endoscopic surgery with combined middle and inferior meatal antrostomies for fungal maxillary sinusitis[J]. J Laryngol Otol, 2015,129(S2):S52-S55.
doi: 10.1017/S0022215114002394
[22] Albu S, Gocea A, Necula S. Simultaneous inferior and middle meatus antrostomies in the treatment of the severely diseased maxillary sinus[J]. Am J Rhinol Allergy, 2011,25(2):e80-e85.
doi: 10.2500/ajra.2011.25.3592
[23] Anand V, Santosh S, Aishwarya A. Canine fossa approaches in endoscopic sinus surgery-our ex-perience[J]. Indian J Otolaryngol Head Neck Surg, 2008,60(3):214-217.
doi: 10.1007/s12070-008-0080-3
[24] Sireci F, Nicolotti M, Battaglia P, et al. Canine fossa puncture in endoscopic sinus surgery: report of two cases[J]. Braz J Otorhinolaryngol, 2017,83(5):594-599.
doi: 10.1016/j.bjorl.2017.03.001 pmid: 28400177
[25] Cheng L, Papesch M. Removal of dislodged roots from maxillary antrum using minimal access sinus-copy and eicken antrum cannula[J]. Int J Oral Maxillofac Surg, 2019,48:288.
[26] 张江山. 内窥镜牙槽窝路径在上颌窦取根术中的临床应用[J]. 口腔医学, 2011,31(7):436-437.
Zhang JS. Clinical application of endoscopic alveolar path in root extraction of maxillary sinus[J]. Stoma-tology, 2011,31(7):436-437.
[27] Lozada JL, Goodacre C, Al-Ardah AJ, et al. Lateral and crestal bone planing antrostomy: a simplified surgical procedure to reduce the incidence of mem-brane perforation during maxillary sinus augmenta-tion procedures[J]. J Prosthet Dent, 2011,105(3):147-153.
doi: 10.1016/S0022-3913(11)60020-6 pmid: 21356405
[28] 周芹, 朱震坤, 孙睿男, 等. 经上颌窦侧壁开窗取出移位入窦腔内种植体1例报告[J]. 上海口腔医学, 2016,25(1):125-128.
Zhou Q, Zhu ZK, Sun RN, et al. Removal of the displaced implant from the maxillary sinus: report of one case[J]. Shanghai J Stomatol, 2016,25(1):125-128.
[29] 胡颖恺, 杨驰, 徐光宙, 等. 保存牙槽骨的上颌窦内异物取出方法及临床评价[J]. 中国口腔颌面外科杂志, 2016,14(2):154-157.
Hu YK, Yang C, Xu GZ, et al. Retrieval of foreign bodies in maxillary sinus via antereolateral wall of the sinus to preserve alveolar bone[J]. China J Oral Maxillofac Surg, 2016,14(2):154-157.
[30] Testori T, Weinstein T, Taschieri S, et al. Risk factors in lateral window sinus elevation surgery[J]. Perio-dontol 2000, 2019,81(1):91-123.
[31] Biel MA, Sievert C, Usacheva M, et al. Antimicro-bial photodynamic therapy treatment of chronic recurrent sinusitis biofilms[J]. Int Forum Allergy Rhinol, 2011,1(5):329-334.
doi: 10.1002/alr.20089 pmid: 22287461
[32] Ruiz JW, Saint-Victor S, Tessema B, et al. Coblation assisted endoscopic juvenile nasopharyngeal angiofi-broma resection[J]. Int J Pediatr Otorhinolaryngol, 2012,76(3):439-442.
doi: 10.1016/j.ijporl.2011.11.005 pmid: 22269889
[33] Wang TC, Tai CJ, Tsou YA, et al. Absorbable and nonabsorbable packing after functional endoscopic sinus surgery: systematic review and meta-analysis of outcomes[J]. Eur Arch Otorhinolaryngol, 2015,272(8):1825-1831.
doi: 10.1007/s00405-014-3107-2 pmid: 24927828
[34] Weber R, Keerl R, Hochapfel F, et al. Packing in endonasal surgery[J]. Am J Otolaryngol, 2001,22(5):306-320.
doi: 10.1053/ajot.2001.26499 pmid: 11562881
[35] Jurkiewicz D, Kaźmierczak H, Rogowski M, et al. Evaluation of fully biodegradable nasal packings in functional endoscopic sinus surgery—a multi-centre study[J]. Otolaryngol Pol, 2015,69(1):11-15.
doi: 10.5604/00306657.1136144 pmid: 25753162
[36] Verim A, Şeneldir L, Naiboğlu B, et al. Role of nasal packing in surgical outcome for chronic rhinosinu-sitis with polyposis[J]. Laryngoscope, 2014,124(7):1529-1535.
doi: 10.1002/lary.24543 pmid: 24284971
[37] 凤娅妮, 张昌明, 王小成, 等. 两种止血材料对慢性鼻窦炎术后的止血效果比较[J]. 当代医学, 2015,21(20):33-34.
Feng YN, Zhang CM, Wang XC, et al. The hemos-tatic effect after operation of chronic sinusitis con-trast of two types hemostatic materials[J]. Contemp Med, 2015,21(20):33-34.
[38] 庞敏. 护理干预对慢性鼻窦炎鼻息肉鼻内镜术后康复的影响[J/CD]. 实用临床护理学电子杂志, 2017,9(27):206-208.
Pang M. Effect of nursing intervention on recovery after nasal endoscopic surgery for chronic sinusitis and nasal polyp[J/CD]. Electron J Pract Clin Nurs Sci, 2017,9(27):206-208.
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