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种植后上颌窦炎的防治

[Prevention and treatment of post-implantation maxillary sinusitis].

作者信息

Vishnyakov V V, Ovchinnikov A Yu, Bakotina A V, Panin A M

机构信息

Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

出版信息

Vestn Otorinolaringol. 2020;85(4):40-42. doi: 10.17116/otorino20208504140.

DOI:10.17116/otorino20208504140
PMID:32885635
Abstract

The state of the nasal cavity, especially the region of the osteomyomatic complex, plays a significant role in the development of chronic maxillary sinusitis. Odontogenic maxillary sinusitis, as a complication of dental implantological treatment on the upper jaw, is increasingly common. The aim of the study was to increase the effectiveness of prophylaxis and treatment of odontogenic purulent upper jaw sinusitis during reconstructive operations on the alveolar region of the upper jaw. 3 groups of patients were examined: before dental treatment, after dental treatment in the development of odontogenic maxillary sinusitis and 30 patients were selected and examined, who underwent reconstructive surgeries on the alveolar process of the upper jaw and in whom the postoperative period was without complications. The diagnoses of 1st and 2nd group patients required surgical treatment. FESS allows restoring the physiological aeration of maxillary sinuses as naturally as possible, which is important for correct reparative bone regeneration in the alveolar region of maxilla.

摘要

鼻腔状态,尤其是骨肌复合体区域,在慢性上颌窦炎的发展中起着重要作用。牙源性上颌窦炎作为上颌牙种植治疗的一种并发症,越来越常见。本研究的目的是提高在上颌牙槽区域重建手术期间牙源性化脓性上颌窦炎的预防和治疗效果。对3组患者进行了检查:牙科治疗前、牙源性上颌窦炎发生后的牙科治疗后,以及选择并检查了30例在上颌牙槽突接受重建手术且术后无并发症的患者。第1组和第2组患者的诊断需要手术治疗。功能性内镜鼻窦手术(FESS)能够尽可能自然地恢复上颌窦的生理通气,这对上颌骨牙槽区域正确的修复性骨再生很重要。

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