Sirinirund Benyapha, Rodriguez Betancourt Amanda B, Scaini Riccardo, Wu Yu-Chang, Chan Hsun-Liang
Department of Restorative Dentistry and Periodontology, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.
Department of Periodontics, University of Illinois Chicago, College of Dentistry, Chicago, Illinois, USA.
Clin Implant Dent Relat Res. 2025 Feb;27(1):e13403. doi: 10.1111/cid.13403. Epub 2024 Oct 30.
Technology improvement and a better understanding of sinus anatomy and wound healing in the past decade have allowed the development of minimally invasive surgical techniques. This systematic review focused on identifying and describing these techniques for vertical and lateral sinus augmentation (VSA and LSA).
Electronic and hand search were conducted to screen the literature published from January 2003 to May 2024. The selected studies had to include detailed techniques for minimally invasive SA. Data extraction included the study types, sample size, technique/instrument details, and outcome measurements.
A total of 36 articles (27 VSA, 8 LSA with an additional 1 article included both procedures) with 2732 sinus augmentation met the inclusion criteria. Minimally invasive VSA includes the use of modified rotary instruments with stopper, balloon, hydraulic pressure, digital planning, endoscope, and operating microscope. These techniques aim for conservative flap reflection, precise sinus window preparation, and/or controlled sinus membrane elevation. Most of the selected studies (n = 15) did not report the incidence of sinus membrane perforation.
Within the limitations of this review, minimally invasive VSA and LSA achieved sufficient sinus augmentation and implant success with the potential advantages of reduced surgical complications and morbidity. Comparative studies with defined outcomes are encouraged to further validate these useful minimally invasive techniques for SA.
在过去十年中，技术的进步以及对鼻窦解剖结构和伤口愈合的更深入了解，使得微创外科技术得以发展。本系统评价聚焦于识别和描述这些用于垂直和外侧鼻窦增高术（VSA和LSA）的技术。
通过电子检索和手工检索，筛选2003年1月至2024年5月发表的文献。所选研究必须包括微创鼻窦增高术的详细技术。数据提取包括研究类型、样本量、技术/器械细节以及结果测量。
共有36篇文章（27篇关于VSA，8篇关于LSA，另有1篇文章同时涉及这两种手术），共2732例鼻窦增高术符合纳入标准。微创VSA包括使用带限位器的改良旋转器械、球囊、液压、数字化规划、内窥镜和手术显微镜。这些技术旨在进行保守的瓣翻起、精确的鼻窦开窗制备和/或可控的鼻窦黏膜提升。大多数所选研究（n = 15）未报告鼻窦黏膜穿孔的发生率。
在本评价的局限性范围内，微创VSA和LSA实现了足够的鼻窦增高和种植成功，具有减少手术并发症和发病率的潜在优势。鼓励开展具有明确结果的比较研究，以进一步验证这些用于鼻窦增高术的有用微创技术。
