Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a micro-invasive intraoral access.
Identifieur interne : 000D14 ( Main/Curation ); précédent : 000D13; suivant : 000D15Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a micro-invasive intraoral access.
Auteurs : M. Chiapasco [Italie] ; D. Palombo [Italie]Source :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Kystes (), Kystes (imagerie diagnostique), Lambeaux chirurgicaux, Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Radiographie, Rehaussement du plancher du sinus (), Sinus maxillaire (), Sinus maxillaire (imagerie diagnostique).
- MESH :
- imagerie diagnostique : Kystes, Mâchoire partiellement édentée, Sinus maxillaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Kystes, Lambeaux chirurgicaux, Mâle, Pose d'implant dentaire endo-osseux, Radiographie, Rehaussement du plancher du sinus, Sinus maxillaire.
English descriptors
- KwdEn :
- Adult, Cysts (diagnostic imaging), Cysts (surgery), Dental Implantation, Endosseous (methods), Dental Implants, Female, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (rehabilitation), Male, Maxillary Sinus (diagnostic imaging), Maxillary Sinus (surgery), Middle Aged, Radiography, Sinus Floor Augmentation (methods), Surgical Flaps.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Cysts, Jaw, Edentulous, Partially, Maxillary Sinus.
- methods : Dental Implantation, Endosseous, Sinus Floor Augmentation.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Cysts, Maxillary Sinus.
- Adult, Female, Humans, Male, Middle Aged, Radiography, Surgical Flaps.
Abstract
Large antral pseudocysts of the maxillary sinus (APCs) may hamper the elevation of the Schneiderian membrane during sinus grafting and may impair osteo-meatal complex patency after sinus augmentation. Therefore, these should be removed prior to or at the time of sinus grafting. This study presents a new technique that combines enucleation of large APCs during sinus grafting via a lateral approach with preservation of the Schneiderian membrane periosteal layer. Twelve patients underwent a sinus graft via lateral approach during the years 2004-2012. Simultaneous APC removal was achieved through a small additional bony access, preserving the integrity of the periosteal layer of the Schneiderian membrane. Nineteen implants were inserted at the time of sinus augmentation or during a second stage. Prosthetic rehabilitation was started at 4-6 months after implant placement. No patient developed surgical complications or APC recurrence. The survival rate of implants and related prostheses was 100% over a mean follow-up of 50 months (range 12-96 months) after completion of the prosthetic restorations. This technique may represent an effective procedure to achieve APC removal at the time of sinus grafting, preserving the integrity of the Schneiderian membrane periosteal layer.
DOI: 10.1016/j.ijom.2015.07.009
PubMed: 26265064
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pubmed:26265064Le document en format XML
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<term>Cysts (diagnostic imaging)</term>
<term>Cysts (surgery)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Maxillary Sinus (diagnostic imaging)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Sinus Floor Augmentation (methods)</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Kystes ()</term>
<term>Kystes (imagerie diagnostique)</term>
<term>Lambeaux chirurgicaux</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Radiographie</term>
<term>Rehaussement du plancher du sinus ()</term>
<term>Sinus maxillaire ()</term>
<term>Sinus maxillaire (imagerie diagnostique)</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Maxillary Sinus</term>
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<term>Mâchoire partiellement édentée</term>
<term>Sinus maxillaire</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Sinus Floor Augmentation</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<term>Maxillary Sinus</term>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Surgical Flaps</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
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<term>Implants dentaires</term>
<term>Kystes</term>
<term>Lambeaux chirurgicaux</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<front><div type="abstract" xml:lang="en">Large antral pseudocysts of the maxillary sinus (APCs) may hamper the elevation of the Schneiderian membrane during sinus grafting and may impair osteo-meatal complex patency after sinus augmentation. Therefore, these should be removed prior to or at the time of sinus grafting. This study presents a new technique that combines enucleation of large APCs during sinus grafting via a lateral approach with preservation of the Schneiderian membrane periosteal layer. Twelve patients underwent a sinus graft via lateral approach during the years 2004-2012. Simultaneous APC removal was achieved through a small additional bony access, preserving the integrity of the periosteal layer of the Schneiderian membrane. Nineteen implants were inserted at the time of sinus augmentation or during a second stage. Prosthetic rehabilitation was started at 4-6 months after implant placement. No patient developed surgical complications or APC recurrence. The survival rate of implants and related prostheses was 100% over a mean follow-up of 50 months (range 12-96 months) after completion of the prosthetic restorations. This technique may represent an effective procedure to achieve APC removal at the time of sinus grafting, preserving the integrity of the Schneiderian membrane periosteal layer.</div>
</front>
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