Department of Periodontology and Implantology, Université Laval, Quebec, Canada.
Implant Dent. 2013 Aug;22(4):428-35. doi: 10.1097/ID.0b013e31829d1a20.
To determine the prevalence of maxillary sinus pathology in patients presenting for implant rehabilitation involving sinus augmentation procedures.
Three-dimensional images of 275 patients were evaluated. Age and gender were recorded to see if they had any relationship to the prevalence of pathology. Scans were classified into 1 of the 5 categories based on the type of sinus pathology detected: healthy, mucosal thickening > 5mm, polypoidal mucosal thickening, partial opacification and/or air fluid level, and complete opacification.
Overall, 54.9% scans were classified as healthy, and 45.1% scans were classified as exhibiting sinus pathology. Men were more likely to exhibit pathology compared with females (P < 0.01). However, age did not seem to have any relation on the prevalence of sinus pathology. Of the patients who presented with evidence of sinus pathology, 56.5% had mucosal thickening (≥ 5 mm), 28.2% with polypoidal thickening, 8.9% partial opacification and/or air/fluid level, and 6.5% complete opacification.
It is proposed that, based on the findings of this study, 45.1% patients would require further consultation before proceeding with maxillary sinus augmentation surgery.
确定行上颌窦提升术的种植修复患者中上颌窦病变的发生率。
评估了 275 名患者的三维图像。记录了年龄和性别，以观察它们与病变发生率之间是否存在关系。根据检测到的窦腔病变类型，将扫描分为以下 5 类之一：健康、黏膜增厚>5mm、息肉样黏膜增厚、部分混浊和/或气液水平、完全混浊。
总体而言，54.9%的扫描被归类为健康，45.1%的扫描被归类为存在窦腔病变。与女性相比，男性更有可能出现病变（P<0.01）。然而，年龄似乎与窦腔病变的发生率无关。在出现窦腔病变证据的患者中，56.5%有黏膜增厚（≥5mm），28.2%有息肉样增厚，8.9%有部分混浊和/或气/液水平，6.5%有完全混浊。
根据本研究的结果，建议在进行上颌窦提升手术之前，45.1%的患者需要进一步咨询。
