中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (6): 489-493.doi: 10.19438/j.cjoms.2021.06.002

• 临床指南 • 上一篇    下一篇

基于袋状可吸收生物膜行上颌窦瘘软、硬组织同期修补术的临床应用及操作规范

夏亮1, 赵正宜2, 邹多宏1, 杨驰1, 张志愿1   

  1. 1. 上海交通大学医学院附属第九人民医院 口腔外科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,中国医学科学院口腔颌面再生医学创新单元,上海 200011;
    2. 安徽医科大学口腔医学院,安徽 合肥 2300000
  • 出版日期:2021-12-25 发布日期:2022-03-02
  • 通讯作者: 邹多宏,E-mail：zdhyy@ahmu.edu.cn
  • 作者简介:夏亮（1990-），男，博士，医师，E-mail：anglexialiang@126.com
  • 基金资助:
    国家自然科学基金 (31870969); 中国医学科学院医学与健康科技创新工程项目资助 (2019-I2M-5-037); 上海交通大学医学院“双百人”人才计划 (20191816); 上海交通大学医学院附属第九人民医院医学研究培育基金（JYZZ114）

Clinical application and operational practice of simultaneous repair of soft and bone tissues of oroantral fistula based on bag-like absorbable biofilm

XIA Liang1, ZHAO Zheng-yi2, ZOU Duo-hong1, YANG Chi1, ZHANG Zhi-yuan1   

  1. 1. Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Chinese Academy of Medical Sciences Oral and Maxillofacial Regenerative Medicine Innovation Unit. Shanghai 200011;
    2. School of Stomatology, Anhui Medical University. Hefei 230000, Anhui Province, China
  • Online:2021-12-25 Published:2022-03-02

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摘要： 上颌窦瘘是由于多种因素造成的异常口腔-上颌窦交通,是口腔颌面外科较为常见的一种疾病。传统上对于上颌窦的修补为基于各种软组织瓣的转移修复,在修补上颌窦瘘的同时,缺少骨组织的同期修复。基于袋状可吸收生物膜技术,单纯利用生物医用材料,在不用自体骨的情况下可完成上颌窦瘘区域软、硬组织的同期修复与再生。该治疗技术具有创伤小、手术难度适中,临床效果可靠,易于推广等特点,越来越受到医师和患者的青睐。但由于口腔医师临床技术水平参差不齐,为规范该技术临床操作标准、保障治疗效果、降低术后并发症,在此提出上颌窦瘘软、硬组织同期修补术的临床应用及操作规范,旨在为广大口腔医师在应用该项技术时提供参考。

关键词: 上颌窦瘘, 可吸收生物膜, 软、硬组织修复与再生, 规范化操作

Abstract: [Summary] Oroantral fistula, defined by abnormal oral-maxillary sinus communication resulted from many factors, is a common disease in oral and maxillofacial surgery. The traditional repair method of oroantral fistula was based on various soft tissue flap grafting. Although it can repair the oroantral fistula, there is a lack of simultaneous repair of bone tissue. With the rapid development of dental implantology, patients with oroantral fistula also require implant restoration of the missing teeth when repairing soft tissue. This poses a new challenge to the treatment of oroantral fistula, which means that both soft and hard tissue need to be repaired. Based on the bag-shaped absorbable membrane invented by the authors, using biomaterials alone, simultaneous repair and regeneration of soft and hard tissues in the area of oroantral fistula can be achieved without autologous bone. This new treatment has the advantages of less invasion, moderate difficulty of operation, reliable clinical effect and easy to be promoted and popularized. Therefore, it is currently favored by more and more doctors and patients. However, due to the uneven clinical skills of dentists, in order to standardize clinical operating standards, ensure medical treatment effects, and reduce postoperative complications, the clinical application and operating specifications of simultaneous repair of soft and hard tissues of oroantral fistula have been proposed in this paper. It was aimed to provide a certain reference and basis for the majority of dentists in the application of this technology and promote its clinical application.

Key words: Oroantral fistula, Absorbable membrane, Repair and regeneration of soft and hard tissues, Standardized operation

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