{"id":24508,"date":"2023-04-19T09:58:09","date_gmt":"2023-04-19T02:58:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24508"},"modified":"2023-05-02T11:47:29","modified_gmt":"2023-05-02T04:47:29","slug":"nang-xoang-tong-quan-trong-phau-thuat-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/nang-xoang-tong-quan-trong-phau-thuat-implant\/","title":{"rendered":"N\u00e2ng xoang &#8211; T\u1ed5ng quan trong ph\u1eabu thu\u1eadt implant."},"content":{"rendered":"<p><strong>N\u00e2ng xoang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p m\u1ea5t chi\u1ec1u cao s\u1ed1ng h\u00e0m, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi k\u1ebft h\u1ee3p v\u1edbi s\u00e0n xoang h\u00e0m tr\u00ean b\u1ecb th\u00f2ng xu\u1ed1ng do m\u1ea5t r\u0103ng sau, c\u00f3 ngh\u0129a l\u00e0 th\u01b0\u1eddng xuy\u00ean thi\u1ebfu chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u1eb7t implant. \u0110\u00f3 c\u0169ng l\u00e0 nh\u1eefng ca m\u00e0 x\u01b0\u01a1ng c\u00f2n l\u1ea1i trong v\u00f9ng n\u00e0y c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng k\u00e9m. C\u00f9ng t\u00ecm hi\u1ec3u t\u1ed5ng quan v\u1ec1 n\u00e2ng x\u01b0\u01a1ng trong ph\u1eabu thu\u1eadt Implant.<\/strong><\/p>\n<h2>1. Th\u1ee7 thu\u1eadt n\u00e2ng xoang &#8211; T\u1ed5ng quan chung<\/h2>\n<p>M\u1ea5t chi\u1ec1u cao s\u1ed1ng h\u00e0m, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi k\u1ebft h\u1ee3p v\u1edbi s\u00e0n xoang h\u00e0m tr\u00ean b\u1ecb th\u00f2ng xu\u1ed1ng do m\u1ea5t r\u0103ng sau, c\u00f3 ngh\u0129a l\u00e0 th\u01b0\u1eddng xuy\u00ean thi\u1ebfu chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u1eb7t implant. \u0110\u00f3 c\u0169ng l\u00e0 nh\u1eefng ca m\u00e0 x\u01b0\u01a1ng c\u00f2n l\u1ea1i trong v\u00f9ng n\u00e0y c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng k\u00e9m.<\/p>\n<p>N\u00e2ng xoang \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi Tatum trong cu\u1ed1i nh\u1eefng n\u0103m 1970 \u0111\u1ec3 kh\u1eafc ph\u1ee5c nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi nh\u1eefng th\u00e0nh c\u00f4ng l\u1edbn tr\u00ean to\u00e0n th\u1ebf gi\u1edbi theo c\u00e1c nguy\u00ean t\u1eafc c\u1ee7a \u00f4ng \u1ea5y. C\u00f3 r\u1ea5t \u00edt b\u1eb1ng ch\u1ee9ng v\u1ec1 s\u1ef1 r\u1ed1i lo\u1ea1n d\u1eabn l\u01b0u ch\u1ea5t ti\u1ebft c\u1ee7a xoang sau th\u1ee7 thu\u1eadt n\u00e0y. Trong ph\u01b0\u01a1ng ph\u00e1p c\u1ed5 \u0111i\u1ec3n, m\u1ed9t c\u1eeda s\u1ed5 ho\u1eb7c c\u1eeda s\u1eadp x\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u1ea1o ra \u1edf m\u1eb7t ngo\u00e0i \u0111\u1ec3 \u0111i v\u00e0o xoang. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u00f3 X quang r\u00f5 r\u00e0ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt \u0111\u1ec3 hi\u1ec3n th\u1ecb h\u00ecnh th\u1ec3 c\u1ee7a xoang, \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u1ee7a xoang b\u1ea5t k\u1ef3 tr\u1ee5 x\u01b0\u01a1ng ho\u1eb7c v\u00e1ch x\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf vi\u1ec7c l\u1eadt c\u1eeda s\u1ed5 x\u01b0\u01a1ng l\u00ean. Ngo\u00e0i ra, n\u00f3 r\u1ea5t h\u1eefu \u00edch \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc ngo\u00e0i trong \u0111\u1ea3m b\u1ea3o r\u1eb1ng n\u1ebfu m\u1ed9t c\u1eeda s\u1eadp x\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u1ea1o ra n\u00f3 s\u1ebd c\u00f3 kh\u00f4ng gian \u0111\u1ec3 xoay v\u00e0o b\u00ean trong xoang. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a b\u1ea5t k\u1ef3 b\u1ec7nh n\u00e0o c\u1ee7a xoang ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed vi\u00eam xoang t\u00e1i ph\u00e1t nghi\u00eam tr\u1ecdng l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi th\u1ee7 thu\u1eadt n\u00e0y. Th\u1ee7 thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, v\u00e0 s\u1eed d\u1ee5ng c\u00e1c kh\u1ed1i d\u01b0\u1edbi \u1ed5 m\u1eaft \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 (g\u00e2y t\u00ea b\u1eb1ng \u0111\u01b0\u1eddng d\u01b0\u1edbi \u1ed5 m\u1eaft). L\u1ed1i v\u00e0o t\u1ed1t c\u00f3 \u0111\u01b0\u1ee3c th\u00f4ng qua \u0111\u01b0\u1eddng r\u1ea1ch m\u00f4 m\u1ec1m tr\u00ean m\u1ed9t n\u1ec1n r\u1ed9ng m\u00e0 ranh gi\u1edbi c\u1ee7a n\u00f3 c\u00e1ch xa \u0111i\u1ec3m \u0111i v\u00e0o xoang Th\u00f4ng th\u01b0\u1eddng, c\u00e1c v\u00e1ch xoang m\u1ecfng v\u00e0 xoang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ea5y nh\u01b0 l\u00e0 m\u1ed9t v\u00f9ng m\u00e0u x\u00e1m h\u01a1i xanh tr\u00ean b\u1ec1 m\u1eb7t x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y l\u00e0 gi\u00fap \u00edch trong vi\u1ec7c ph\u00e1c h\u1ecda c\u00e1c v\u00f9ng \u0111\u1ec3 t\u1ea1o c\u1eeda s\u1ed5, v\u00f9ng n\u00e0y ph\u1ea3i m\u1edf \u0111\u01b0\u1ee3c v\u00e0o trong xoang n\u1ebfu kh\u00f4ng n\u00f3 s\u1ebd kh\u00f4ng th\u1ec3 n\u00e0o n\u1ea1y \u0111\u01b0\u1ee3c m\u1ed9t c\u1eeda s\u1eadp x\u01b0\u01a1ng v\u00e0\/ho\u1eb7c m\u00e0ng xoang. Tr\u01b0\u1eddng h\u1ee3p v\u00e1ch xoang d\u00e0y b\u00e1c s\u0129 ph\u1eabu thu\u1eadt ph\u1ea3i d\u1ef1a v\u00e0o phim X quang tr\u01b0\u1edbc ph\u1eabu thu\u1eadt ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp (CT) \u0111\u1ec3 v\u1ebd ra ranh gi\u1edbi c\u1ee7a c\u1eeda s\u1ed5 x\u01b0\u01a1ng. C\u1eeda s\u1ed5 n\u00ean m\u1edf r\u1ed9ng theo chi\u1ec1u g\u1ea7n xa v\u00e0 r\u1ed9ng b\u1eb1ng v\u00f9ng \u0111\u1eb7t implant. N\u1ebfu c\u00f3 m\u1ed9t v\u00e1ch x\u01b0\u01a1ng, ta c\u1ea7n t\u1ea1o ra hai c\u1eeda s\u1ed5 ri\u00eang bi\u1ec7t ho\u1eb7c s\u1eed d\u1ee5ng m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c. Khi n\u00e2ng m\u1ed9t c\u1eeda s\u1eadp x\u01b0\u01a1ng (trapdoor), t\u1ed1t nh\u1ea5t n\u00ean t\u1ea1o \u0111\u01b0\u1eddng vi\u1ec1n v\u1edbi m\u0169i khoan ph\u1eabu thu\u1eadt kim c\u01b0\u01a1ng, b\u01a1m r\u1eeda th\u1eadt nhi\u1ec1u n\u01b0\u1edbc, v\u00f4 c\u00f9ng c\u1ea9n th\u1eadn \u0111\u1ec3 kh\u00f4ng th\u1ee7ng m\u00e0ng xoang b\u00ean d\u01b0\u1edbi.<\/p>\n<h2>2.B\u00e0n lu\u1eadn v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y<\/h2>\n<p>Vi\u1ec7c c\u1eaft th\u1ea5p h\u01a1n v\u00e0 v\u1ec1 ph\u00eda b\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ho\u00e0n to\u00e0n xuy\u00ean qua x\u01b0\u01a1ng nh\u01b0ng nh\u1eefng \u0111\u01b0\u1eddng c\u1eaft cao ch\u1ec9 \u0111\u1ee5c l\u1ed7 m\u1ed9t ph\u1ea7n \u0111\u1ec3 cho ph\u00e9p c\u00e1c c\u1eeda s\u1ed5 g\u00e3y v\u1ec1 ph\u00eda b\u00ean trong, \u0111\u01b0\u1eddng c\u1eaft ph\u00eda tr\u00ean nh\u01b0 m\u1ed9t c\u00e1i b\u1ea3n l\u1ec1. M\u1ed9t khi \u0111\u01b0\u1eddng c\u1eaft ho\u00e0n t\u1ea5t, ph\u1eabu thu\u1eadt vi\u00ean s\u1ebd c\u00f3 th\u1ec3 di chuy\u1ec3n c\u1eeda s\u1ed5 v\u00e0o b\u00ean trong v\u1edbi l\u1ef1c nh\u1eb9 nh\u00e0ng. Khi c\u1eeda s\u1eadp \u0111\u01b0\u1ee3c n\u00e2ng l\u00ean, m\u00e0ng xoang \u0111\u01b0\u1ee3c nh\u1eb9 nh\u00e0ng \u0111\u1ea9y l\u00ean kh\u1ecfi x\u01b0\u01a1ng xung quanh. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 gi\u1eef cho m\u00e0ng xoang c\u00f2n nguy\u00ean v\u1eb9n trong su\u1ed1t qu\u00e1 tr\u00ecnh n\u00e0y b\u1edfi v\u00ec s\u1ebd c\u1ef1c k\u1ef3 kh\u00f3 kh\u0103n ho\u1eb7c kh\u00f4ng th\u1ec3 kh\u00e2u khi r\u00e1ch m\u00e0ng. Th\u1ee7ng nh\u1ecf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c v\u00e1 v\u1edbi m\u00e0ng t\u1ef1 ti\u00eau ho\u1eb7c l\u01b0\u1edbi carboxymethylcellulose. Th\u1ee7ng l\u1edbn c\u00f3 th\u1ec3 khi\u1ebfn th\u1ee7 thu\u1eadt th\u1ea5t b\u1ea1i, \u0111\u1eb7c bi\u1ec7t n\u1ebfu c\u00f3 \u00fd \u0111\u1ecbnh gh\u00e9p xoang v\u1edbi v\u1eadt li\u1ec7u h\u1ea1t gh\u00e9p ch\u1ee9 kh\u00f4ng ph\u1ea3i x\u01b0\u01a1ng kh\u1ed1i. Ti\u1ebfp t\u1ee5c n\u00e2ng cho \u0111\u1ebfn khi \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u00edch th\u01b0\u1edbc kho\u1ea3ng tr\u1ed1ng mong mu\u1ed1n, v\u1edbi m\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1ea9y v\u00e0o gi\u1eefa (ph\u00eda m\u0169i) v\u00e0 l\u00ean tr\u00ean c\u00f9ng v\u1edbi c\u1eeda s\u1eadp x\u01b0\u01a1ng. Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c l\u00e0 t\u1ea1o ra m\u1ed9t c\u1eeda s\u1ed5 tr\u1ef1c ti\u1ebfp tr\u00ean v\u00e1ch b\u00ean b\u1eb1ng c\u00e1ch l\u1ea5y to\u00e0n b\u1ed9 x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y d\u1ec5 d\u00e0ng \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u0169i khoan acrylic v\u00e0 b\u01a1m r\u1eeda.<\/p>\n<figure id=\"attachment_24576\" aria-describedby=\"caption-attachment-24576\" style=\"width: 1404px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-24576\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-270.png\" alt=\"nang-xoang\" width=\"1404\" height=\"2296\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-270.png 1404w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-270-183x300.png 183w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-270-626x1024.png 626w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-270-768x1256.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-270-939x1536.png 939w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-270-1252x2048.png 1252w\" sizes=\"(max-width: 1404px) 100vw, 1404px\" \/><figcaption id=\"caption-attachment-24576\" class=\"wp-caption-text\">(A) Phim to\u00e0n c\u1ea3nh c\u1ee7a m\u1ed9t b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1eb7t implant \u1edf h\u00e0m tr\u00ean sau. S\u1ed1ng h\u00e0m c\u00f3 chi\u1ec1u cao t\u1ed1t nh\u01b0ng ph\u1ea7n k\u00e9o d\u00e0i c\u1ee7a xoang h\u00e0m tr\u00ean \u1edf ph\u00eda b\u00ean tr\u00e1i l\u00e0m cho ta kh\u00f4ng th\u1ec3 \u0111\u1eb7t nhi\u1ec1u h\u01a1n m\u1ed9t implant m\u00e0 kh\u00f4ng gh\u00e9p. Kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00fd vi\u00eam xoang ho\u1eb7c m\u1ee9c ch\u1ea5t l\u1ecfng\/ni\u00eam m\u1ea1c d\u00e0y l\u00ean. Ngo\u00e0i ra, kh\u00f4ng c\u00f3 v\u00e1ch x\u01b0\u01a1ng tr\u00ean v\u00e1ch ph\u00eda b\u00ean. V\u00f9ng \u0111\u1ec1 xu\u1ea5t cho m\u00f4 gh\u00e9p x\u01b0\u01a1ng t\u1eeb c\u1eb1m c\u0169ng \u0111\u01b0\u1ee3c v\u1ea1ch ra. (B) H\u00ecnh \u1ea3nh c\u1eaft l\u1edbp c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c hi\u1ec3n th\u1ecb trong ph\u1ea7n A cho ph\u00e9p \u0111\u00e1nh gi\u00e1 kho\u1ea3ng tr\u1ed1ng c\u00f3 s\u1eb5n \u0111\u1ec3 n\u00e2ng c\u1eeda s\u1eadp x\u01b0\u01a1ng (th\u1ec3 hi\u1ec7n b\u1eb1ng \u0111\u01b0\u1eddng m\u00e0u v\u00e0ng) M\u1ed9t bi\u1ec3u th\u1ecb th\u1ec3 t\u00edch mi\u1ebfng gh\u00e9p c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u0169ng nh\u01b0 \u0111\u1ed9 d\u00e0i c\u1ee7a implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t. L\u01b0\u1ee3ng x\u01b0\u01a1ng c\u00f2n l\u1ea1i trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh implant \u1edf giai \u0111o\u1ea1n n\u00e2ng xoang. Implant s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t sau \u0111\u00f3 ba th\u00e1ng. (C) B\u1ec7nh nh\u00e2n trong ph\u1ea7n A c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t m\u1ed9t implant v\u00e0o v\u00f9ng x\u01b0\u01a1ng ph\u00eda xa r\u0103ng c\u1ed1i nh\u1ecf tr\u00ean b\u00ean tr\u00e1i . \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u1ee7 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1eddng c\u01b0\u1eddi th\u1ea5p ho\u1eb7c ch\u1ecbu l\u1ef1c th\u1ea5p nh\u01b0ng \u0111i\u1ec1u tr\u1ecb n\u00e0y hi\u1ebfm khi \u0111\u01b0\u1ee3c ch\u1ecdn tr\u1eeb khi thay th\u1ebf r\u0103ng c\u1ed1i nh\u1ecf th\u1ee9 hai tr\u00ean. (D) H\u00ecnh \u1ea3nh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt th\u00e0nh b\u00ean c\u1ee7a xoang. \u1ede \u0111\u00e2y th\u00e0nh xoang d\u00e0y v\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a xoang, th\u01b0\u1eddng th\u1ec3 hi\u1ec7n b\u1eb1ng m\u1ed9t m\u00e0u xanh xu\u1ea5t hi\u1ec7n n\u01a1i c\u00f3 x\u01b0\u01a1ng m\u1ecfng nh\u1ea5t. (E) C\u1eeda s\u1ed5 \u0111\u01b0\u1ee3c t\u1ea1o ra v\u1edbi m\u1ed9t m\u0169i khoan acrylic (acrylic bur) v\u00e0 m\u00e0ng xoang \u0111\u00e3 \u0111\u01b0\u1ee3c n\u00e2ng l\u00ean. M\u00e0ng \u0111\u00e3 kh\u00f4ng c\u00f2n nguy\u00ean v\u1eb9n v\u00e0 l\u1ed7 th\u1ee7ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 b\u1eb1ng m\u1ed9t m\u00e0ng t\u1ef1 ti\u00eau. Chi\u1ec1u cao x\u01b0\u01a1ng c\u00f2n l\u1ea1i kh\u00f4ng \u0111\u1ee7 5 mm \u0111\u1ec3 cho ph\u00e9p v\u1eeba n\u00e2ng xoang v\u1eeba \u0111\u1eb7t implant, do \u0111\u00f3 mi\u1ebfng gh\u00e9p s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o kho\u1ea3ng tr\u1ed1ng v\u1eeba t\u1ea1o ra. (F) Kho\u1ea3ng tr\u1ed1ng c\u00f2n l\u1ea1i trong h\u1ed1c \u0111\u01b0\u1ee3c nh\u00e9t x\u01b0\u01a1ng t\u1ef1 th\u00e2n, \u1edf phi\u1ebfn x\u01b0\u01a1ng \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb c\u00e0nh \u0111\u1ee9ng x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi. (G) V\u1eadt li\u1ec7u x\u01b0\u01a1ng kh\u00e1c bao g\u1ed3m h\u1ed7n h\u1ee3p v\u1ee5n x\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u0111\u1eb7t xung quanh mi\u1ebfng gh\u00e9p v\u00e0 c\u00e1c c\u1ea1nh ngo\u00e0i c\u1ee7a kho\u1ea3ng tr\u1ed1ng. Mi\u1ebfng gh\u00e9p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c che ph\u1ee7 b\u1edfi m\u1ed9t m\u00e0ng t\u1ef1 ti\u00eau \u1edf m\u1eb7t ngo\u00e0i \u0111\u1ec3 ch\u1eafc ch\u1eafn mi\u1ebfng gh\u00e9p n\u1eb1m trong kho\u1ea3ng tr\u1ed1ng. Sau \u0111\u00f3 v\u1ea1t \u0111\u01b0\u1ee3c kh\u00e2u l\u1ea1i. (H) X quang tr\u01b0\u1edbc ph\u1eabu thu\u1eadt cho th\u1ea5y chi\u1ec1u cao h\u1ea1n ch\u1ebf c\u1ee7a x\u01b0\u01a1ng h\u00e0m tr\u00ean ph\u00eda sau. (I) X quang sau ph\u1eabu thu\u1eadt sau khi n\u00e2ng xoang \u1edf h\u00e0m tr\u00ean b\u00ean tr\u00e1i. C\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y t\u01b0\u01a1ng quan gi\u1eefa \u0111\u1ed9 cao m\u1edbi c\u1ee7a s\u00e0n xoang v\u1edbi c\u00e1c implant. X\u01b0\u01a1ng c\u00f2n l\u1ea1i \u1edf h\u00e0m tr\u00ean b\u00ean ph\u1ea3i c\u00f2n \u0111\u1ee7 n\u00ean c\u00f3 th\u1ec3 \u0111\u1eb7t implant m\u00e0 kh\u00f4ng c\u1ea7n gh\u00e9p. (J) Gh\u00e9p kh\u1ed1i x\u01b0\u01a1ng l\u1edbn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1eef v\u1eefng b\u1eb1ng c\u00e1ch \u0111\u1eb7t implant xuy\u00ean qua c\u1ea3 x\u01b0\u01a1ng v\u00e0 mi\u1ebfng gh\u00e9p. L\u00fd t\u01b0\u1edfng nh\u1ea5t l\u00e0 mi\u1ebfng gh\u00e9p n\u00ean \u0111\u01b0\u1ee3c \u0111\u1ecbnh h\u01b0\u1edbng \u0111\u1ec3 c\u00e1c phi\u1ebfn x\u01b0\u01a1ng v\u1ecf \u1edf ph\u00eda tr\u00ean cho ph\u00e9p c\u1ed1 \u0111\u1ecbnh t\u1ed1t ch\u00f3p c\u1ee7a implant.<\/figcaption><\/figure>\n<p>M\u0169i khoan ti\u1ebfn t\u1edbi vi\u1ec7c di chuy\u1ec3n m\u00e0ng khi l\u1edbp x\u01b0\u01a1ng b\u00ean ngo\u00e0i b\u1ecb l\u1ea5y \u0111i v\u00e0 n\u1ec1n xoang \u0111\u01b0\u1ee3c \u0111\u1ea9y l\u00ean qua \u0111\u01b0\u1eddng c\u1eeda s\u1ed5.<\/p>\n<p>M\u1ee9c \u0111\u1ed9 m\u00e0 s\u00e0n xoang \u0111\u01b0\u1ee3c n\u00e2ng l\u00ean c\u0169ng \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi v\u1ecb tr\u00ed c\u1ee7a l\u1ed7 t\u1ef1 nhi\u00ean (l\u1ed7 osteon) tr\u00ean v\u00e1ch ng\u0103n m\u0169i, c\u00e1i m\u00e0 cho ph\u00e9p xoang d\u1eabn l\u01b0u. M\u1ed9t khi kho\u1ea3ng tr\u1ed1ng \u0111\u01b0\u1ee3c t\u1ea1o ra trong xoang th\u00ec c\u00f3 hai c\u00e1ch kh\u00e1c nhau \u0111\u1ec3 \u0111\u1eb7t implant. N\u1ebfu x\u01b0\u01a1ng \u1ed5 r\u0103ng c\u00f2n l\u1ea1i c\u00f3 \u0111\u1ee7 chi\u1ec1u cao v\u00e0 c\u1ed1 \u0111\u1ecbnh \u0111\u01b0\u1ee3c implant (th\u01b0\u1eddng \u00edt nh\u1ea5t l\u00e0 5 mm chi\u1ec1u cao) th\u00ec ta c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t ngay l\u1eadp t\u1ee9c, kho\u1ea3ng tr\u1ed1ng c\u00f2n l\u1ea1i l\u1ea5p \u0111\u1ea7y b\u1eb1ng v\u1eadt li\u1ec7u gh\u00e9p. N\u1ebfu kh\u1ed1i x\u01b0\u01a1ng l\u1edbn \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o xoang, ta c\u00f3 th\u1ec3 c\u1ed1 \u0111\u1ecbnh b\u1eb1ng c\u00e1ch \u0111\u1eb7t c\u00e1c implant xuy\u00ean qua c\u1ea3 m\u00f4 gh\u00e9p v\u00e0 x\u01b0\u01a1ng \u1ed5 r\u0103ng. Trong tr\u01b0\u1eddng h\u1ee3p x\u01b0\u01a1ng \u1ed5 r\u0103ng c\u00f2n l\u1ea1i r\u1ea5t \u00edt, kho\u1ea3ng tr\u1ed1ng trong xoang \u0111\u01b0\u1ee3c gh\u00e9p tr\u01b0\u1edbc v\u00e0 \u0111\u1eb7t implant sau ba th\u00e1ng. K\u1ef9 thu\u1eadt n\u00e0y c\u00f3 l\u1ebd l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c \u01b0a th\u00edch v\u1edbi ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p. V\u1eadt li\u1ec7u gh\u00e9p \u01b0a th\u00edch l\u00e0 x\u01b0\u01a1ng t\u1ef1 th\u00e2n, m\u1eb7c d\u00f9 x\u01b0\u01a1ng n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c tr\u1ed9n v\u1edbi v\u1eadt li\u1ec7u kh\u00e1c gh\u00e9p kh\u00e1c. N\u00ean c\u1ea9n th\u1eadn khi s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u h\u1ea1t gh\u00e9p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng m\u00e0ng xoang c\u00f2n nguy\u00ean v\u1eb9n ho\u1eb7c b\u1ea5t c\u1ee9 ch\u1ed7 r\u00e1ch n\u00e0o c\u0169ng \u0111\u01b0\u1ee3c b\u00edt k\u00edn v\u00e0 \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7. M\u1ed9t khi v\u1eadt li\u1ec7u gh\u00e9p v\u00e0 \/ ho\u1eb7c implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o, c\u00e1c c\u1eeda s\u1eadp x\u01b0\u01a1ng, n\u1ebfu c\u00f3, \u0111\u01b0\u1ee3c gi\u1eef \u1edf v\u1ecb tr\u00ed tr\u00ean cao, vi\u1ec7c kh\u00e2u \u0111\u00f3ng c\u00e1c v\u1ebft th\u01b0\u01a1ng s\u1ebd \u0111\u01a1n gi\u1ea3n. Quy\u1ebft \u0111\u1ecbnh \u0111\u1eb7t m\u1ed9t m\u00e0ng GBR b\u00ean ngo\u00e0i c\u1eeda s\u1ed5 t\u00f9y thu\u1ed9c ph\u1eabu thu\u1eadt vi\u00ean, m\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y n\u1ebfu c\u00f3 m\u00e0ng th\u00ec vi\u1ec7c gh\u00e9p th\u00e0nh c\u00f4ng h\u01a1n.<\/p>\n<figure id=\"attachment_24588\" aria-describedby=\"caption-attachment-24588\" style=\"width: 1232px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-24588\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-271.png\" alt=\"nang-xoang-2\" width=\"1232\" height=\"1076\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-271.png 1232w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-271-300x262.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-271-1024x894.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-271-768x671.png 768w\" sizes=\"(max-width: 1232px) 100vw, 1232px\" \/><figcaption id=\"caption-attachment-24588\" class=\"wp-caption-text\">M\u1ed9t lo\u1ea1t c\u00e1c h\u00ecnh \u1ea3nh hi\u1ec3n th\u1ecb qu\u00e1 tr\u00ecnh n\u00e2ng xoang \u1edf b\u1ec7nh nh\u00e2n b\u1ecb thi\u1ebfu r\u0103ng. (A) Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng cho th\u1ea5y m\u1ed9t m\u1eb7t l\u00f5m \u0111\u00e1ng k\u1ec3 v\u00e0 l\u1ed3i x\u01b0\u01a1ng \u1edf m\u00e0o x\u01b0\u01a1ng m\u1eb7t ngo\u00e0i. (B) M\u1ed9t c\u1eeda s\u1ed5 \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ea1o ra v\u00e0 m\u00e0ng xoang l\u1eadt l\u00ean c\u00f2n nguy\u00ean v\u1eb9n. (C) C\u00e1c l\u1ed3i x\u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf b\u1eb1ng \u0111\u1ee5c v\u00e0 nh\u00e9t c\u00e1c m\u1ea3nh v\u1ee1 v\u00e0o kho\u1ea3ng tr\u1ed1ng. (D) X\u01b0\u01a1ng t\u1ef1 th\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng v\u1edbi h\u1ea1t tricalcium phosphate \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh mi\u1ebfng gh\u00e9p v\u00e0 \u0111\u1ec3 ng\u0103n ch\u1eb7n c\u00e1c m\u00f4 m\u1ec1m b\u1ecb s\u1ee5p l\u1ea1i v\u00e0o xoang.<\/figcaption><\/figure>\n<p><em>Ngu\u1ed3n: Implant trong th\u1ef1c h\u00e0nh Nha khoa &#8211; Richard D. Palmer\/Nh\u00f3m d\u1ecbch Saigon Young Dentists Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u00e2ng xoang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p m\u1ea5t chi\u1ec1u cao s\u1ed1ng h\u00e0m, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi k\u1ebft h\u1ee3p v\u1edbi s\u00e0n xoang h\u00e0m tr\u00ean b\u1ecb th\u00f2ng xu\u1ed1ng do m\u1ea5t r\u0103ng sau, c\u00f3 ngh\u0129a l\u00e0 th\u01b0\u1eddng xuy\u00ean thi\u1ebfu chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u1eb7t implant. \u0110\u00f3 c\u0169ng l\u00e0 nh\u1eefng ca m\u00e0 x\u01b0\u01a1ng c\u00f2n l\u1ea1i trong v\u00f9ng n\u00e0y [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>N\u00e2ng xoang - T\u1ed5ng quan trong ph\u1eabu thu\u1eadt implant. - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u00e2ng xoang s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p m\u1ea5t chi\u1ec1u cao s\u1ed1ng h\u00e0m. 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