种植-解剖及骨生理.ppt

Maxillary Tuberosity上颌结节 Anterior wall Lateral wall Sinus Septum 窦间隔 Arial Evaluation of the Accuracy of Panoramic Radiograph in the Definition of Maxillary Sinus Septa评估全景片上颌窦间隔定界的准确度 Kasabah S et al. Acta Med 2002; 45:173 False negative False positive indicates that it is not suitable enough for thorough evaluation of the sinus septa. Kasabah S et al. Acta Med 2002; 45:173 The great number of the false diagnoses established by the use of panoramic radiograph Evaluation of the Accuracy of Panoramic Radiograph in the Definition of Maxillary Sinus Septa评估全景片上颌窦间隔定界的准确度 Sinus septa : Tx planning上颌窦间隔：治疗计划 Rectangular running vs Slanted running septa 直角形VS倾斜性间隔 Height of septa 高度 6.4-12.7 Underwood (1910) 7.9 Ulm (1995) 7.7(edent)12.2(dentate) Krennmair (1997) 3.5, 5.9, 7.6 (lat,mid,med) Velasquez (2002) Velasquez-Plata D, Hovey L, et al Int J Oral Maxillofac Implants 2002;17:854 Maxillary sinus septa: A 3-dimensional computerized tomographic scan analysis上颌窦间隔：计算机断层扫描3维分析 Artery and Veins of Face 面部动脉和静脉 Pterygoid plexus Blood supply is from division of the maxillary artery 血流供应从上颌动脉分出 -infraorbital artery 眶下动脉 -posterior superior alveolar artery 上牙槽后动脉 -anastomosis branches 分支吻合 Blood supply to the maxillary sinus 上颌窦的血流供应 Solar et al Watzek et al., COIR 1999 Univ. of Vienna Relative height of the internal and external anastomoses in relation the crest of the ridge内外吻合支距离牙槽嵴顶的相对位置关系 Intraosseous anastomosis; Extraosseous anastomosis Intraoperative Bleeding during Sinus Surgery上颌窦手术中出血 Distribution of the Maxillary Artery as It Relates to Sinus Floor Augmentation Elian N et al. JOMI 2005;20:784-787 ConclusionsElian N et al. JOMI 2005;20:784-787 The intraosseous artery could be visualized in CT scan in 52.9% of this series of cases The average height of the artery from the alveolar crest was 16.4mm Because of its location, the intraosseous artery has the potential to cause bleeding complications in approximately 20% of normally