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颧骨种植体的手术并发症:一项系统评价。

Surgical complications in zygomatic implants: A systematic review.

作者信息

Molinero-Mourelle P, Baca-Gonzalez L, Gao B, Saez-Alcaide L-M, Helm A, Lopez-Quiles J

机构信息

Departamento de Estomatología III, Medicina y Cirugía Bucofacial, Facultad de Odontología, Universidad Complutense de Madrid, Plaza de Ramón y Cajal, 3, 28040 Madrid,

出版信息

Med Oral Patol Oral Cir Bucal. 2016 Nov 1;21(6):e751-e757. doi: 10.4317/medoral.21357.

DOI:10.4317/medoral.21357
PMID:27694789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5116118/
Abstract

BACKGROUND

The use of zygomatic implants in the prosthetic rehabilitation of the patient with severe maxillary bone atrophy is another therapeutic alternative, not exempt from complications. The main objective of this review is to analyze and describe the most frequent surgical complications associated with the use of zygomatic implants.

MATERIAL AND METHODS

An electronic database search on PubMed, along with a manual search, without taking into account date nor language, was undertaken by two observers, selecting studies that comprised a study period from 6 to 12 months, any type of clinical trial, and series that included a follow-up and/or review period during the aforementioned margin, that mentioned at least two types of complications.

RESULTS

Out of the initial search that yielded 455 studies, 67 were considered potentially relevant for the present study, out of which 14 were finally selected. Out of the most frequent surgical complications, sinusitis (3,9%) and failure in osseointegration (2,44%) are highlighted.

CONCLUSIONS

The analysis of the results shows that the most frequent complications are sinusitis and failure in osseointegration of the zygomatic implant. However, a standardised data collection system for the data on complications is needed.

摘要

背景

在严重上颌骨萎缩患者的修复重建中使用颧骨种植体是另一种治疗选择,但并非没有并发症。本综述的主要目的是分析和描述与使用颧骨种植体相关的最常见手术并发症。

材料与方法

两名观察者在PubMed上进行电子数据库检索,并进行人工检索,不考虑日期和语言,选择研究期为6至12个月的研究、任何类型的临床试验以及在上述时间范围内包括随访和/或复查期且提及至少两种并发症类型的系列研究。

结果

在最初检索出的455项研究中,67项被认为可能与本研究相关,最终从中选择了14项。在最常见的手术并发症中,突出的是鼻窦炎(3.9%)和骨结合失败(2.44%)。

结论

结果分析表明,最常见的并发症是鼻窦炎和颧骨种植体骨结合失败。然而,需要一个关于并发症数据的标准化数据收集系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cba/5116118/d9907ca096b3/medoral-21-e751-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cba/5116118/d9907ca096b3/medoral-21-e751-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cba/5116118/d9907ca096b3/medoral-21-e751-g001.jpg

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本文引用的文献

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Zygomatic bone-to-implant contact in 77 patients with partially or completely edentulous maxillas.77例部分或完全无牙上颌患者的颧骨与种植体接触情况。
J Oral Maxillofac Surg. 2012 Sep;70(9):2065-9. doi: 10.1016/j.joms.2012.05.016.
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The buccal fat pad flap: an option to prevent and treat complications regarding complex zygomatic implant surgery. Preliminary report.
上颌骨修复的变革:颧骨种植体应对严重牙槽骨萎缩
Cureus. 2024 May 31;16(5):e61430. doi: 10.7759/cureus.61430. eCollection 2024 May.
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Round and flat zygomatic implants: effectiveness after a 3‑year follow‑up non‑interventional study.圆形和平面颧骨种植体:3 年随访非干预研究的效果。
Int J Implant Dent. 2024 Jun 10;10(1):30. doi: 10.1186/s40729-024-00548-9.
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Prosthodontic rehabilitation of patients with a unilateral subtotal maxillectomy using a customised subperiosteal zygomatic implant: a post-COVID-19 mucormycosis.单侧上颌骨次全切除术后采用定制骨膜下颧骨种植体的修复:COVID-19 后毛霉菌病。
BMJ Case Rep. 2024 Jan 9;17(1):e258338. doi: 10.1136/bcr-2023-258338.
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BMC Oral Health. 2023 Dec 14;23(1):1006. doi: 10.1186/s12903-023-03695-4.
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