Division of Dentistry and Oral Surgery, Department of Sensory and Locomotor Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Implant Dent. 2011 Oct;20(5):337-40. doi: 10.1097/ID.0b013e3182310dd0.
Chronic sinusitis develops when the ostiomeatal complex becomes stenosed by the swelling of the sinus mucosa. Previously, the Caldwell-Luc method was performed for the treatment of chronic sinusitis. But postoperative complications, such as discomfort of the buccal skin and recurrence of sinusitis, frequently occurred after the operation. Today, endoscopic sinus surgery (ESS) has become widely used for the treatment of chronic sinusitis. The features of ESS allow for the restoration of the physical function of the sinus membrane and preservation of the physiological environment of the sinus. Therefore, sinus augmentation surgery can be safely performed at an insufficient alveolar bone height below the maxillary sinus when sinusitis is eliminated by the ESS. This article documents a patient history involving chronic sinusitis that was treated by the ESS therapy before sinus augmentation surgery as a pretreatment for insertion of dental implants.
慢性鼻窦炎是由于窦口复合体的狭窄，导致窦黏膜肿胀而引起的。以前，慢性鼻窦炎的治疗采用考尔德威尔-卢卡斯（Caldwell-Luc）方法。但是，手术后经常会出现颊部皮肤不适和鼻窦炎复发等并发症。如今，内窥镜鼻窦手术（ESS）已广泛用于治疗慢性鼻窦炎。ESS 的特点是可以恢复鼻窦膜的物理功能，并保持鼻窦的生理环境。因此，当 ESS 消除鼻窦炎后，在牙槽骨高度不足的上颌窦下可以安全地进行鼻窦增大手术。本文记录了一例慢性鼻窦炎患者的病史，该患者在进行牙种植体植入术前，先通过 ESS 治疗，以作为鼻窦增大手术的预处理。
