中国口腔种植学杂志 ›› 2025, Vol. 29 ›› Issue (6): 543-548.DOI: 10.12337/zgkqzzxzz.2024.12.013

• “侧壁开窗上颌窦底提升”重点栏目 • 上一篇    下一篇

上颌窦底提升中囊肿的同期处理小技巧

鲍岳杰, 占萍萍, 林志浩, 贺刚   

  1. 尚善口腔医疗连锁机构,宁波 315000,浙江
  • 收稿日期:2024-09-04 出版日期:2025-01-02 发布日期:2025-01-02
  • 通讯作者: 贺刚,Email:henryhegang@163.com,电话:0574-83868039
  • 作者简介:鲍岳杰 副主任医师,研究方向:口腔种植临床研究;贺刚 博士、主任医师,研究方向:种植材料表面生物学改性、临床口腔种植学和口腔修复学

Simultaneous management of maxillary sinus cysts during sinus floor elevation

Bao Yuejie, Zhan Pingping, Lin Zhihao, He Gang   

  1. Sunshine Dental Chain Clinic, Ningbo 315000, Zhejiang, China
  • Received:2024-09-04 Online:2025-01-02 Published:2025-01-02
  • Contact: He Gang, Email:henryhegang@163.com, Tel: 0086-574-83868039

摘要: 本文介绍1种利用双窗法行上颌窦囊肿摘除和上颌窦底提升同期完成的手术方式,即用植骨窗来完成上颌窦底的提升,获得骨增量空间;在完整剥离并提升窦膜后,在植骨窗的上方开辟病变摘除窗,摘除囊性病变。植骨窗与病变摘除窗互不相通,可有效避免骨增量材料被囊肿内容物污染。本文也介绍了对上颌窦囊肿进行姑息治疗的保守手术方式,并通过3个典型病例来阐述具体的术式和操作技巧。

关键词: 上颌窦囊肿, 上颌窦底提升, 侧壁开窗技术

Abstract: This article introduces a surgical approach for the simultaneous management of maxillary sinus cysts and sinus floor elevation using the double-window technique. The first lateral window is created to elevate the Schneiderian membrane and establish space for bone augmentation. Once the membrane is fully elevated and remains intact, a second small lateral window is created above the first to remove the cyst. The two windows are separated to prevent contamination of the graft material by the cystic contents. Additionally, a conservative surgical approach for the palliative treatment of sinus cysts is presented. Three representative cases are described to demonstrate specific techniques and surgical methods.

Key words: Maxillary sinus cyst, Maxillary sinus floor elevation, Lateral window technique