国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (4): 468-474.doi: 10.7518/gjkq.2021060

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上颌窦提升术前上颌窦病变评估和处理的研究进展

叶冠琛(),余晓雯,赵飞亚,俞梦飞,王柏翔,王慧明()   

  1. 浙江大学医学院附属口腔医院种植科 浙江大学口腔医学院 浙江省口腔生物医学研究重点实验室 杭州 310006
  • 收稿日期:2020-11-01 修回日期:2021-03-08 出版日期:2021-07-01 发布日期:2021-06-30
  • 通讯作者: 王慧明
  • 作者简介:叶冠琛,硕士,Email: yeguanchen@zju.edu.cn
  • 基金资助:
    浙江省重点研发计划项目(2018C03062);浙江省教育厅一般科研项目(Y201942121)

Assessment and management of maxillary sinus diseases for sinus lift

Ye Guanchen(),Yu Xiaowen,Zhao Feiya,Yu Mengfei,Wang Baixiang,Wang Huiming()   

  1. Dept. of Oral Implantology, The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
  • Received:2020-11-01 Revised:2021-03-08 Online:2021-07-01 Published:2021-06-30
  • Contact: Huiming Wang
  • Supported by:
    Key Research and Development Projects of Zhejiang Province(2018C03062);General Scientific Research Projects of Department of Education Zhejiang Province(Y201942121)

摘要:

上颌窦提升术在临床上常用于增加上颌后牙区的垂直向骨高度,但由于部分患者存在上颌窦病变,上颌窦提升术的开展受到了限制。这些疾病的存在可能会增加手术的难度,增大术后并发症的风险,因此,行上颌窦提升术前需要进行病史问询、影像学检查,必要时使用鼻内窥镜进行术前筛查,旨在发现潜在的上颌窦病变。本文从上颌窦提升术对上颌窦稳态的影响出发,探讨了术前上颌窦病变评估的方法,聚焦于近年来术前上颌窦病变处理方式尤其是手术方式的进展,以期为临床治疗提供参考。

关键词: 上颌窦提升术, 上颌窦稳态, 上颌窦病变

Abstract:

Sinus floor elevation is often performed to increase the vertical bone height of the maxillary posterior area. However, given the maxillary sinus diseases present in some patients, the application of sinus floor lift is restricted. The presence of these diseases may increase the difficulty of surgery and the risk of postoperative complications. Therefore, medical history inquiry and imaging examination should be conducted before maxillary sinus elevation. Preoperative screening should be performed by nasal endoscopy to detect potential maxillary sinus lesions. Given the side effect that sinus floor elevation may have on maxillary sinus, this article discusses the assessment of the maxillary sinus diseases prior to sinus elevation and focuses on the treatment method, particularly surgery approach, thereby providing insights for clinical practice.

Key words: sinus floor elevation, maxillary sinus homeostasis, maxillary sinus disease

中图分类号: 

  • R783.4
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