Engelke Wilfried, Fuentes Ramón, Beltrán Víctor
Department of Oral and Maxillofacial Surgery, School of Dentistry, Georg-August-University Göttingen, Germany.
CIMOFIR Research Center, Dental School, Universidad de La Frontera Temuco, Chile.
Int J Clin Exp Med. 2014 Jun 15;7(6):1607-10. eCollection 2014.
Sinus floor augmentation in case of severe pneumatization is a challenge for surgical management. We present a low invasive endoscopically assisted technique facilitating the stabilization of augmentation material in the subantral space. The technique consists of (1) trepanation of the lateral sinus wall with tunnelling of the sinus membrane and creation of the subantral space, (2) subantroscopically assisted insertion of a mini screw, (3) precise stepwise placement of in situ hardening graft material with antroscopic control. Based on a case example, details of the procedure are presented. The technique provides a minimally invasive treatment for difficult and instable augmentation sites.
对于严重气化的病例，鼻窦底提升术是手术治疗的一项挑战。我们介绍一种低侵入性的内镜辅助技术，该技术有助于在窦下间隙稳定提升材料。该技术包括：（1）在鼻窦外侧壁钻孔，同时在鼻窦黏膜下隧道并创建窦下间隙；（2）在内镜辅助下插入微型螺钉；（3）在鼻窦镜控制下精确逐步放置原位硬化移植材料。基于一个病例实例，介绍了该手术的详细过程。该技术为难治性和不稳定的提升部位提供了一种微创治疗方法。
