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上颌窦结石摘除及同期窦内植骨术

Removal of Maxillary Sinus Antrolith and Concomitant Intrasinus Augmentation.

作者信息

Rahpeyma Amin, Khajehahmadi Saeedeh

机构信息

Oral & Maxillofacial Diseases Research Center.

Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Craniofac Surg. 2018 Jun;29(4):e430-e432. doi: 10.1097/SCS.0000000000004435.

Abstract

Maxillary sinus antrolithisis is a rare finding. Conservative surgical removal recommended. In the patients that need to maxillary intrasinus augmentation and antrolith is observed in preoperative radiography, 2 options remain. First, doing Caldwell-luc surgery to remove antrolith and delayed open sinus lift. Second way is removing antrolith and concomitant intrasinus augmentation.The first way has 2 disadvantages: prolonged waiting period and difficulty of open sinus lift in sinuses with scar and fibrosis. Coupling these 2 surgeries and using corticocancellous bone block as grafting material are recommended by us. Buccal fat pad is a good option to isolate this graft from maxillary sinus.

摘要

上颌窦结石是一种罕见的发现。建议采用保守手术切除。对于那些需要上颌窦内提升且术前影像学检查发现有窦结石的患者,有两种选择。第一种,进行柯-陆氏手术以去除窦结石并延迟进行开放式窦底提升术。第二种方法是去除窦结石并同时进行窦内提升。第一种方法有两个缺点:等待时间长以及在有瘢痕和纤维化的鼻窦中进行开放式窦底提升术存在困难。我们建议将这两种手术结合起来,并使用皮质松质骨块作为移植材料。颊脂垫是将该移植材料与上颌窦隔离的一个不错选择。

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