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目前被广泛应用的上颌窦柯-陆氏手术均惯用软组织横切口,由于窦前壁表面软组织中的血管、淋巴管及感觉神经均系从上向下纵行走向,故横切口所造成的损伤在术后近期常导致颊部明显水肿、上唇及上颌牙麻木、咀嚼困难和唾液及食物返流入窦腔等并发症,术后远期可有该侧上颌牙、唇及颊部感觉紊乱,且偶有术侧持久性淋巴液瘀滞性肿胀。为避免上述并发症,曾有人创用软组织垂直切口,经梨状孔缘开放窦内侧壁或经前壁进入窦腔行手术。作者们采用沿上颌第V牙处作垂直切口、分离并暴露窦前壁的术式行29例次手术,其中4例患者的双侧上颌窦系分别采用垂直切口和
Currently widely used maxillary sinus Ke - Lu surgery are commonly used soft tissue transverse incision, anterior sinus wall of the soft tissue of the blood vessels, lymphatic vessels and sensory nerves are from the vertical down to the longitudinal, so the transverse incision caused by injury In the recent postoperative period, it often leads to significant edema of the buccal cavity, numbness of the upper lip and maxillary teeth, difficulty of chewing and complications of salivary flow and food reflux into the sinus cavity. The distal maxillary teeth, lip and cheek may feel disordered after operation Occasionally persistent lumbar persistent swelling of the blood. In order to avoid the above complications, there have been people creating vertical incision of soft tissue, opening the sinus medial wall through the hole edge of the pear or through the anterior wall into the sinus surgery. The authors performed 29 surgeries with a vertical incision along the maxillary V-notch to separate and expose the anterior sinus wall. Four of the patients had bilateral maxillary sinus and vertical incision