耳鼻喉科医生和口腔外科医生在上颌窦提升规划中的合作。

John R Craig, Alberto Maria Saibene, Elena Giulia Felisati, Giovanni Felisati
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引用次数: 0

摘要

背景:目的:本文探讨了耳鼻喉科评估在确定可能影响上颌窦提升术结果的潜在上颌窦风险方面的重要作用:材料和方法:对现有文献进行了全面的叙述性综述:讨论:综述强调了全面术前评估的重要性,包括患者病史、计算机断层扫描(CT)或锥束 CT(CBCT)扫描以及鼻内窥镜检查,以降低鼻窦健康风险。报告详细介绍了各种临床情况和患者评估,强调了积极诊断和管理鼻窦疾病的系统方法。讨论显示,虽然某些鼻窦疾病可能不会对 MSE 的成功率产生重大影响,但影响粘膜纤毛清除和鼻窦引流的疾病是需要耳鼻喉科干预的关键风险因素。此外,文章还介绍了一个分级系统,以帮助临床医生在 MSE 之前确定哪些患者将受益于耳鼻喉科评估:本综述强调了跨学科合作和标准化方案在提高 MSE 手术的可预测性和安全性方面的价值,并最终改善了患者的预后。
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Collaboration between otolaryngologists and oral surgeons in maxillary sinus elevation planning.

Background: The collaboration between otolaryngologists and dental providers is crucial for the planning and execution of maxillary sinus elevation (MSE) procedures, which are integral to successful dental implant placements.

Purpose: This article examines the essential role of otolaryngological assessments in identifying potential sinonasal risks that could impact the outcomes of MSE.

Materials and methods: A comprehensive narrative review of existing literature was conducted.

Discussion: The review underscores the importance of thorough preoperative evaluations, including patient history, computed tomography (CT) or cone-beam CT (CBCT) scans, and nasal endoscopy, to mitigate sinonasal health risks. It details various clinical scenarios and patient assessments, emphasizing a systematic approach to diagnosing and managing sinonasal conditions proactively. The discussion reveals that while some sinus conditions may not significantly affect MSE success, conditions impacting mucociliary clearance and sinus drainage are critical risk factors requiring otolaryngological intervention. Additionally, the article introduces a grading system to assist clinicians in identifying patients who would benefit from otolaryngological evaluations prior to MSE.

Conclusion: This review highlights the value of interdisciplinary collaboration and standardized protocols in enhancing the predictability and safety of MSE procedures, ultimately improving patient outcomes.

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