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耳鼻喉科医生与口腔外科医生在鼻窦提升手术规划中的协作。

Collaboration between otolaryngologists and oral surgeons in maxillary sinus elevation planning.

作者信息

Craig John R, Saibene Alberto Maria, Felisati Elena Giulia, Felisati Giovanni

机构信息

Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, Michigan, USA.

Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.

出版信息

Clin Implant Dent Relat Res. 2024 Dec;26(6):1181-1189. doi: 10.1111/cid.13385. Epub 2024 Aug 26.

Abstract

BACKGROUND

The collaboration between otolaryngologists and dental providers is crucial for the planning and execution of maxillary sinus elevation (MSE) procedures, which are integral to successful dental implant placements.

PURPOSE

This article examines the essential role of otolaryngological assessments in identifying potential sinonasal risks that could impact the outcomes of MSE.

MATERIALS AND METHODS

A comprehensive narrative review of existing literature was conducted.

DISCUSSION

The review underscores the importance of thorough preoperative evaluations, including patient history, computed tomography (CT) or cone-beam CT (CBCT) scans, and nasal endoscopy, to mitigate sinonasal health risks. It details various clinical scenarios and patient assessments, emphasizing a systematic approach to diagnosing and managing sinonasal conditions proactively. The discussion reveals that while some sinus conditions may not significantly affect MSE success, conditions impacting mucociliary clearance and sinus drainage are critical risk factors requiring otolaryngological intervention. Additionally, the article introduces a grading system to assist clinicians in identifying patients who would benefit from otolaryngological evaluations prior to MSE.

CONCLUSION

This review highlights the value of interdisciplinary collaboration and standardized protocols in enhancing the predictability and safety of MSE procedures, ultimately improving patient outcomes.

摘要

背景

耳鼻喉科医生与牙科医生之间的合作对于上颌窦提升术(MSE)的规划和实施至关重要,而上颌窦提升术是成功植入牙种植体不可或缺的环节。

目的

本文探讨耳鼻喉科评估在识别可能影响上颌窦提升术结果的潜在鼻窦风险方面的重要作用。

材料与方法

对现有文献进行了全面的叙述性综述。

讨论

该综述强调了全面术前评估的重要性,包括患者病史、计算机断层扫描(CT)或锥形束CT(CBCT)扫描以及鼻内镜检查,以降低鼻窦健康风险。它详细介绍了各种临床情况和患者评估,强调了一种主动诊断和管理鼻窦疾病的系统方法。讨论表明,虽然某些鼻窦疾病可能不会显著影响上颌窦提升术的成功率,但影响黏液纤毛清除和鼻窦引流的疾病是需要耳鼻喉科干预的关键风险因素。此外,本文引入了一个分级系统,以帮助临床医生识别在上颌窦提升术前将从耳鼻喉科评估中受益的患者。

结论

本综述强调了跨学科合作和标准化方案在提高上颌窦提升术的可预测性和安全性、最终改善患者预后方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f2/11660528/ab96fc6a6693/CID-26-1181-g002.jpg

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