上颌窦底提升植骨术中囊肿的处理策略  

Treatment Approaches for Sinus Lift in the Presence of Maxillary Sinus Cyst

作　　者：柳忠豪 周文娟 LIU Zhonghao;ZHOU Wenjuan(Dental School of Binzhou Medical University,Binzhou Medical University Affiliated Yantai Stomatological Hospital,Yantai 264000,China)

机构地区：[1]滨州医学院口腔医学院,滨州医学院附属烟台口腔医院,山东烟台264000

出　　处：《口腔医学研究》2023年第4期289-294,共6页Journal of Oral Science Research

摘　　要：上颌窦底提升植骨术作为一种可靠的治疗方法,通过剥离提升上颌窦底壁的黏膜,形成容纳血液和骨移植材料的空间,从而增加上颌后部骨高度以满足种植体植入的需求。该技术包括经外侧壁开窗入路提升和经牙槽嵴顶入路提升两种术式,受诸如上颌窦底黏膜厚度、窦底解剖形态、上颌窦病变等的影响,其中上颌窦囊肿的存在会增加治疗的难度和手术风险。目前对于上颌窦底提升术中是否对囊肿进行处理以及如何进行处理仍存在争议,本文将针对上颌窦底提升植骨种植术中遇到的上颌窦囊肿问题的不同处理策略做一概述。As an evidence-based technique,maxillary sinus floor elevation can augment the available bone height for implant placement via elevating the sinus mucosa to provide bone regeneration space.This technique can be divided into lateral window technique and trans-crestal technique,which can be influenced by different risk factors such as membrane thickness,the sinus anatomy,and sinus lesions.Among all the risk factors,sinus mucosa cysts may increase the level of treatment difficulty and the surgery complications.The treatment option for such lesion during maxillary sinus floor elevation is still controversial,this paper summarized different treatment approaches to place implants in patients with sinus mucosa cysts when sinus floor elevation is needed.

关 键 词：牙种植 上颌窦 上颌窦底提升术 上颌窦囊肿 

分 类 号：R783.6[医药卫生—口腔医学]