Castellano Erick Rafael Fernández, Galletti Cosimo, Fraile Javier Flores
Department of Surgery, University of Salamanca, 37008 Salamanca, Spain.
School of Medicine and Surgery Kore, University of Enna, 94100 Enna, Italy.
Reports (MDPI). 2024 Dec 12;7(4):113. doi: 10.3390/reports7040113.
: Currently, maxillary sinus floor elevation is one of the most common procedures used in implantology practice. Despite its predictability, the technique is not without complications, such as graft material dispersion in the sinus cavity, wound dehiscence, hematoma, fenestrations, oroantral fistulas, epistaxis, acute sinusitis, and Schneider membrane perforations. The treatment of the latter can be complex, and depending on its extent, surgery deferral may be necessary, leading to increased patient morbidity. : A patient with apical surgery underwent sinus floor elevation with a significant Schneider membrane perforation using a new approach involving titanium mesh, resorbable membrane, and xenograft. This allowed the continuation of surgery, reducing the number of interventions and patient morbidity. Despite limitations due to a small sample size, this case report demonstrates that addressing large Schneider membrane perforations and placing implants is effective and predictable using the technology and approach of mesh formwork with titanium.
目前，上颌窦底提升术是种植实践中最常用的手术之一。尽管该技术具有可预测性，但并非没有并发症，如移植材料在窦腔内扩散、伤口裂开、血肿、开窗、口鼻瘘、鼻出血、急性鼻窦炎和施奈德膜穿孔。后者的治疗可能很复杂，根据其程度，可能需要推迟手术，从而增加患者的发病率。：一名接受根尖手术的患者采用了一种涉及钛网、可吸收膜和异种移植物的新方法进行上颌窦底提升，出现了明显的施奈德膜穿孔。这使得手术得以继续进行，减少了干预次数和患者发病率。尽管由于样本量小存在局限性，但本病例报告表明，使用钛网模板技术和方法处理大型施奈德膜穿孔并植入种植体是有效且可预测的。
