Wang Xunming, Li Shihao, Huang Zhiquan, Cai Qian, Huang Zixian, Chen Weiliang
Department of Oral and Maxillofacial Surgery.
Department of Otolaryngology-Head and Neck, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
J Craniofac Surg. 2018 Jun;29(4):1034-1036. doi: 10.1097/SCS.0000000000004382.
Minimally invasive endoscopic surgery has been developed for various indications in the craniomaxillofacial area. The case report presented in this article is focused on the possibility of removing the residual roots displaced into the maxillary sinus by means of an endoscopic technique. When planning endoscopic surgery to access the residual roots displaced in the maxillary sinus, we performed 2 different approaches into the maxillary sinus, a transnasal approach through the middle or inferior turbinate and transoral approach via the anterior maxillary sinus wall. The endoscopic surgical approach described is reliable and minimally invasive for removing the residual roots displaced into the maxillary sinus. Therefore, we concluded that the application of this clinical procedure is worth promoting.
微创内镜手术已应用于颅颌面区域的多种适应症。本文所呈现的病例报告聚焦于通过内镜技术移除移位至上颌窦的残留牙根的可能性。在规划内镜手术以取出上颌窦内移位的残留牙根时,我们对上颌窦采用了两种不同的入路,即经中鼻甲或下鼻甲的经鼻入路以及经上颌窦前壁的经口入路。所描述的内镜手术入路对于取出移位至上颌窦的残留牙根而言是可靠且微创的。因此,我们得出结论,该临床操作的应用值得推广。