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经外侧上颌窦造口术行上颌窦底提升术对鼻黏膜纤毛功能的影响

The effect of maxillary sinus floor elevation with lateral antrostomy approach on nasal mucociliary functions.

作者信息

Akay Neşet, Altay Berkan, Taş Burak Mustafa, Altuntop İrem

机构信息

DENT374 Oral and Dental Health Clinic, Bolu, Turkey.

Department of Oral and Maxillofacial Surgery, Kırıkkale University, Kırıkkale, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2025 Jan;282(1):219-223. doi: 10.1007/s00405-024-08978-2. Epub 2024 Sep 16.

DOI:10.1007/s00405-024-08978-2
PMID:39284940
Abstract

PURPOSE

It is aimed to evaluate the effect of maxillary sinus elevation with lateral antrostomy approach on mucociliary functions using the saccharin test.

METHODS

The study was planned prospectively. 29 patients who underwent maxillary sinus elevation were included in the study. The age and gender information of the patients were noted. Saccharin test was performed in the nasal cavity on the operated side. Mucociliary functions were evaluated with the results of the saccharin test performed before the operation and the saccharin test results at the 1st week, 1st month, and 3rd month postoperatively. Comparisons were made with these values.

RESULTS

The mean age of the patients was 42.10 ± 4.99 years. Of the patients, 14 (48.3%) were female and 15 (51.7%) were male. Preoperative saccharine test results were found to be significantly lower than the postoperative values. As the postoperative recovery period increased, a significant decrease was observed in the saccharin test results. However, preoperative values were within normal limits, while postoperative values were above the normal range.

CONCLUSIONS

In our study, it was observed that mucociliary functions improved as the postoperative period increased in patients who underwent maxillary sinus elevation, but were still above normal limits.

摘要

目的

旨在通过糖精试验评估经外侧上颌窦开窗入路上颌窦提升术对黏液纤毛功能的影响。

方法

本研究为前瞻性规划。纳入29例行上颌窦提升术的患者。记录患者的年龄和性别信息。在手术侧鼻腔进行糖精试验。根据术前及术后第1周、第1个月和第3个月进行的糖精试验结果评估黏液纤毛功能。对这些值进行比较。

结果

患者的平均年龄为42.10±4.99岁。其中,女性14例(48.3%),男性15例(51.7%)。发现术前糖精试验结果显著低于术后值。随着术后恢复期延长,糖精试验结果显著下降。然而,术前值在正常范围内,而术后值高于正常范围。

结论

在我们的研究中,观察到上颌窦提升术患者的黏液纤毛功能随着术后时间延长而改善,但仍高于正常范围。

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本文引用的文献

1
Particularities and Clinical Applicability of Saccharin Transit Time Test.糖精转运时间试验的特点及临床应用
Int Arch Otorhinolaryngol. 2019 Apr;23(2):229-240. doi: 10.1055/s-0038-1676116. Epub 2019 Feb 15.
2
Improvement of sinonasal mucociliary function by endoscopic sinus surgery in patients with chronic rhinosinusitis.内镜鼻窦手术对慢性鼻-鼻窦炎患者鼻黏膜纤毛功能的改善作用
Am J Otolaryngol. 2018 Nov-Dec;39(6):707-710. doi: 10.1016/j.amjoto.2018.07.019. Epub 2018 Jul 25.
3
The effect of drugs and other compounds on the ciliary beat frequency of human respiratory epithelium.
药物及其他化合物对人呼吸道上皮纤毛摆动频率的影响。
Am J Rhinol Allergy. 2014 Nov-Dec;28(6):454-64. doi: 10.2500/ajra.2014.28.4092.
4
Functional study of nasal mucosa in endoscopic sinus surgery and its correlation to electron microscopy of cilia.鼻内镜鼻窦手术中鼻黏膜的功能研究及其与纤毛电子显微镜检查的相关性
Indian J Otolaryngol Head Neck Surg. 2008 Mar;60(1):1-6. doi: 10.1007/s12070-008-0004-2. Epub 2008 Apr 3.
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Comparative histological results of different biomaterials used in sinus augmentation procedures: a human study at 6 months.不同生物材料在鼻窦提升术中的比较组织学结果:6 个月时的人体研究。
Clin Oral Implants Res. 2012 Dec;23(12):1369-76. doi: 10.1111/j.1600-0501.2011.02308.x. Epub 2011 Nov 2.
6
Inherent differences in nasal and tracheal ciliary function in response to Pseudomonas aeruginosa challenge.对铜绿假单胞菌挑战时鼻和气管纤毛功能的固有差异。
Am J Rhinol Allergy. 2011 Jul-Aug;25(4):209-13. doi: 10.2500/ajra.2011.25.3614.
7
Mucociliary function during maxillary sinus floor elevation.上颌窦底提升术中的黏液纤毛功能。
J Craniofac Surg. 2010 Sep;21(5):1500-2. doi: 10.1097/SCS.0b013e3181ef2be9.
8
Clinical outcomes of sinus floor augmentation for implant placement using autogenous bone or bone substitutes: a systematic review.使用自体骨或骨替代物进行上颌窦底提升植入种植体的临床效果:一项系统评价
Clin Oral Implants Res. 2009 Sep;20 Suppl 4:124-33. doi: 10.1111/j.1600-0501.2009.01776.x.
9
Improving mucociliary clearance in chronic obstructive pulmonary disease.改善慢性阻塞性肺疾病的黏液纤毛清除功能。
Respir Med. 2009 Apr;103(4):496-502. doi: 10.1016/j.rmed.2008.10.014. Epub 2008 Dec 16.
10
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Int J Oral Maxillofac Implants. 2007;22 Suppl:49-70.