篇名 | Sinus Lifting-Maxillary Sinus Septa and Membrane Perforation: Review Article |
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卷期 | 6:4 |
並列篇名 | 鼻竇增高術-上顎竇中隔及穿孔:文獻回顧 |
作者 | 劉嘉修 |
頁次 | 017-026 |
關鍵字 | 鼻竇增高術 、 鼻竇穿孔 、 鼻竇中隔 、 存活率 、 sinus lift 、 membrane perforation 、 sinus septa 、 survival rate |
出刊日期 | 201203 |
當病人在上顎後牙區骨頭沒有足夠的高度或厚度植牙時,就需要做鼻竇增高術,這個術式有很高的成功率,但也有很多的併發症,最常見的就是鼻竇穿孔,特別是上顎竇中隔存在時,因此,了解鼻竇中隔解剖結構及處理方式是相當重要的,如果不慎發生鼻竇穿孔,根據孔洞大小可以選擇修補及繼續手術,或是放棄手術,然而,在進行鼻竇增高術及同步植牙時,穿孔的鼻竇對植牙存活率是一個負面因子。
lift is a necessary procedure when patients do not have a sufficient quantity of bone tissue height or thickness for the placement of dental implants in the posterior maxilla. The procedure has a high percentage of success, but it presents a number of complications. The most frequent complication is the membrane perforation, especially in the presence of a maxillary sinus with septa. Therefore, it is important to understand the anatomy and handling of sinus septa. If a perforation exists, we can choose to repair the membrane and to proceed with the intervention, or to abandon the procedure, depending on the size of a perforation. However, it is a negative factor for survival rate when implants are placed in sinus lifts with perforated membrane.