Hu Ying Kai, Yang Chi, Qian Wen Tao
Department of Oral Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Craniofac Surg. 2017 Sep;28(6):1549-1551. doi: 10.1097/SCS.0000000000003376.
The aim of this study was to present an endoscopic-assisted intraoral surgical technique for sinus floor augmentation and removal of an antral pseudocyst simultaneously. The patient underwent sinus floor augmentation combined with removal of an antral pseudocyst in the ipsilateral maxillary sinus. Transoral endoscopic technique was applied to check the status of sinus mucosa during the operation. Complications were evaluated. Perforation of the sinus membrane was observed during augmentation procedure, and was covered with an absorbable membrane. No leakage of bone grafts was verified by the endoscope. The patient recovered uneventfully and final dental implants were inserted successfully. Therefore, sinus floor augmentation and removal of the maxillary sinus pseudocyst can be fulfilled at the same time, to reduce the time before dental rehabilitation. Transoral endoscopic technique can be of great helpful to the treatment of maxillary sinus diseases and sinus floor augmentation, owing to minimal invasion and optimal visualization.
本研究的目的是介绍一种内镜辅助下的口内手术技术，用于同时进行上颌窦底提升和去除上颌窦假性囊肿。该患者接受了上颌窦底提升术并同时切除了同侧上颌窦的假性囊肿。术中应用经口内镜技术检查窦黏膜状况，并评估并发症。在上颌窦底提升过程中观察到窦膜穿孔，并用可吸收膜覆盖。内镜检查未证实骨移植材料有渗漏。患者恢复顺利，最终成功植入牙种植体。因此，上颌窦底提升和上颌窦假性囊肿切除可同时完成，以缩短牙修复前的时间。经口内镜技术由于侵袭性小且视野最佳，对上颌窦疾病的治疗和上颌窦底提升有很大帮助。
