鼻地板升高技术对鼻膜穿孔的影响:系统性审查和网络元分析
The International journal of oral & maxillofacial implants
|September 5, 2023
概括
这项研究比较了侧窗鼻腔底部升高 (LSFE) 和横鼻腔底部升高 (TSFE) 技术中的鼻膜穿孔风险. 在TSFE中的Reamers显示出穿孔风险最低,影响植入物存活率.
科学领域:
- 在口腔外科手术中.
- 牙周病学 牙周病学
- 生物材料科学是生物材料的科学.
背景情况:
- 鼻腔增大对于在缩的上部位放置牙植入物至关重要.
- 鼻膜穿孔 (SMP) 是鼻底部升高 (SFE) 的常见并发症.
- 为了优化结果,比较侧窗鼻地面高度 (LSFE) 和横鼻地面高度 (TSFE) 之间的穿孔风险至关重要.
研究的目的:
- 为了比较LSFE和TSFE技术之间的鼻膜穿孔 (SMP) 的风险.
- 评估SMP对垂直脊增长和植入物存活率的影响.
- 为了确定与SMP风险相关的特定外科手术因素.
主要方法:
- 一项全面的数据库搜索发现了85项研究 (1960-2021),涉及5551个SFE程序.
- 网络元分析被用来评估SMP,手术技术和临床因素之间的关联.
- 分析了SMP对垂直脊增长和植入物存活率的影响.
主要成果:
- 在LSFE技术中,旋转杆显示出SMP风险最高 (SUCRA = 0.0745).
- 在TSFE技术中的Reamers表现出SMP风险最低 (SUCRA = 0.9444).
- 增加的SMP患病率与减少的植入物存活率显著相关 (OR = 0.45;P < .001).
结论:
- 在LSFE和TSFE中的某些技术可能会减轻SMP风险.
- 需要进一步的随机对照试验来直接比较LSFE和TSFE之间的SMP风险.
- 需要改善SMP的评估方法来完善临床决策.
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