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上颌窦提升术中施耐德膜穿孔的处理:一例报告

Management of the Schneiderian membrane perforation during the maxillary sinus elevation procedure: a case report.

作者信息

Meleo Deborah, Mangione Francesca, Corbi Sergio, Pacifici Luciano

机构信息

Department of Odontostomatological and Maxillofacial Sciences, "Sapienza" University of Rome, Italy.

出版信息

Ann Stomatol (Roma). 2012 Jan;3(1):24-30. Epub 2012 May 3.

Abstract

The maxillary sinus elevation is a standard and predictable procedure allowing the realization of dental implant rehabilitation in patients with severe bone atrophy in the lateral-posterior areas of the maxilla. Despite the presence of validated surgical methods and the broad availability of biomaterials, the procedures aimed at increasing the bone volume by lateral antrostomy still entail complications with different degrees of relevance. The prosthetic and surgical outcome is based on a successful coping with these aspects. The perforation of the Schneiderian membrane is one of the most frequent events for which a variety of protocols and approaches have been suggested by different authors. In this work is presented a case study in which a technique to repair the sinus mucosa laceration occurring during a maxillary sinus elevation procedure has been successfully adopted.

摘要

上颌窦提升术是一种标准且可预测的手术方法,可实现对上颌骨外侧后部严重骨萎缩患者的牙种植修复。尽管存在经过验证的手术方法且生物材料广泛可得,但通过外侧窦口扩大术增加骨量的手术仍会引发不同程度的相关并发症。修复和手术效果取决于能否成功应对这些问题。施奈德膜穿孔是最常见的情况之一,不同作者针对此提出了各种方案和方法。本文介绍了一个病例研究,其中成功采用了一种技术来修复上颌窦提升术中发生的鼻窦黏膜撕裂。

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