国际口腔医学杂志

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

• 综述 • 上一篇    下一篇

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)

RichHTML

230

PDF (PC)

1340

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
[1] Al-Dajani M. Recent trends in sinus lift surgery and their clinical implications[J]. Clin Implant Dent Relat Res, 2016,18(1):204-212.
doi: 10.1111/cid.12275 pmid: 25274014
[2] Baldini N, D’Elia C, Bianco A, et al. Lateral approach for sinus floor elevation: large versus small bone window‒a split-mouth randomized clinical trial[J]. Clin Oral Implants Res, 2017,28(8):974-981.
doi: 10.1111/clr.12908 pmid: 27378477
[3] Călin C, Petre A, Drafta S. Osteotome-mediated sinus floor elevation: a systematic review and meta-analysis[J]. Int J Oral Maxillofac Implants, 2014,29(3):558-576.
doi: 10.11607/jomi.3206
[4] 姚瑶, 潘巨利. 上颌窦黏膜在上颌窦提升术中成骨作用的研究进展[J]. 国际口腔医学杂志, 2015,42(4):432-435.
Yao Y, Pan JL. Osteogenic potential of maxillary sinus membrane in the progress on sinus membrane eleva-tion[J]. Int J Stomatol, 2015,42(4):432-435.
[5] Scala A, Botticelli D, Rangel IG, et al. Early healing after elevation of the maxillary sinus floor applying a lateral access: a histological study in monkeys[J]. Clin Oral Implants Res, 2010,21(12):1320-1326.
doi: 10.1111/clr.2010.21.issue-12
[6] Scala A, Botticelli D, Faeda RS, et al. Lack of in-fluence of the Schneiderian membrane in forming new bone apical to implants simultaneously installed with sinus floor elevation: an experimental study in monkeys[J]. Clin Oral Implants Res, 2012,23(2):175-181.
doi: 10.1111/j.1600-0501.2011.02227.x
[7] Cohen NA. Sinonasal mucociliary clearance in heal-th and disease[J]. Ann Otol Rhinol Laryngol Suppl, 2006,196:20-26.
pmid: 17040014
[8] Gudis D, Zhao KQ, Cohen NA. Acquired cilia dysfunction in chronic rhinosinusitis[J]. Am J Rhinol Allergy, 2012,26(1):1-6.
doi: 10.2500/ajra.2012.26.3716
[9] Timmenga NM, Raghoebar GM, Liem RS, et al. Effects of maxillary sinus floor elevation surgery on maxillary sinus physiology[J]. Eur J Oral Sci, 2003,111(3):189-197.
doi: 10.1034/j.1600-0722.2003.00012.x
[10] Quirynen M, Lefever D, Hellings P, et al. Transient swelling of the Schneiderian membrane after transversal sinus augmentation: a pilot study[J]. Clin Oral Implants Res, 2014,25(1):36-41.
doi: 10.1111/clr.12056 pmid: 23106796
[11] Anduze-Acher G, Brochery B, Felizardo R, et al. Change in sinus membrane dimension following sinus floor elevation: a retrospective cohort study[J]. Clin Oral Implants Res, 2013,24(10):1123-1129.
doi: 10.1111/j.1600-0501.2012.02520.x pmid: 22709140
[12] Pignataro L, Mantovani M, Torretta S, et al. ENT assessment in the integrated management of candidate for (maxillary) sinus lift[J]. Acta Otorhinolaryngol Ital, 2008,28(3):110-119.
pmid: 18646572
[13] Timmenga NM, Raghoebar GM, Boering G, et al. Maxillary sinus function after sinus lifts for the insertion of dental implants[J]. J Oral Maxillofac Surg, 1997,55(9):936-940.
doi: 10.1016/S0278-2391(97)90063-X
[14] Kim JS, Choi SM, Yoon JH, et al. What affects postoperative sinusitis and implant failure after dental implant: a meta-analysis[J]. Otolaryngol Head Neck Surg, 2019,160(6):974-984.
doi: 10.1177/0194599819829747
[15] Kozuma A, Sasaki M, Seki K, et al. Preoperative chronic sinusitis as significant cause of postoperative infection and implant loss after sinus augmentation from a lateral approach[J]. Oral Maxillofac Surg, 2017,21(2):193-200.
doi: 10.1007/s10006-017-0611-8 pmid: 28332067
[16] Moreno Vazquez JC, Gonzalez de Rivera AS, Gil HS, et al. Complication rate in 200 consecutive sinus lift procedures: guidelines for prevention and treatment[J]. J Oral Maxillofac Surg, 2014,72(5):892-901.
doi: 10.1016/j.joms.2013.11.023
[17] Chirilă L, Rotaru C, Filipov I, et al. Management of acute maxillary sinusitis after sinus bone grafting procedures with simultaneous dental implants place-ment‒a retrospective study[J]. BMC Infect Dis, 2016,16(Suppl 1):94.
doi: 10.1186/s12879-016-1398-1
[18] Chiapasco M, Felisati G, Maccari A, et al. The ma-nagement of complications following displacement of oral implants in the paranasal sinuses: a multicenter clinical report and proposed treatment protocols[J]. Int J Oral Maxillofac Surg, 2009,38(12):1273-1278.
doi: 10.1016/j.ijom.2009.09.001
[19] Dixon AE, Sugar EA, Zinreich SJ, et al. Criteria to screen for chronic sinonasal disease[J]. Chest, 2009,136(5):1324-1332.
doi: S0012-3692(09)60689-9 pmid: 19581356
[20] Cote MT, Segelnick SL, Rastogi A, et al. New York state ear, nose, and throat specialists’ views on pre-sinus lift referral[J]. J Periodontol, 2011,82(2):227-233.
doi: 10.1902/jop.2010.100344
[21] de Gabory L, Catherine JH, Molinier-Blossier S, et al. French Otorhinolaryngology Society (SFORL) good practice guidelines for dental implant surgery close to the maxillary sinus[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2020,137(1):53-58.
doi: S1879-7296(19)30201-7 pmid: 31837968
[22] Malina-Altzinger J, Damerau G, Grätz KW, et al. Eva-luation of the maxillary sinus in panoramic radiography-a comparative study[J]. Int J Implant Dent, 2015,1(1):17.
pmid: 27747639
[23] Kirkham-Ali K, La M, Sher J, et al. Comparison of cone-beam computed tomography and panoramic imaging in assessing the relationship between posterior maxillary tooth roots and the maxillary sinus: a systematic review[J]. J Investig Clin Dent, 2019,10(3):e12402.
[24] 汪文涛, 汪永跃. 上颌窦提升术中有关上颌窦黏膜的研究进展[J]. 国际口腔医学杂志, 2013,40(3):391-394.
Wang WT, Wang YY. Research progress on maxillary sinus membrane in maxillary sinus floor elevation[J]. Int J Stomatol, 2013,40(3):391-394.
[25] Carmeli G, Artzi Z, Kozlovsky A, et al. Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function[J]. Clin Oral Implants Res, 2011,22(1):78-82.
doi: 10.1111/j.1600-0501.2010.01986.x pmid: 20946209
[26] Chan HL, Wang HL. Sinus pathology and anatomy in relation to complications in lateral window sinus augmentation[J]. Implant Dent, 2011,20(6):406-412.
doi: 10.1097/ID.0b013e3182341f79
[27] Abdel-Aziz M, El-Hoshy H, Azooz K, et al. Maxillary sinus mucocele: predisposing factors, clinical presentations, and treatment[J]. Oral Maxillofac Surg, 2017,21(1):55-58.
doi: 10.1007/s10006-016-0599-5 pmid: 27896530
[28] Wang JH, Jang YJ, Lee BJ. Natural course of retention cysts of the maxillary sinus: long-term follow-up results[J]. Laryngoscope, 2007,117(2):341-344.
doi: 10.1097/01.mlg.0000250777.52882.7a
[29] Cağlayan F, Tozoğlu U. Incidental findings in the maxillofacial region detected by cone beam CT[J]. Diagn Interv Radiol, 2012,18(2):159-163.
doi: 10.4261/1305-3825.DIR.4341-11.2 pmid: 21960135
[30] Lana JP, Carneiro PM, Machado Vde C, et al. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants[J]. Clin Oral Implants Res, 2012,23(12):1398-1403.
doi: 10.1111/clr.2012.23.issue-12
[31] Yeung AWK, Tanaka R, Khong PL, et al. Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT)[J]. Clin Oral Investig, 2018,22(3):1175-1183.
doi: 10.1007/s00784-017-2206-z pmid: 28920140
[32] Kara IM, Küçük D, Polat S, Experience of maxillary sinus floor augmentation in the presence of antral pseudocysts[J]. J Oral Maxillofac Surg, 2010,68(7):1646-1650.
doi: 10.1016/j.joms.2009.09.116
[33] Mardinger O, Manor I, Mijiritsky E, et al. Maxillary sinus augmentation in the presence of antral pseudocyst: a clinical approach[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007,103(2):180-184.
pmid: 17234532
[34] MacDonald-Jankowski DS. Mucosal antral cysts observed within a London inner-city population[J]. Clin Radiol, 1994,49(3):195-198.
pmid: 8143412
[35] Seo YJ, Kim J, Kim K, et al. Radiologic characteristics of sinonasal fungus ball: an analysis of 119 ca-ses[J]. Acta Radiol Stock Swed, 2011,52(7):790-795.
[36] Yoon YH, Xu J, Park SK, et al. A retrospective ana-lysis of 538 sinonasal fungus ball cases treated at a single tertiary medical center in Korea (1996‒2015)[J]. Int Forum Allergy Rhinol, 2017,7(11):1070-1075.
doi: 10.1002/alr.22007
[37] 王荣光, 陈雷. 内镜鼻窦手术围手术期处理新进展[J]. 中华耳鼻咽喉头颈外科杂志, 2012,47(5):430-433.
Wang RG, Chen L. New progress on the periopera-tive management of endoscopic sins surgery[J]. Chin J Otorhinolaryngol Head Neck Surg, 2012,47(5):430-433.
[38] Albu S, Baciut M, Opincariu I, et al. The canine fossa puncture technique in chronic odontogenic maxillary sinusitis[J]. Am J Rhinol Allergy, 2011,25(5):358-362.
doi: 10.2500/ajra.2011.25.3673
[39] Costa F, Emanuelli E, Robiony M, et al. Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin[J]. J Oral Maxillofac Surg, 2007,65(2):223-228.
doi: 10.1016/j.joms.2005.11.109
[40] Chiapasco M, Felisati G, Zaniboni M, et al. The treatment of sinusitis following maxillary sinus graf-ting with the association of functional endoscopic sinus surgery (FESS) and an intra-oral approach[J]. Clin Oral Implants Res, 2013,24(6):623-629.
doi: 10.1111/j.1600-0501.2012.02440.x pmid: 22404380
[41] Felisati G, Borloni R, Chiapasco M, et al. Maxillary sinus elevation in conjunction with transnasal endoscopic treatment of rhino-sinusal pathoses: preliminary results on 10 consecutively treated patients[J]. Acta Otorhinolaryngol Ital, 2010,30(6):289-293.
pmid: 21808449
[42] Harvey R, Hannan SA, Badia L, et al. Nasal saline irrigations for the symptoms of chronic rhinosinu-sitis[J]. Cochrane Database Syst Rev, 2007(3): CD-006394.
[43] Chong LY, Head K, Hopkins C, et al. Saline irrigation for chronic rhinosinusitis[J]. Cochrane Database Syst Rev, 2016,4: CD011995.
[44] Orlandi RR, Kingdom TT, Hwang PH, et al. International consensus statement on allergy and rhinology: rhinosinusitis[J]. Int Forum Allergy Rhinol, 2016,6(Suppl 1):S22-209.
[45] Barshak MB, Durand ML. The role of infection and antibiotics in chronic rhinosinusitis[J]. Laryngoscope Investig Otolaryngol, 2017,2(1):36-42.
doi: 10.1002/lio2.61 pmid: 28894821
[46] Smith TL, Kern R, Palmer JN, et al. Medical therapy vs surgery for chronic rhinosinusitis: a prospective, multi-institutional study with 1-year follow-up[J]. Int Forum Allergy Rhinol, 2013,3(1):4-9.
doi: 10.1002/alr.v3.1
[47] Soni-Jaiswal A, Philpott C, Hopkins C. The impact of commissioning for rhinosinusitis in England[J]. Clin Otolaryngol, 2015,40(6):639-645.
doi: 10.1111/coa.12430 pmid: 25851163
[48] Dessouky O, Hopkins C. Surgical versus medical interventions in CRS and nasal polyps: comparative evidence between medical and surgical efficacy[J]. Curr Allergy Asthma Rep, 2015,15(11):66.
doi: 10.1007/s11882-015-0566-5 pmid: 26411803
[49] Falco A, Amoroso C, Berardini M, et al. A retrospective study of clinical and radiologic outcomes of 69 consecutive maxillary sinus augmentations associa-ted with functional endoscopic sinus surgery[J]. Int J Oral Maxillofac Implants, 2015,30(3):633-638.
doi: 10.11607/jomi.3757
[50] Abu-Ghanem S, Kleinman S, Horowitz G, et al. Combined maxillary sinus floor elevation and endonasal endoscopic sinus surgery for coexisting inflammatory sinonasal pathologies: a one-stage double-team procedure[J]. Clin Oral Implants Res, 2015,26(12):1476-1481.
doi: 10.1111/clr.12497 pmid: 25319026
[51] Cipriani O, Vellone V, Arangio P, et al. Sinus disventilation and atrophy of the upper maxilla: a combined surgical approach is possible[J]. J Craniofac Surg, 2017,28(1):e1-e3.
doi: 10.1097/SCS.0000000000003151
[52] Saibene AM, Pipolo C, Maccari A, et al. One-step maxillary sinus augmentation in association with endoscopic sinus surgery: case series and review of the literature[J]. Implant Dent, 2016,25(5):698-702.
doi: 10.1097/ID.0000000000000477
[53] 孙素珍, 林梦娜, 何福明. 与上颌窦底提升术相关的上颌窦黏膜疾病研究进展[J]. 中华口腔医学杂志, 2018,53(12):849-853.
Sun SZ, Lin MN, He FM. Research progress in ma-xillary sinus mucosal disease associated with maxil-lary sinus floor lifting[J]. Chin J Stomatol, 2018,53(12):849-853.
[54] Medikeri RS, Sinha KA. Sinus floor augmentation in presence of mucocele eroding maxillary sinus wall: a case report with 3 years follow-up[J]. Clin Adv Periodontics, 2020,10(2):81-87.
doi: 10.1002/cap.v10.2
[55] Testori T, Weinstein T, Taschieri S, et al. Risk factors in lateral window sinus elevation surgery[J]. Pe-riodontol 2000, 2019,81(1):91-123.
[56] Feng Y, Tang Y, Liu Y, et al. Maxillary sinus floor e-levation using the osteotome technique in the pre-sence of antral pseudocysts: a retrospective study wi-th an average follow-up of 27 months[J]. Int J Oral Maxillofac Implants, 2014,29(2):408-413.
[57] Chiapasco M, Palombo D. Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a micro-invasive intraoral access[J]. Int J Oral Maxillofac Surg, 2015,44(12):1499-1505.
doi: 10.1016/j.ijom.2015.07.009
[58] Lin Y, Hu X, Metzmacher AR, et al. Maxillary sinus augmentation following removal of a maxillary sinus pseudocyst after a shortened healing period[J]. J Oral Maxillofac Surg, 2010,68(11):2856-2860.
doi: 10.1016/j.joms.2010.05.091
[1] 汪文涛 汪永跃. 上颌窦提升术中有关上颌窦黏膜的研究进展[J]. 国际口腔医学杂志, 2013, 40(3): 391-394.
[2] 朱卓立,宫苹,焦锡葳. 上颌窦提升术与上颌窦炎相关性研究现状[J]. 国际口腔医学杂志, 2004, 31(06): 467-469.
[3] 邢汝东,王兴. 上颌窦提升术移植材料的选择及使用[J]. 国际口腔医学杂志, 2000, 27(03): -.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 二甲亚砜和双氯芬酸并用治疗根尖周炎[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 汤庆奋,王学侠. 17β-雌二醇对人类阴道和口腔颊粘膜的渗透性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 潘劲松. 颈总动脉指压和颈内动脉球囊阻断试验在大脑血液动力学中的不同影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 王昆润. 后牙冠根斜形牙折的治疗[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 杨锦波. 嵌合体防龋疫苗的研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 王昆润. 下颔骨成形术用网状钛板固定植骨块[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 汪月月,郭莉莉. 口腔机能与老化—痴呆危险因素流行病学研究[J]. 国际口腔医学杂志, 1999, 26(04): .
[8] 丁刚. 应用硬组织代用品种植体行丰颏术[J]. 国际口腔医学杂志, 1999, 26(04): .
[9] 田磊. 局部应用脂多糖后结合上皮反应性增生的变化[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 戴青. 口腔念珠菌病的新分类[J]. 国际口腔医学杂志, 1999, 26(04): .