一种新方法用于处理上颌窦底提升术中的鼻中隔穿孔：“鼻窦填充”技术。回顾性病例对照研究。第 1/3 部分。
A novel approach to manage Schneiderian membrane perforation in the maxillary sinus floor augmentation: The "Sinus Pack" technique. A retrospective case-control study. Part 1/3.
机构信息
Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy,
出版信息
Am J Dent. 2024;37(SIA):13A-17A.
PURPOSE
This retrospective study evaluated the effectiveness of a technique for the management of maxillary sinus floor augmentation.
METHODS
Nineteen subjects [7 males, 12 females, mean age 53.3±10.5 (standard deviation) years], who experienced membrane perforation during lateral sinus lift procedure, were included. Perforations were managed either using the "Sinus Pack" technique (test, 11 subjects) or collagen membranes and resorbable sutures (control, eight subjects). Clinical and radiological outcomes were assessed.
RESULTS
The mean follow-up was 18.3± 11.7 months (range 5-40 months). A significantly lower mean vertical gain was observed in the control group (7.8± 0.9 mm), compared to the sinus pack approach (8.8± 0.9 mm) (P= 0.04), but both were effective for implant-prosthetic rehabilitation.
CLINICAL SIGNIFICANCE
The "Sinus Pack" technique was effective in managing perforations during sinus floor elevation surgery, allowing the completion of the surgical procedure even in cases of large perforations.
目的
本回顾性研究评估了一种用于处理上颌窦底提升术的技术的有效性。
方法
19 名受试者[7 名男性，12 名女性，平均年龄 53.3±10.5（标准差）岁]在进行侧窦提升术时发生了膜穿孔，纳入研究。穿孔采用“鼻窦填塞”技术（实验组，11 名受试者）或胶原膜和可吸收缝线（对照组，8 名受试者）进行处理。评估了临床和影像学结果。
结果
平均随访时间为 18.3±11.7 个月（范围 5-40 个月）。对照组（7.8±0.9mm）的平均垂直增量明显低于鼻窦填塞组（8.8±0.9mm）（P=0.04），但两组均能有效进行种植体修复。
临床意义
“鼻窦填塞”技术在处理上颌窦底提升术中的穿孔是有效的，即使在穿孔较大的情况下也能完成手术。
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