上颌骨移位术的应用解剖  

Applied anatomy of osteoplastic maxillotomy

作　　者：姜平[1,2,3] 王鹤鸣[1,2,3] 陈兵 王生福[1,2,3] 童鑫康[1,2,3] 

机构地区：[1]镇江医学院解剖学教研室 [2]南京医科大学解剖学教研室 [3]镇江医学院附院耳鼻咽喉科

出　　处：《中国临床解剖学杂志》1997年第3期168-170,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的：为上颌骨移位术提供解剖学依据。方法：选用２１例切割为不同切面的成人头部断面和１０例头部正中矢状剖面标本。结果：上颌窦由５个壁构成，内侧壁呈垂直形的骨板；后外侧壁是由前外行向后内侧方向的壁；前壁上壁几乎呈方板状；下壁由牙槽突上缘和后外侧壁的下部组成。后外侧壁外侧分布有一层脂肪组织，厚度为５．６～６．４ｍｍ。结论：保留内侧壁或下壁的上颌窦移位术应以牙槽弓为切开的标志；保留下壁及硬腭的手术，应注意对翼腭窝血管、神经的保护。Objective:Anatomy basis of osteoplastic maxillotomy were provided.Methods:Twenty one various cross sectional head specimens and 10 mid sagittal cross sectional head specimens were studied on this paper.Results:The maxillary sinus was composed of five walls:medial wall was a vertical plate;posterolateral wall and superior wall went from anterolateral to posteromedial;anterior wall were almost quadrate plates;inferior wall consisted of alveolar superior ridge and inferior part of posterolateral wall.There was fatty tissue on the lateral of posterolateral wall with a thickness of 5.5～6.4 mm.Conclusions:The alveolar ridge could be a landmarks during the maxillotomy excluded inferior or medial walls.The vessels and nerves in the pterygopalatine fossa should be protected during the maxillotomy preserved inferior wall and hard palate.

关 键 词：上颌骨移位术 上颌窦 应用解剖 

分 类 号：R782.4[医药卫生—口腔医学] R602[医药卫生—临床医学]