上颌窦外侧壁的血管结构：一种血管标记技术。
Vascular Structures of the Lateral Wall of the Maxillary Sinus: A Vascular Labeling Technique.
作者信息
Caraballo José, Gálvez Alba, Manzanares-Céspedes María Cristina, Valdivia-Gandur Iván, Figueiredo Rui, Valmaseda-Castellón Eduard
机构信息
*Fellow, Master of Oral Surgery and Implantology Degree Program, Faculty of Dentistry, University of Barcelona, Spain. †Professor of Human Anatomy, Faculty of Dentistry, University of Barcelona, Spain. ‡Professor of Human Anatomy, Biomedical Department and Odontology Department, University of Antofagasta, Chile. §Associate Professor of Oral Surgery and Professor of the Master of Oral Surgery and Implantology Degree Program, Faculty of Dentistry, University of Barcelona, Spain; Researcher at the IDIBELL Institute, Barcelona, Spain. ¶Professor of Oral Surgery and Director of the Master of Oral Surgery and Implantology Degree Program, Faculty of Dentistry, University of Barcelona, Spain; Researcher at the IDIBELL Institute, Barcelona, Spain.
出版信息
Implant Dent. 2017 Feb;26(1):153-157. doi: 10.1097/ID.0000000000000529.
PURPOSE
Sinus floor augmentation is a common procedure in implant dentistry. However, several intraoperative complications can occur during this procedure, such as bleeding from the lateral wall of the maxillary sinus. The aim of this study was to describe the vascular structures of the lateral wall of the maxillary sinus using a vascular labeling technique.
MATERIALS AND METHODS
Ten cadaveric specimens were prepared by the vascular labeling technique. Liquid latex was injected into the large vessels of the head, and the lateral wall of the maxillary sinus was exposed by dissection. The diameter of the vessels and their distance from the alveolar ridge (AR) were recorded.
RESULTS
Blood vessels could be observed in all the dissected specimens (100%). The mean distance from the lower edge of the blood vessels to the AR was 18.5 mm (SD 3.31 mm).
CONCLUSIONS
The vascular labeling technique detects maxillary sinus vessels in a predictable and effective way. These structures are clinically relevant because they are located in the area where the lateral window is usually created in sinus augmentation procedures and can cause profuse bleeding.
目的
上颌窦底提升术是种植牙科中的常见手术。然而，在此手术过程中可能会出现多种术中并发症，例如上颌窦外侧壁出血。本研究的目的是使用血管标记技术描述上颌窦外侧壁的血管结构。
材料与方法
采用血管标记技术制备10个尸体标本。将液体乳胶注入头部的大血管中，通过解剖暴露上颌窦外侧壁。记录血管的直径及其与牙槽嵴（AR）的距离。
结果
在所有解剖标本（100%）中均能观察到血管。血管下缘至AR的平均距离为18.5毫米（标准差3.31毫米）。
结论
血管标记技术能以可预测且有效的方式检测上颌窦血管。这些结构具有临床相关性，因为它们位于上颌窦提升手术中通常创建外侧窗口的区域，可能导致大量出血。
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