中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (6): 621-625.doi: 10.19438/j.cjoms.2023.06.015

• 病例报告 • 上一篇    下一篇

颧种植、外提升复合方法治疗上颌窦解剖变异1例报告

刘梦玉1,2,*, 沈意涵1,*, 魏凌飞1,3, 于德栋1#, 吴轶群1#   

  1. 1.上海交通大学医学院附属第九人民医院 口腔第二门诊部,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, 上海市口腔医学研究所,上海 201999;
    2.滨州医学院烟台校区,山东 烟台 264003;
    3.滨州医学院附属烟台口腔医院 口腔种植科,山东 烟台 264003
  • 收稿日期:2022-11-25 修回日期:2023-05-26 出版日期:2023-11-20 发布日期:2023-12-07
  • 通讯作者: 于德栋,E-mail:yudedong@sjtu.edu.cn;吴轶群,E-mail：yiqunwu@hotmail.com。#共同通信作者
  • 作者简介:刘梦玉（1999-）,女,硕士研究生,E-mail:my990228@163.com;沈意涵（1989-）,男,主治医师,E-mail:shenyihandentist@163.com。*并列第一作者
  • 基金资助:
    国家自然科学基金（52175422,32101094）; 上海市卫生健康委员会卫生行业临床研究专项（202240194）; 上海交通大学医工交叉基金（YG2021QN72）; 上海交通大学医学院附属第九人民医院医工“交叉”研究基金项目（JYJC202114）; 国家口腔医学中心横向课题（KQHX2022-07）

Zygomatic implantation and external elevation in the treatment of anatomic variation of maxillary sinus: a case report

LIU Meng-yu1,2, SHEN Yi-han1, WEI Ling-fei1,3, YU De-dong1, WU Yi-qun1   

  1. 1. Department of Second Dental Center, 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; Shanghai Research Institute of Stomatology. Shanghai 201999;
    2. Department of Binzhou Medical University Yantai Campus. Yantai 264003, Shandong Province;
    3. Department of Oral Implantology, Yantai Stomatological Hospital. Yantai 264003, Shandong Province, China
  • Received:2022-11-25 Revised:2023-05-26 Online:2023-11-20 Published:2023-12-07

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摘要： 上颌窦气化延伸至颧骨是罕见的解剖变异,往往导致颧骨区无充分的骨量,对于牙列缺损/缺失患者,尤其是上颌无牙颌种植修复的患者,导致不能实施颧骨种植修复治疗。本文报告1例先天性左侧上颌窦重度气化病例,该患者采用右侧（健侧）颧骨种植合并上颌前牙区常规种植体进行即刻修复,左侧（患侧）上颌窦外提升延期种植修复植入的复合方法完成固定种植修复治疗,取得了理想的治疗效果。本文讨论变异上颌窦的可能病因、鉴别诊断以及上颌骨重度缺损患者的种植治疗方法选择,旨在为该类患者提供优选的种植固定治疗方式。

关键词: 上颌窦气化, 颧骨种植, 侧壁开窗上颌窦底提升, 即刻修复

Abstract: Pneumatization of the maxillary sinus extending to the zygomatic bone is a rare anatomic abnormality. Zygomatic implants cannot be performed for patients with insufficient zygomatic bone quantity. In this paper, a case of congenital severe left maxillary sinus gasification was reported. The patient was treated with right (healthy side) zygomatic bone implantation combined with conventional implant in the maxillary anterior dental area for immediate repair, and left (affected side) external maxillary sinus lifting delayed implant repair and implantation for fixed implant repair, which achieved ideal therapeutic effect. This article discussed the possible etiology, differential diagnosis of the variant maxillary sinus, and the selection of implant treatment methods for patients with severe maxillary defects, aiming to provide an optimal implant fixation treatment for this type of patients.

Key words: Maxillary sinus pneumatization, Zygomatic implant, Sinus floor elevation with lateral window approach, Immediate repair

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