上颌窦提升中上颌窦黏骨膜穿孔的研究进展

Research progress on mucoperiosteum perforation in maxillary sinus elevation

上颌窦底提升是解决上颌后牙区种植位点骨量不足的有效方法,但技术敏感性相对较高。上颌窦黏骨膜常常较为菲薄,在上颌窦底提升术中容易发生穿孔,是常见的并发症之一。目前临床常用的穿孔管理办法包括使用生物材料进行穿孔修补,例如可吸收胶原膜、胶原蛋白海绵以及血小板衍生物等,或者使用可吸收缝线以缩小并关闭穿孔。本文根据国内外相关文献就上颌窦黏骨膜穿孔后出现的常见并发症,上颌窦黏骨膜穿孔的判断方法、分类和修补处理方法进行综述。

Maxillary sinus floor elevation is an effective method to resolve the insufficient bone height of implant sites in the maxillary posterior region.However,reports of related complications still arise due to the relatively high sensitivity of the technique.The mucoperiosteum of the maxillary sinus is relatively thin,and perforation is prone to occur during maxillary sinus floor elevation.At present,the clinical management of perforation includes repair through biomaterials,such as resorbable collagen membrane,collagen matrix,and platelet derivatives,or repair through suturing.However,guidelines for the management and repair of the perforation of the maxillary sinus mucoperiosteum are lacking.This article reviews the common complications,diagnosis,classification,and repair of perforation of the maxillary sinus mucoperiosteum based on relevant literature.