国际口腔医学杂志

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
  • 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

Shi Haitao,Huang Jinxia,Pan Jian()   

  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
  • 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

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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
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