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微创侧壁开窗上颌窦底提升相关技术创新

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侧壁小开窗上颌窦底提升是基于传统侧壁开窗基础上改良后的一项微创操作,既能减小手术创伤,又能促进上颌窦内新骨形成,而且在内镜的辅助下能提高微创开窗手术视野,及时发现和处理黏骨膜穿孔等并发症。本文结合临床病例,从循证医学和手术方法等方面阐述了侧壁小开窗上颌窦底提升促进上颌窦内新骨形成的机制和减轻患者术中术后疼痛、出血、肿胀等不适的临床意义,以及内镜辅助上颌窦底提升的方法和作用。
Innovations in minimally invasive techniques for external maxillary sinus floor elevation
The modified lateral window technique for sinus floor elevation using a mini-window is a minimally invasive approach derived from the traditional lateral window technique. This method reduces surgical trauma and enhances new bone formation in the maxillary sinus. Moreover,with the assistance of endoscopy,the surgical field in minimally invasive procedures can be improved,enabling timely detection and management of complications such as mucosal perforation. This article,drawing from evidence-based medicine and clinical cases,explains the mechanisms through which this modified technique promotes new bone formation in the maxillary sinus. It also highlights its clinical benefits,including reduced intraoperative and postoperative discomfort,such as pain,bleeding,and swelling. Furthermore,the article explores the methods and advantages of endoscopic assistance in sinus floor elevation.

Lateral window technique for sinus floor elevationMinimally invasiveEndoscopicNew bone formation

朱丽琴、王慧明

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浙江大学医学院附属第一医院口腔科,杭州 310006

侧壁开窗上颌窦底提升 微创 内镜 新骨形成

2024

中国口腔种植学杂志
卫生部口腔种植科技中心

中国口腔种植学杂志

影响因子:1.412
ISSN:1007-3957
年,卷(期):2024.29(6)