带蒂骨膜骨瓣上颌窦开窗功能性治疗上颌窦疾病  

Maxillary sinus diseases treated with both a periested pedicle trapdoor bone flap and functional enlargement ofnatural maxillary ostium under endoscopy

作　　者：聂解初[1] 赵运流[1] 郑灵[1] 杨国庆[1] 

机构地区：[1]成都军区第324医院口腔颌面外科,重庆400020

出　　处：《成都军区医院学报》2003年第3期13-14,共2页

摘　　要：目的 探讨上颌窦手术修复窦腔前壁骨缺损和扩大上颌窦自然开口,功能性治疗上颌窦疾病,减少手术后的并发症。方法 在上颌窦前壁设计一个蒂在上方的骨膜骨瓣,清除上颌窦病灶,扩大上颌窦自然开口,然后将骨膜骨瓣复位,关闭窦腔。结果 本组65例,术后一年随访,无手术并发症,原症状消失,37例术后X线检查,28例术后CT检查,未见疾病复发,上颌窦前壁开窗处骨愈合好,上颌窦自然开口开放正常。结论 带蒂骨膜骨瓣修复上颌窦手术前壁骨缺损和上颌窦自然开口扩大,无手术并发症,上颌窦生理功能不受破坏,达到了功能性治疗上颌窦疾病的目的。Objective To investigate the functional reconstruction of the osseous defect after maxillary sinusotomy and the enlargement of natural maxillary ostium nad reduce the postoperative complications. Methods A periosted trapdoor bone flap was made in the facial wall of maxillary sinus, remove the diseased tissue, enlarge the natural maxillary ostium, then replace the flap to restore the unity of the sinus. Results By follwing up 1 year,there was no complications occued in 65 sinuses,all symptoms were vanished,X-ray and CT examination were took in 37 and 28 patinets respectively,it showed that bony consolidation had taken place in all the trapdoors, the enlared natural maxillary ostiums functioned well. Conclusion The method can reconstruct the osseous defect after maxillary sinusotomy and enlarge the natural maxillary ostium, has no complicotions, doesn' t destrct the physiologic function of maxillary sinus, obtain the functional treatment with maxillary sinus diseases.

关 键 词：带蒂骨膜骨瓣 上颌窦开窗 功能性治疗 上颌窦疾病 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]