Wolff Jan, Karagozoglu K Hakki, Bretschneider Jochen H, Forouzanfar Tymour, Schulten Engelbert A J M
Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
Department of Otorhinolaryngology-Head and Neck Surgery, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.
Int J Implant Dent. 2016 Dec;2(1):6. doi: 10.1186/s40729-016-0045-3. Epub 2016 Mar 29.
Dental implants have been in routine clinical use for over three decades and are a predictable treatment modality. However, as with all other aspects of dentistry, complications occur. A 50-year-old female patient with complaints of a long ongoing unpleasant altered nasal airflow presented herself at the VU University Medical Center Amsterdam. Visual inspection of the right nasal cavity revealed that the apical part of a dental implant placed in the upper right first incisor region had perforated the nasal floor and was partially protruding into the nasal cavity. Subsequent treatment consisted of a transnasal resection of the apical part of the dental implant to the level of the nasal floor. After a 12-month follow-up period, the patient reported having no altered nasal airflow. In conclusion, dental implants protruding into the nasal cavity can cause an alteration to the airflow. Furthermore, a partial removal of the apical part of the dental implant is a viable method of treating dental implants that extend into the nasal cavity.
牙种植体已在临床常规使用超过三十年，是一种可预测的治疗方式。然而，与牙科的所有其他方面一样，并发症也会发生。一名50岁女性患者因长期存在令人不适的鼻气流改变前来阿姆斯特丹VU大学医学中心就诊。对右侧鼻腔的目视检查发现，右上第一切牙区域植入的牙种植体根尖部分已穿透鼻底并部分突入鼻腔。后续治疗包括经鼻将牙种植体根尖部分切除至鼻底水平。经过12个月的随访期，患者报告鼻气流未发生改变。总之，突入鼻腔的牙种植体可导致气流改变。此外，部分切除牙种植体根尖部分是治疗延伸至鼻腔的牙种植体的一种可行方法。
