Wojtera Bartosz, Woźna Angelika, Komisarek Oskar
Students Research Group of Maxillofacial Orthopaedics and Orthodontics, Poznan University of Medical Sciences, ul. Bukowska 70, 60-812 Poznan, Poland.
Department of Maxillofacial Orthopaedics and Orthodontics, Poznan University of Medical Sciences, ul. Bukowska 70, 60-812 Poznan, Poland.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1088-1093. doi: 10.1007/s12070-020-02153-9. Epub 2020 Sep 18.
Displacement of foreign bodies into the maxillary sinus shows an increasing tendency, especially in regard to raising amount of dental implant installation procedures. The purpose of our study was to compare the efficiency and the rate of late complications among the methods of removal of foreign bodies from maxillary sinus. We performed a systematic review following PRISMA Checklist, searching Pubmed and Google Scholar databases for studies investigating the methods of removal of foreign bodies from maxillary sinus. The inclusion criteria embraced the examined group of at least 10 cases and the follow up period of minimum 3 months. We qualified 7 papers from 531 identified in primary search. Among qualified studies functional endoscopic sinus surgery used in order to remove foreign body from maxillary sinus had no late complications, whereas they occurred in 0-5% cases of using replaceable or pedicled bone approaches and in 15-18% cases of Caldwell-Luc approach. FESS probably should become a gold standard in retrieving foreign bodies from maxillary sinus, however poor evidence requires further investigation, especially in prospective, randomized trials.
异物移位至上颌窦的情况呈上升趋势，尤其是在种植牙植入手术数量增加的情况下。我们研究的目的是比较从上颌窦取出异物的不同方法的效率和晚期并发症发生率。我们按照PRISMA清单进行了系统评价，在PubMed和谷歌学术数据库中搜索关于上颌窦异物取出方法的研究。纳入标准包括至少10例的研究组以及至少3个月的随访期。在初步检索中识别出的531篇文献中，我们筛选出7篇。在符合条件的研究中，使用功能性鼻内镜鼻窦手术取出上颌窦异物没有晚期并发症，而在使用可替换或带蒂骨瓣方法的病例中，晚期并发症发生率为0 - 5%，在Caldwell - Luc手术的病例中为15 - 18%。功能性鼻内镜鼻窦手术可能应成为从上颌窦取出异物的金标准，然而证据不足需要进一步研究，尤其是在前瞻性随机试验中。
