Le Fort I型截骨术后上颌窦炎的发生率：临床、影像学及内镜研究
Incidence of maxillary sinusitis following Le Fort I osteotomy: clinical, radiographic, and endoscopic study.
作者信息
Pereira-Filho Valfrido A, Gabrielli Mario Francisco R, Gabrielli Marisa Aparecida C, Pinto Fernando A, Rodrigues-Junior Antonio L, Klüppel Leandro Eduardo, Passeri Luis A
机构信息
Division of Oral and Maxillofacial Surgery, São Paulo State University, SP, Brazil.
出版信息
J Oral Maxillofac Surg. 2011 Feb;69(2):346-51. doi: 10.1016/j.joms.2010.07.038. Epub 2010 Dec 9.
PURPOSE
The correction of maxillomandibular deformities may require maxillary osteotomy procedures that usually present low rates of postoperative complications, such as maxillary sinusitis. The present study evaluated the incidence of maxillary sinusitis after Le Fort I osteotomy in 21 adult patients who underwent maxillary surgery (Le Fort I osteotomy) or bimaxillary surgery (Le Fort I osteotomy plus sagittal mandibular osteotomies) for correction of dentofacial deformities.
PATIENTS AND METHODS
Verification of the presence of maxillary sinusitis was assessed through a brief questionnaire, x-rays (Waters views), and nasal endoscopy before surgery and 6 to 8 months after surgery.
RESULTS
Analysis of results showed an incidence of 4.76% of maxillary sinusitis as a postoperative complication in the studied population.
CONCLUSION
Symptomatic patients with a positive radiographic finding or an increased risk for postoperative sinusitis will benefit from endoscopic evaluation to aid in treatment planning and follow-up.
目的
上颌骨下颌骨畸形的矫正可能需要进行上颌骨截骨手术，此类手术通常术后并发症发生率较低，如鼻窦炎。本研究评估了21例接受上颌骨手术（勒福Ⅰ型截骨术）或双颌手术（勒福Ⅰ型截骨术加下颌矢状劈开截骨术）以矫正牙颌面畸形的成年患者在勒福Ⅰ型截骨术后鼻窦炎的发生率。
患者与方法
通过一份简短问卷、术前及术后6至8个月的X线片（华氏位片）和鼻内镜检查来评估是否存在鼻窦炎。
结果
结果分析显示，在所研究人群中，鼻窦炎作为术后并发症的发生率为4.76%。
结论
有症状且影像学检查结果呈阳性或术后鼻窦炎风险增加的患者，将受益于内镜评估，以辅助治疗计划制定和随访。
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