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窦腔增高术并发症:病因与治疗

Sinus augmentation complications: etiology and treatment.

作者信息

Katranji Amar, Fotek Paul, Wang Hom-Lay

机构信息

Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.

出版信息

Implant Dent. 2008 Sep;17(3):339-49. doi: 10.1097/ID.0b013e3181815660.

Abstract

Sinus augmentation, either osteotome or lateral window approach, is a predictable procedure to augment vertical height that allows for proper implant placement in areas with previous limited restorative options. Like any surgical procedures, there is always a risk of encountering either intrasurgical or postsurgical complications. A Medline literature search of articles published from 1984 to 2006 related to complications following sinus augmentation were selected and analyzed. To make it easier for understanding, sinus augmentation complications were classified into following categories: systemic disease and mediations related; anatomy and surgical procedure related; sinus pathology related; infection related; and prosthetic related. Depending on the source or cause of complication, treatment may include palliative approach to surgical intervention. This article will review a newly proposed complication classification, discuss treatment modalities for each encountered complication and propose methods to avoid these complications.

摘要

鼻窦增高术,无论是采用骨凿法还是外侧开窗法,都是一种可预测的增加垂直高度的手术方法,它能使种植体在以往修复选择有限的区域正确植入。与任何外科手术一样,鼻窦增高术始终存在术中或术后出现并发症的风险。我们检索并分析了1984年至2006年发表在Medline上的与鼻窦增高术后并发症相关的文章。为便于理解,鼻窦增高术并发症可分为以下几类:与全身疾病及药物相关;与解剖结构和手术操作相关;与鼻窦病变相关;与感染相关;以及与修复体相关。根据并发症的来源或原因,治疗方法可能包括姑息治疗或手术干预。本文将回顾一种新提出的并发症分类方法,讨论每种并发症的治疗方式,并提出避免这些并发症的方法。

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