鼻内镜下摘除上颌窦内断根11例报告

中国口腔颌面外科杂志 ›› 2015, Vol. 13 ›› Issue (1): 82-84.

鼻内镜下摘除上颌窦内断根11例报告

胡艺平, 金桂芳

浙江省乐清市第二人民医院口腔科,浙江乐清 325608

收稿日期:2014-10-15 出版日期:2015-02-10 发布日期:2015-03-12
通讯作者: 胡艺平,Tel：0577-62378513,E-mail:2690249383@qq.com
作者简介:胡艺平（1957-）,男,副主任医师

Removal of broken roots in maxillary sinus under endoscope

HU Yi-ping, JIN Gui-fang

Department of Stomatology, Second People′s Hospital of Yueqing City. Yueqing 325608, Zhejiang Province, China

Received:2014-10-15 Online:2015-02-10 Published:2015-03-12

摘要/Abstract

摘要： 目的研究断根误入上颌窦后在鼻内镜指引下微创取根的方法。方法对11例患者（12只断根因拔牙不当误入上颌窦）,首先选择原牙槽窝入路取出（8例）,其次由上颌窦前壁开窗取出（3例）,手术在鼻内镜直视下进行。结果 11例12只断根均快速取出,创口一期愈合,长期观察无上颌窦炎和上颌窦瘘发生。结论采用鼻内镜直视下微创取出上颌窦异位断根值得提倡。

关键词: 鼻内镜, 上颌窦, 断根, 微创手术

Abstract: PURPOSE: To introduce the technique of minimally invasive removal of broken roots in maxillary sinus under endoscope. METHODS: Eleven cases were included in this clinical study （twelve broken roots dislocated into maxillary sinus due to improper treatment）, alveolar socket pathway was chosen to remove the roots in 8 cases, opening window around canine fossa was used to remove roots in 3 cases. All operations were carried out under endoscope. RESULTS: Twelve broken roots were successfully removed without any complications. CONCLUSIONS: Minimally invasive removal of roots in maxillary sinus under endoscope is worth of wide application.

Key words: Endoscope, Maxillary sinus, Broken roots, Minimally invasive

中图分类号:

R782.1

胡艺平, 金桂芳. 鼻内镜下摘除上颌窦内断根11例报告[J]. 中国口腔颌面外科杂志, 2015, 13(1): 82-84.

HU Yi-ping, JIN Gui-fang. Removal of broken roots in maxillary sinus under endoscope[J]. China J Oral Maxillofac Surg, 2015, 13(1): 82-84.

参考文献

[1] 王美青,何三纲.口腔解剖生理学[M].第 7版.北京：人民卫生出版社,2013:97-98.
[2] 杨铃. 拔牙断根误入上颌窦的负压吸引取出方法研究[J]. 中国现代医生,2012,50(4)：155-157.
[3] 李荣盛,黎江,浦岐,等. 鼻内镜在治疗牙断根误入上颌窦中的应用[J]. 广东牙病防治,2012,20(7)：376-377.
[4] 董正谋,刘鲁川,周霞. 鼻内窥镜下经上颌窦入路取出牙齿断根的临床观察[J]. 临床口腔医学杂志,2013,29(11)：678-679.
[5] Huang lY, Chen CM, Chuang FH. Caldwell- Luc procedure for retrieval of displaced root in the maxillary sinus[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2011,112(6):e59-63.
[6] 张志愿,俞光岩. 口腔颌面外科学[M]. 第7版. 北京：人民卫生出版社,2013：129-130.
[7] 韩翔,柳杨.内窥镜在牙拔除术断根误入上颌窦诊治中的研究[J]. 口腔医学,2013,33(1)：30-32.
[8] 傅民魁. 口腔正畸学[M].第6版.北京：人民卫生出版社,2013：227-228.
[9] 苏勇,朱轶萍. 23例上颌窦断根取出术的临床体会[J]. 齐齐哈尔医学院学报,2012,33(12)：1587-1588.
[10] 郭永峰,周青,卢利. 拔牙断根误入上颌窦的简便取出方法[J].中国口腔颌面外科杂志,2009,7（3）：273-275.
[11] 吴平凡,郭凌燕,陈林林. 鼻内窥镜在取上颌窦内牙齿断根中的临床应用[J]. 华西口腔医学杂志,2011,29(6)：663-664.
[12] 劳均平,陈巨峰,郭庆平,等. 鼻内窥镜经上颌窦取牙齿断根的临床观察[J]. 中华口腔医学研究杂志（电子版）,2011,5(1)：38-40.
[13] 浦江,赵宾,高宝霞,等. 上颌窦与上颌后牙关系分型在上颌后牙断根取出术中的临床意义[J]. 河北医药,2014,36(4)：579-580.
[14] 谢千阳,徐光宙,杨驰. 53例上颌窦根治术患者回顾分析[J].中国口腔颌面外科杂志,2013,11（6）：495-498
[15] 张震康,邱蔚六,皮昕. 口腔颌面外科临床解剖学[M].济南：山东科学技术出版社,2001：144-145.
[16] Clauser B, Barone R, Briccoli l, et al. Complications in surgical removal of mandibular third molars[J].Minerva Stomatol, 2009,58(7/8):359-366.