侧壁开窗上颌窦底提升中黏骨膜穿孔的原因、治疗与预防

doi:10.12337/zgkqzzxzz.2024.12.008

中国口腔种植学杂志 ›› 2025, Vol. 29 ›› Issue (6): 512-518.DOI: 10.12337/zgkqzzxzz.2024.12.008

• “侧壁开窗上颌窦底提升”重点栏目 • 上一篇下一篇

侧壁开窗上颌窦底提升中黏骨膜穿孔的原因、治疗与预防

宿玉成^1,2,3, 任斌^1,2

¹北京瑞城口腔医院 100032;
²北京口腔种植培训中心 100032;
³中国医学科学院北京协和医院口腔种植中心 100032

收稿日期:2024-09-11 出版日期:2025-01-02 发布日期:2025-01-02
通讯作者: 宿玉成,Email：yuchengsu@163.com,电话：010-66212299
作者简介:宿玉成医学博士、教授、主任医师,中国医学科学院北京协和医院口腔种植中心首席专家、北京瑞城口腔医院首席专家、北京口腔种植培训中心（BITC）首席教官、BITC种植大平台总策划。学术兼职：白求恩精神研究会副会长,中华口腔医学会理事,中华口腔医学会第六届口腔种植专业委员会主任委员,国际牙医师学院院士（ICD Fellow）,国际种植牙医师学会荣誉院士（ICOI Honorary Fellow）,《中国口腔种植学杂志》总编辑,《口腔医学研究杂志》副主编,《中华口腔医学杂志》编委等。主编《现代口腔种植学》《口腔种植学》《口腔种植外科手术经典》《口腔种植学词典》《上颌窦底提升》和《钛网支撑的引导骨再生》等著作,“十五”和“十三五”国家科技部重大专项首席科学家,1993年起享受国务院政府特殊津贴。

Causes, treatment, and prevention of mucoperiosteal perforation during lateral window technique for sinus floor elevation

Su Yucheng^1,2,3, Ren Bin^1,2

¹Beijing Citident Hospital of Stomatology, Beijing 100032, China;
²Beijing Implant TrainingCollege (BITC), Beijing 100032, China;
³Dental Implant Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100032, China

Received:2024-09-11 Online:2025-01-02 Published:2025-01-02
Contact: Su Yucheng, Email: yuchengsu@163.com, Tel: 0086-10-66212299

摘要/Abstract

摘要： 上颌后牙缺失后因上颌窦气化及牙槽嵴吸收常导致剩余骨高度及宽度的不足,侧壁开窗上颌窦底提升是解决此处垂直骨量不足的常用手段之一。术中黏骨膜穿孔是常见的并发症,也是种植医生要面对的问题。本文对侧壁开窗上颌窦底提升中黏骨膜穿孔的诊断、原因、治疗策略及预防等进行阐述,希望能为临床医生处理黏骨膜穿孔提供参考。

关键词: 上颌窦, 上颌窦底提升, 黏骨膜穿孔, 并发症

Abstract: Following maxillary posterior tooth loss, the residual bone height and width are often compromised due to maxillary sinus pneumatization and alveolar ridge resorption. The lateral window technique for sinus floor elevation is a common procedure to address vertical bone deficiencies in this region. Intraoperative mucoperiosteal perforation is the most frequent complication encountered, posing a challenge for every implant surgeon. This article reviews the diagnosis, causes, treatment strategies, and prevention of mucoperiosteal perforation during lateral window technique for sinus floor elevation, aiming to provide clinicians with practical insights for managing this complication.

Key words: Maxillary sinus, Sinus floor elevation, Mucoperiosteal perforation, Complication

宿玉成,任斌. 侧壁开窗上颌窦底提升中黏骨膜穿孔的原因、治疗与预防[J]. 中国口腔种植学杂志, 2025, 29(6): 512-518. DOI: 10.12337/zgkqzzxzz.2024.12.008

Su Yucheng, Ren Bin. Causes, treatment, and prevention of mucoperiosteal perforation during lateral window technique for sinus floor elevation[J].Chinese Journal of Oral Implantology, 2025, 29(6): 512-518.DOI: 10.12337/zgkqzzxzz.2024.12.008.

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侧壁开窗上颌窦底提升中黏骨膜穿孔的原因、治疗与预防

Causes, treatment, and prevention of mucoperiosteal perforation during lateral window technique for sinus floor elevation

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