Testori Tiziano, Yu Shan-Huey, Tavelli Lorenzo, Wang Hom-Lay
Int J Periodontics Restorative Dent. 2020 May/Jun;40(3):373-380. doi: 10.11607/prd.4179.
Maxillary sinus augmentation is a procedure commonly performed in patients in need of maxillary posterior implants with loss of vertical ridge height and sinus pneumatization. Previous studies have identified some factors associated with sinus membrane perforation during lateral-wall sinus elevation procedures. Although membrane perforation does not directly link to future implant failure, it has been shown to have an association with postoperative complications. In order to promote more predictable results and reduce complications during the sinus elevation procedure, especially for the lateral window approach, articles published in peer-reviewed journals were reviewed to support the proposal of a new risk-evaluation system prior to the sinus surgery. This article reviews anatomical and patient-related factors that might affect the risk of perforation during the surgery and also aims to provide a risk assessment table to enable clinicians to analyze these factors prior to the lateral sinus augmentation surgery.
上颌窦提升术是一种常用于需要上颌后牙种植但垂直牙槽嵴高度丧失且存在窦腔气化的患者的手术。以往的研究已经确定了一些与侧壁窦提升术期间窦膜穿孔相关的因素。虽然膜穿孔并不直接与未来的种植失败相关，但已表明它与术后并发症有关。为了在窦提升术中促进更可预测的结果并减少并发症，特别是对于外侧开窗法，对同行评审期刊上发表的文章进行了综述，以支持在鼻窦手术前提出新的风险评估系统的提议。本文回顾了可能影响手术期间穿孔风险的解剖学和患者相关因素，并且旨在提供一个风险评估表，以使临床医生能够在外侧窦提升手术前分析这些因素。
