功能性内镜及上颌窦前壁开窗在上颌窦异物取出术中的应用进展
Application Progress of Functional Endoscopy and Maxillary Sinus Anterior Wall Fenestration in the Removal of Maxillary Sinus Foreign Bodies
DOI: 10.12677/acm.2025.153791, PDF,   
作者: 田峰：重庆医科大学口腔医学院，重庆；张富贵*：重庆医科大学附属口腔医院口腔颌面外科，重庆
关键词: 上颌窦；异物；内镜；上颌窦前壁开窗；Maxillary Sinus； Foreign Body； Endoscope； Maxillary Sinus Anterior Wall Fenestration
摘要: 上颌窦的解剖结构特性导致异物易进入窦腔内形成上颌窦异物。大部分上颌窦异物为医源性和外伤性，如断根、移位牙种植体、牙科充填材料等。上颌窦异物若不及时取出，可能会引起上颌窦炎、眶底感染甚至颅内感染。目前，针对上颌窦异物存在多种手术取出方式，如上颌窦前壁开窗术，内镜联合鼻内或口内入路探查取出术等。本研究总结了功能性内镜及上颌窦前壁开窗在上颌窦异物取出术中的应用进展及其优缺点，为临床应用提供参考。
Abstract: The anatomical characteristics of the maxillary sinus make it easy for foreign bodies to enter the sinus cavity and form maxillary sinus foreign bodies. Most maxillary sinus foreign bodies are iatrogenic and traumatic, such as fractured tooth roots, displaced dental implants, dental fillings, etc. If the foreign body in the maxillary sinus is not removed in time, it may cause maxillary sinusitis, orbital floor infection, and even intracranial infection. At present, there are various surgical methods for removing foreign bodies in the maxillary sinus, such as maxillary sinus anterior wall fenestration, endoscopic combined nasal or oral approach exploration and removal, etc. This study summarizes the application progress and advantages and disadvantages of functional endoscopy and maxillary sinus anterior wall fenestration in maxillary sinus foreign body removal surgery, providing a reference for clinical application.
文章引用：田峰, 张富贵. 功能性内镜及上颌窦前壁开窗在上颌窦异物取出术中的应用进展[J]. 临床医学进展, 2025, 15(3): 1679-1684. https://doi.org/10.12677/acm.2025.153791

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