摘要
目的:观察颊侧黏膜瓣对牙源性口腔上颌窦瘘修复疗效及对口腔功能的影响。方法:选取医院2018年1月-2022年5月收治的100例牙源性口腔上颌窦瘘患者作为研究对象。将100例患者随机化分为观察组和对照组,观察组50例、对照组50例。所有患者均行上颌窦瘘修复术,观察组术后采用颊侧黏膜瓣进行修复,对照组患者采用腭黏骨膜瓣进行修复,比较两组患者修复效果、炎症因子、口腔功能、美学效果及并发症。结果:观察组患者在鼻窦炎治愈、上颌窦通畅、鼻腔清洁情况均优于对照组(P<0.05);相较于修复前,修复后两组患者龈沟液白介素-1β(IL-1β)、白介素-6(IL-6)、肿瘤坏死因子(TNF-α)水平均有下降,且观察组相较于对照组均更低(P<0.05);相较于修复前,修复后两组患者口腔健康影响程度量表得分均有下降,且观察组相较于对照组更低(P<0.05);相较于修复前,修复后两组患者软组织质地、软组织颜色、边缘龈水平得分均有升高,且观察组相较于对照组更高(P<0.05);观察组患者相较于对照组并发症总发生率更低(P<0.05)。结论:相比于上颌窦瘘修复术后采用腭黏骨膜瓣封闭瘘管口,采用颊侧黏膜瓣封闭瘘管口对于牙源性口腔上颌窦瘘患者而言,更能提升患者的疗效、口腔功能与美学效果,降低炎症因子与术后并发症,适合在临床推广使用。
Objective To observe the efficacy of buccal mucosal flap on the repair of odontogenic oral maxillary sinus fistula and its influence on oral function.Methods 100 patients with odontogenic oral maxillary sinus fistula admitted to the hospital from January 2018 to May 2022 were selected as the study subjects,and were divided into observation group(50 cases)and control group(50 cases)by the randomization method.Maxillary sinus fistula repair was performed in all patients,and buccal mucosal flap was used for postoperative repair in observation group while jaw mucoperiosteal flap was used for repair in control group.The repair effect,inflammatory factors,oral function,aesthetic effect and complications were compared between the two groups.Results Observation group was better than control group in sinusitis cure,maxillary sinus patency and nasal cleaning(P<0.05).Compared with before repair,the levels of gingival creval fluid interleukin-1β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor(TNF-α)in both groups were decreased after repair,and the levels in observation group were lower compared with those in control group(P<0.05).Compared with before repair,the score of oral health impact scale was declined in both groups after repair,and the score were lower in observation group(P<0.05).Compared with before repair,the scores of soft tissue texture,soft tissue color and marginal gingiva level were increased in both groups after repair,and the scores in observation group were higher than those in control group(P<0.05).The total incidence rate of complication in observation group was lower than that in control group(P<0.05).Conclusion Compared with the application of jaw mucoperiosteal flap to close the fistula orifice after maxillary sinus fistula repair,the application of buccal mucosal flap for patients with odontogenic oral maxillary sinus fistula can better improve the efficacy,oral function and aesthetic effect,and reduce the inflammatory factors and postoperative complications,thus the latter one is more suitable for clinical promotion and application.
作者
王希合
张敏
任晓亮
周玲玲
牛龙龙
申秀梅
WANG Xihe;ZHANG Min;REN Xiaoliang;ZHOU Lingling;NIU Longlong;SHEN Xiumei(Department of Stomatology,Handan Eye Hospital(Handan Third Hospital),Handan 056001,Hebei,China;Zhangjiakou University,Zhangjiakou 075000,Hebei,China)
出处
《中国美容医学》
CAS
2024年第9期57-61,共5页
Chinese Journal of Aesthetic Medicine
基金
邯郸市科学技术研究与发展计划项目(编号:19422083013-4)。
关键词
颊侧黏膜瓣
牙源性口腔上颌窦瘘
修复
疗效
口腔功能
美学效果
buccal mucosal flap
odontogenic oral maxillary sinus fistula
repair
efficacy
oral function
aesthetic effect
