导致侧窗上鼻升高的膜穿孔的危险因素:系统性审查和元分析
Marwa Alalshaikh1, Afsheen Tabasum2, Norah Alotaibi1
1Fellowship in Periodontics Program, Department of Preventive Dental Sciences, School of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Oral surgery, oral medicine, oral pathology and oral radiology
|February 15, 2025
概括
通过侧窗准备的上鼻升高带有风险. 薄膜,吸烟和膜显著增加鼻膜穿孔的风险,需要仔细的手术规划.
科学领域:
- 口腔和牙面部外科手术
- 牙周病学 牙周病学
- 牙科植入物学 牙科植入物学
背景情况:
- 使用侧窗技术提升大 sinus 是牙植入物放置的常见程序.
- 鼻膜穿孔是一种潜在的并发症,可能会影响治疗结果.
- 识别风险因素对于在鼻增大过程中尽量减少穿孔至关重要.
研究的目的:
- 识别和分析与腔膜穿孔相关的风险因素,在侧面窗口准备上腔 sinus 升高期间.
- 为改善外科手术技术和患者选择提供基于证据的见解.
主要方法:
- 进行了系统审查和研究的批判性评估.
- 搜索电子数据库以确定符合纳入标准的相关研究.
主要成果:
- 薄膜 (<1.5毫米),吸烟 (1.6倍增加的风险) 和斑块的存在 (3倍增加的风险) 是穿孔的重要风险因素.
- 与旋转仪器相比,切片手术在降低穿孔风险方面显示出极小的好处.
- 在有限的研究中,侧壁厚度和残余脊高度也被确定为重要因素.
结论:
- 在侧窗准备过程中,有几个因素导致膜穿孔.
- 膜厚度,状体和吸烟是发现的最突出的危险因素.
- 对这些因素的认识可以指导手术决策,并可能降低并发症率.
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