Various Approaches to the Surgical Management of Septa during the Maxillary Sinus Floor Elevation: A Case Report and a Literature Review

進行上顎竇增高術時對上顎竇中隔的不同術式：病例報告與文獻回顧

林威妮(Wei-Ni Lin) ； 劉錦龍(Chin-Lung Liu) ； 王振穎(Chen-Ying Wang)

《臺灣牙周病醫學會雜誌》 18卷2期 (2013/06) Pp. 143-150

https://doi.org/10.6121/TAP.2013.18.2.07

摘要

在上顎後牙區進行植牙手術時，常需合併階段式或同步進行上顎竇增高術與引導骨再生術。牙科電腦斷層影像現已為診斷上顎竇中隔之存在與否及其解剖構造的極佳工具。本文將報告藉由環口X 光攝影及牙科電腦斷層的診斷，在三個有上顎竇中隔存在的狀況中，以不同術式進行上顎竇增高術的病例；並探討不同放射學檢查對於偵測上顎竇中隔的準確性，以及面對不同位置、形態的上顎竇中隔時可以運用的術式選擇

關鍵字

牙科電腦斷層 ； 上顎竇 ； 上顎竇中隔 ； 上顎竇增高術

並列摘要

Sinus floor elevation combined with guided bone regeneration (GBR) is a common surgical technique that is usually performed before or at the same time as dental implant placement into the maxilla. Three-dimensional dental computed tomography (3D dental CT) is a useful tool for imaging the anatomy of the maxillary sinus. This report documented three cases of sinus elevation of the maxillary sinus with a variety of septal distributions that were detected and measured with the aid of panoramic radiography and 3D dental CT. The diagnostic accuracy when examining the sinus septa using different radiographic imaging tools and how the surgical approaches used varied according to the unique location and morphology of sinus septa are presented and discussed.

並列關鍵字

dental computed tomography ； maxillary sinus ； maxillary sinus septum ； sinus floor elevation