上颌窦底提升并发症的专家共识：黏骨膜穿孔（第一版）

doi:10.12337/zgkqzzxzz.2021.10.002

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (5): 277-281.DOI: 10.12337/zgkqzzxzz.2021.10.002

上颌窦底提升并发症的专家共识：黏骨膜穿孔（第一版）

中华口腔医学会口腔种植专业委员会

收稿日期:2021-08-24 出版日期:2021-10-30 发布日期:2021-11-12
通讯作者: 邱立新,北京大学口腔医学院·口腔医院第四门诊部国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室 100081,Email：qiulixin@pkuss.bjmu.edu.cn,电话：010-85715655;宿玉成,中国医学科学院北京协和医院口腔种植中心 100032,Email: yuchengsu@163.com,电话：010-66212299

Expert consensus on the management of sinus floor elevation mucoperiosteum perforation (first edition)

Chinese Society of Oral Implantology

Received:2021-08-24 Online:2021-10-30 Published:2021-11-12
Contact: Qiu Lixin, The 4^th Division of Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing 100081, China, Email:qiulixin@pkuss.bjmu.edu.cn, Tel:0086-10-85715655; Su Yucheng, Dental Implant Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100032, China, Email: yuchengsu@163.com, Tel:0086-10-66212299

摘要/Abstract

摘要： 上颌窦底提升是目前解决上颌后牙区种植手术时骨量不足的可靠办法,但技术敏感性较强,并发症发生风险较高。上颌窦底黏骨膜穿孔是最常见的并发症,目前国内外尚缺乏对此并发症管理的指南或共识。因此中华口腔医学会口腔种植专业委员会组织国内各大院校专家讨论起草了本共识,旨在为临床医师提供切实可行的针对上颌窦底黏骨膜穿孔这一并发症的预防和诊疗措施。

关键词: 上颌窦底提升, 黏骨膜穿孔, 专家共识

Abstract: Maxillary sinus floor elevation is a common and standard method for the rehabilitation of atrophic bone in the posterior maxilla but has highly technical sensitivity and considerable complications. A common complication is the Schneiderian membrane perforation. Systemic reviews and expert-written forums are common in the literature. However, a consensus about the guideline for the management of the Schneiderian membrane perforation during maxillary sinus floor elevation has not been reached. To this end, experts from the Chinese Society of Oral Implantology discussed several times and have drafted this expert consensus in order to provide clinicians with practical and feasible measures for preventing, diagnosing, and treating the Schneiderian membrane perforation during the surgery of sinus floor elevation.

Key words: Maxillary sinus floor elevation, Mucoperiosteum perforation, Expert consensus

中华口腔医学会口腔种植专业委员会. 上颌窦底提升并发症的专家共识：黏骨膜穿孔（第一版）[J]. 中国口腔种植学杂志, 2021, 26(5): 277-281. DOI: 10.12337/zgkqzzxzz.2021.10.002

Chinese Society of Oral Implantology. Expert consensus on the management of sinus floor elevation mucoperiosteum perforation (first edition)[J].Chinese Journal of Oral Implantology, 2021, 26(5): 277-281.DOI: 10.12337/zgkqzzxzz.2021.10.002.

参考文献

[1] 宿玉成. 口腔种植学词典 [M]. 北京: 人民卫生出版社, 2021.
[2] Schwartz-Arad D, Herzberg R, Dolev E.The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival[J]. J Periodontol, 2004,75(4):511-516. DOI: 10.1902/jop.2004.75.4.511.
[3] Kasabah S, Krug J, Simůnek A, et al.Can we predict maxillary sinus mucosa perforation?[J]. Acta Medica (Hradec Kralove), 2003,46(1):19-23.
[4] Pjetursson BE, Lang NP.Sinus floor elevation utilizing the transalveolar approach[J]. Periodontol 2000, 2014,66(1):59-71. DOI: 10.1111/prd.12043.
[5] Marin S, Kirnbauer B, Rugani P, et al.Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis[J]. Clin Implant Dent Relat Res, 2019,21(1):66-72. DOI: 10.1111/cid.12699.
[6] Kim MJ, Jung UW, Kim CS, et al.Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis[J]. J Periodontol, 2006,77(5):903-908. DOI: 10.1902/jop.2006.050247.
[7] Niu L, Wang J, Yu H, et al.New classification of maxillary sinus contours and its relation to sinus floor elevation surgery[J]. Clin Implant Dent Relat Res, 2018,20(4):493-500. DOI: 10.1111/cid.12606.
[8] Hernández-Alfaro F, Torradeflot MM, Marti C.Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures[J]. Clin Oral Implants Res, 2008,19(1):91-98. DOI: 10.1111/j.1600-0501.2007.01372.x.
[9] 陈波, 张一凡. 经侧壁开窗上颌窦底外提升植骨术窦黏膜穿孔及处理[J].中国实用口腔科杂志,2018,11(1):12-16. DOI: 10.19538/j.kq.2018.01.003.
[10] 林野. 上颌窦植骨与种植 [M]. 北京: 北京大学医学出版社, 2020.
[11] Wang D, Tian J, Wang Y, et al.Clinical and radiographic outcomes of reentry lateral sinus floor elevation after a complete membrane perforation[J]. Clin Implant Dent Relat Res, 2020,22(5):574-581. DOI: 10.1111/cid.12932.
[12] 宿玉成. 口腔种植学 [M]. 北京: 人民卫生出版社, 2014.
[13] 陈明, 耿威, 高文莫. 上颌窦底提升相关局部因素的考量[J]. 中国口腔种植学杂志, 2021, 26(1): 67-71.DOI: 10.12337/zgkqzzxzz.2021.02.015.
[14] Wallace SS, Mazor Z, Froum SJ, et al.Schneiderian membrane perforation rate during sinus elevation using piezosurgery: clinical results of 100 consecutive cases[J]. Int J Periodontics Restorative Dent, 2007,27(5):413-419.
[15] 宿玉成. 超声骨切割技术的发展及其在口腔临床中的应用研究[J].上海口腔医学,2007,16(1):1-7. DOI: 10.3969/j.issn.1006-7248.2007.01.001.
[16] Osman AH, Mansour H, Atef M, et al.Computer guided sinus floor elevation through lateral window approach with simultaneous implant placement[J]. Clin Implant Dent Relat Res, 2018,20(2):137-143. DOI: 10.1111/cid.12559.
[17] Goodacre BJ, Swamidass RS, Lozada J, et al.A 3D-printed guide for lateral approach sinus grafting: a dental technique[J]. J Prosthet Dent, 2018,119(6):897-901. DOI: 10.1016/j.prosdent.2017.07.014.

上颌窦底提升并发症的专家共识：黏骨膜穿孔（第一版）

Expert consensus on the management of sinus floor elevation mucoperiosteum perforation (first edition)

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