Graduate Periodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
Implant Dent. 2011 Dec;20(6):406-12. doi: 10.1097/ID.0b013e3182341f79.
Antral pathoses and anatomical variations increase the risk of surgical complications during a lateral window sinus augmentation procedure. Therefore, an understanding of maxillary sinus diseases and anatomies is imperative. In the first part of this article, common sinus diseases will be reviewed, which include acute/chronic rhinosinusitis, mucoceles, pseudocysts, retention cysts, and odontogenic diseases of the maxillary sinus. In addition, a treatment strategy will be proposed toward the management of these antral diseases. In the second part, anatomical variations of the maxillary sinus, for example, the septum and artery that is in approximation to the osteotomy site will be discussed. Knowledge of diagnosing and managing sinus pathoses and anatomies could assist surgeons in reducing the incidence of sinus augmentation complications.
窦口病变和解剖变异会增加外侧开窗口鼻窦提升术的手术并发症风险。因此,了解上颌窦疾病和解剖结构是至关重要的。在本文的第一部分,将回顾常见的鼻窦疾病,包括急性/慢性鼻-鼻窦炎、黏液囊肿、假性囊肿、潴留囊肿和上颌窦牙源性疾病。此外,还将提出针对这些窦口疾病的治疗策略。在第二部分,将讨论上颌窦的解剖变异,例如接近骨切开部位的鼻中隔和动脉。了解窦口病变和解剖结构的诊断和管理可以帮助外科医生降低鼻窦提升并发症的发生率。