Аннотация

Резюме

To analyze the relationship between the anatomical and physiological features of the nose and paranasal sinuses and the development of postoperative complications of sinus lifting.

Материал и методы

A retrospective analysis was conducted at the Department of Surgical Dentistry and Implantology and the Department of Complex Dentistry at the Moscow Regional Research Institute (MONIKI) to document the correlation between the postoperative course of sinus lift and dental implantation and the anatomical features of the nasal cavity and paranasal sinuses. The analysis included 22 patients with maxillary alveolar ridge atrophy and dental defects who underwent treatment between 2021 and 2024. 

Результаты

Based on the results of tomographic examinations, pathology of the uncinate process (UP) was observed among the total number of patients with alveolar ridge atrophy (22 individuals) with a high frequency of 40%. UP resection was recorded in 13,64% of patients after rhinosurgery, while 27% had various other pathological variants, including tight adherence to the orbital wall, hypertrophy, and pneumatization of the UP, which can impede the outflow of contents from the maxillary sinuses (MS) after surgery. A deviated nasal septum was recorded in 22% of the examined patients. Other pathologies included thickening of the mucous membrane of the MS floor, sinus defects (bony septa), and darkening of the ethmoid labyrinth cells. An otolaryngologist was involved in the analysis of the CT scans.

Заключение

Based on the conducted retrospective analysis, it was concluded that factors such as the condition of the maxillary sinus and the integrity of the structures of the nasal anatomy and paranasal sinuses, as well as a fully functioning mucous membrane of these structures, are of no small importance in the development of inflammatory complications after sinus lifting.

Ключевые слова

maxillary sinusitis uncinate process osteomeatal complex sinus lift nose sinus alveolar process.

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Список литературы

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