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首页> 外文期刊>Clinical advances in periodontics. >Sinus Floor Augmentation in Presence of Mucocele Eroding Maxillary Sinus Wall: A Case Report With 3 Years Follow‐Up
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Sinus Floor Augmentation in Presence of Mucocele Eroding Maxillary Sinus Wall: A Case Report With 3 Years Follow‐Up

机译：鼻窦地板增强在存在粘液裂解的上颌窦壁：一份3年后续报告的病例报告

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Introduction The maxillary mucocele is a slow‐growing aggressive lesion and a mucous‐containing sac lined with epithelium that occurs due to ductal obstruction and self‐limiting injury. Rarely, it may be associated with non‐specific symptoms. It is characterized by bone resorption due to its expanding behavior. Reduced height of bone and sinus pneumatization associated with pathologic lesions located in the floor of maxillary sinus may impede sinus augmentation. Therefore, careful diagnosis and management of pathology before sinus floor elevation is important in determining its recurrence and prognosis. Case Presentation We reported a case with small mucocele on right pneumatized antrum with insufficient residual bone height for implant placement. Radiograph in the region of teeth #3 and #4 revealed a homogeneous solitary radiopaque mass. Cone‐beam computed tomography revealed irregular osteolysis of the lateral wall of the sinus. It was excised through Caldwell‐Luc technique and simultaneous sinus augmentation was performed. Later, delayed implant restoration was performed. No complication or recurrence was reported during 36 months of follow‐up. Conclusions The excision of mucocele on sinus floor and simultaneous sinus augmentation obviates the need for the extended treatment period. The clinician must be habituated with the anatomy and pathology of the maxillary sinus to evade any non‐essential complications following lateral sinus floor augmentation procedure. A diminutive mucocele should not be regarded as a contraindication for sinus augmentation; sometimes it manifests with bone erosion. The prompt diagnosis and careful evaluation are needed to avoid future complications during implant therapy.
机译：简介上颌粘液是一种缓慢的侵袭性病变，是由于导管阻塞和自我限制损伤而导致的上皮衬有粘液的囊。它很少与非特异性症状有关。它的特征是由于其不断扩大的行为而引起骨吸收。与位于上颌窦地板上的病理病变相关的骨骼和窦性气值的高度降低可能会妨碍鼻窦增强。因此，在窦地升高之前，仔细诊断和管理病理学对于确定其复发和预后很重要。案例表现，我们报告了右充气的粘液较小的病例，其残留骨骼高度不足以植入植入物的位置。牙齿＃3和＃4区域的X光片显示出均匀的孤立性放射线质量。锥束计算机断层扫描显示窦外侧壁的不规则骨溶解。它是通过Caldwell -Luc技术切除的，并同时进行了鼻窦增强。后来，进行了延迟的植入物修复。在36个月的随访期间，未报告并发症或复发。结论在窦地板上切除粘液和同时增加窦性增强，这消除了延长治疗期的需求。临床医生必须通过上颌窦的解剖结构和病理习惯，以逃避侧向窦地层增强手术后的任何非必需并发症。不应将小粘液视为鼻窦增强的禁忌症。有时它表现出骨侵蚀。需要及时诊断和仔细评估，以避免植入治疗期间的未来并发症。

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