Jin Tingting, Wang Yan, Li Shihao, Cai Qian, Huang Zhiquan
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. 2019 Jun;30(4):1178-1179. doi: 10.1097/SCS.0000000000005263.
Worldwide, the reconstruction of the posterior edentulous maxilla with dental implants has become a common practice in clinical settings. However, the poor bone condition in this area is sometimes accompanied by complications. Dental implant displacement into the maxillary sinus is viewed as a rare complication. A case of a 72-year-old man in whom an endoscopic technique was used to remove a dental implant that had been mistakenly planted into the maxillary sinus was reported in this study. The authors approached the sinus through the inferior nasal meatus, and the dental implant was removed through the widened ostium. The endoscopic surgical approach described in this study is reliable and minimally invasive for removing residual roots displaced into the maxillary sinus. Therefore, it has been concluded that this clinical procedure is worth using.
在全球范围内，使用牙种植体对上颌后牙区无牙颌进行重建已成为临床常见的操作。然而，该区域较差的骨条件有时会伴有并发症。牙种植体移位至上颌窦被视为一种罕见的并发症。本研究报告了一例72岁男性患者，采用内镜技术取出误植入上颌窦的牙种植体。作者经下鼻道进入上颌窦，并通过扩大的窦口取出牙种植体。本研究中描述的内镜手术方法对于取出移位至上颌窦的残留牙根是可靠且微创的。因此，得出结论，该临床操作值得应用。
