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Updated: Feb 11, 2026

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牙植入物迁移到大鼻腔:治疗管理. 范围审查 范围审查
Hernan S Garzon1, Heber Felipe Herrera2, Laura Canizales2
1Centro de Investigación Colegio Odontológico, Institución Universitaria Colegios de Colombia, UNICOC, Bogotá, Colombia 11011.
Journal of long-term effects of medical implants
|February 9, 2026
概括
迁移到大鼻腔的牙科植入物可以通过内镜进行切除,没有任何并发症. 卡尔德威尔-卢克技术为困难病例提供了更好的接入,而无症状患者可以保留植入物.
科学领域:
- 口腔和牙面部外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗设备迁移 医疗设备迁移
背景情况:
- 牙植入物迁移到大鼻会由于骨组织有限而带来风险.
- 治疗方案包括内镜或卡尔德威尔-卢克技术,或鼻植入物保存.
- 治疗的考虑因素包括患者的症状,植入物特征和位置.
研究的目的:
- 系统地审查和比较技术的临床结果,从上鼻检索迁移的牙科植入物.
- 分析与内镜和卡尔德威尔 - 卢克切除植入物程序相关的疗效和并发症.
主要方法:
- 使用MESH和非MESH术语对内镜和卡德威尔-卢克技术进行了系统的文献搜索.
- 包括2000年至2022年间发表的病例报告,重点关注牙植入物迁移到大鼻腔.
- 分析了来自19个符合条件的病例报告 (10个内镜,5个Caldwell-Luc) 的数据,涉及23个迁移的植入物.
主要成果:
- 在19名患者中,15名患者经历了晚期迁移,4名患者经历了即时迁移,迁移发生在2天至15年之间.
- 12名患者出现了鼻腔阻塞和面部疼痛等症状;7名无症状.
- 内镜方法没有报告的并发症,而卡尔德韦尔-卢克技术显示的发病率最小.
结论:
- 内镜技术与上鼻腔植入物切除无并发症有关.
- 卡尔德威尔-卢克技术,尽管患病率较高,但在具有挑战性的位置提供了对植入物的优越访问.
- 无症状患者可能从植入物保存中受益,并密切监测潜在的未来并发症.
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