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頁籤選單縮合
題名 | Proximal Tibial Bone Harvesting under Local Anesthesia without Intravenous Sedation in the Dental Office: A Case Report=在牙科門診局部麻醉下,無需靜脈鎮靜輔助進行近心端脛骨取骨術--病例報告 |
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作者姓名(中文) | 陳俊明; 陳百立; 吳崇維; 黃逸岳; 李坤宗; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 24:2 2008.02[民97.02] |
頁次 | 頁103-106 |
分類號 | 416.95 |
關鍵詞 | 自體骨移植; 靜脈鎮靜麻醉; 局部麻醉; 近心端脛骨; 上顎竇增高術; Autogenous bone grafting; Intravenous sedation; Local anesthesia; Proximal tibial bone; Sinus lifting; |
語文 | 英文(English) |
中文摘要 | 上顎竇增大的現像,通常會出現在上顎後牙無牙區,而且這也會減少牙科植體所必須的骨頭高度。此際,為了提供足夠的骨頭高度,就必須要進行上顎竇增高術以及骨頭移植手術。自體骨移植一直是提供牙科植體骨整合的最好根基,近年來脛骨已成為提供口腔外取骨處的另一種選擇。我們提出一個病例,在無鎮靜麻醉的輔助下,採用局部麻醉方式,在門診進行取近心端脛骨的手術,來進行上顎竇增高術以及骨移植到的手術,經過術後四年的追踪,病人行走並無異樣,而且取骨處的疤痕並不明顯。 |
英文摘要 | Maxillary sinus enlargement often occurs in the maxillary posterior edentulous area and reduces the available bone height for implantation. Therefore, maxillary sinus lift and bone graft procedures are necessary to provide sufficient available bone. Autogenous bone grafting is the best base for implant osseointegration. Recently, tibial bone has been recognized as an alternative extraoral donor site. We present a case in which we used a proximal tibia bone graft for maxillary sinus augmentation under local anesthesia without sedation in the dental office. During a 4-year postoperative follow-up, gait was not disturbed and the scar on the donor site remained unremarkable. |
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