{"id":31840,"date":"2023-05-04T20:53:07","date_gmt":"2023-05-04T13:53:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31840"},"modified":"2023-05-04T20:59:51","modified_gmt":"2023-05-04T13:59:51","slug":"ky-thuat-cua-so-ngoai-trong-nang-xoang-phau-thuat-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/ky-thuat-cua-so-ngoai-trong-nang-xoang-phau-thuat-implant\/","title":{"rendered":"K\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i trong n\u00e2ng xoang ph\u1eabu thu\u1eadt Implant."},"content":{"rendered":"<p><strong>N\u00e2ng xoang l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt t\u0103ng th\u00eam chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 cho ph\u00e9p \u0111\u1eb7t implant c\u00f3 k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p v\u00e0o nh\u1eefng v\u00f9ng thi\u1ebfu th\u1ec3 t\u00edch x\u01b0\u01a1ng \u1edf v\u00f9ng m\u1ea5t r\u0103ng ph\u00eda sau h\u00e0m tr\u00ean. N\u00e2ng xoang b\u1eb1ng k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u r\u1ed9ng r\u00e3i, v\u00e0 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t \u0111\u1ec3 l\u00e0m t\u0103ng chi\u1ec1u cao x\u01b0\u01a1ng \u1ed5 r\u0103ng \u1edf v\u00f9ng r\u0103ng sau h\u00e0m tr\u00ean, t\u1eeb \u0111\u00f3 cho ph\u00e9p ph\u1ee5c h\u1ed3i mi\u1ec7ng b\u1eb1ng implant \u1edf v\u00f9ng x\u01b0\u01a1ng h\u00e0m tr\u00ean b\u1ecb teo. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i trong qu\u00e1 tr\u00ecnh n\u00e2ng xoang ph\u1eabu thu\u1eadt Implant, gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c v\u1ea5n \u0111\u1ec1 x\u01b0\u01a1ng h\u00e0m b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<h2>1. Kh\u00e1i ni\u1ec7m v\u00e0 ph\u00e2n lo\u1ea1i v\u1ec1 k\u1ef9 thu\u1eadt n\u00e2ng xoang<\/h2>\n<p>N\u00e2ng xoang l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt t\u0103ng th\u00eam chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 cho ph\u00e9p \u0111\u1eb7t implant c\u00f3 k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p v\u00e0o nh\u1eefng v\u00f9ng thi\u1ebfu th\u1ec3 t\u00edch x\u01b0\u01a1ng \u1edf v\u00f9ng m\u1ea5t r\u0103ng ph\u00eda sau h\u00e0m tr\u00ean. Ph\u1eabu thu\u1eadt n\u00e0y bao g\u1ed3m n\u00e2ng m\u00e0ng Schneiderian v\u00e0 \u0111\u1eb7t v\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng v\u00e0o trong kho\u1ea3ng tr\u1ed1ng sau n\u00e2ng xoang \u0111\u1ec3 t\u1ea1o ra \u0111\u1ee7 chi\u1ec1u cao cho implant.<\/p>\n<p>C\u00f3 hai k\u1ef9 thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 n\u00e2ng xoang: k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i v\u00e0 k\u1ef9 thu\u1eadt n\u00e2ng xoang k\u00edn.<\/p>\n<ul>\n<li>K\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i. K\u1ef9 thu\u1eadt n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 k\u1ef9 thu\u1eadt n\u00e2ng xoang h\u1edf. Trong k\u1ef9 thu\u1eadt n\u00e0y, th\u00e0nh b\u00ean c\u1ee7a xoang n\u1eb1m tr\u01b0\u1edbc x\u01b0\u01a1ng g\u00f2 m\u00e1 s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn sau khi l\u1eadt v\u1ea1t to\u00e0n b\u1ed9. Sau \u0111\u00f3 ti\u1ebfn h\u00e0nh c\u1eaft x\u01b0\u01a1ng b\u1eb1ng m\u0169i khoan carbide ho\u1eb7c kim c\u01b0\u01a1ng tr\u00f2n.<\/li>\n<li>K\u1ef9 thu\u1eadt n\u00e2ng xoang k\u00edn. K\u1ef9 thu\u1eadt n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 k\u1ef9 thu\u1eadt xuy\u00ean x\u01b0\u01a1ng \u1ed5. V\u1edbi k\u1ef9 thu\u1eadt n\u00e0y, m\u00e0o x\u01b0\u01a1ng h\u00e0m tr\u00ean c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn b\u1eb1ng c\u00e1c c\u00e2y \u0111\u1ee5c x\u01b0\u01a1ng (osteotome) c\u00f3 \u0111\u01b0\u1eddng k\u00ednh t\u0103ng d\u1ea7n \u0111\u1ec3 t\u1ea1o ra v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p ph\u00f9 h\u1ee3p.<\/li>\n<\/ul>\n<p>S\u1ef1 kh\u00e1c bi\u1ec7t ch\u00ednh gi\u1eefa hai k\u1ef9 thu\u1eadt n\u00e0y l\u00e0 v\u00f9ng ti\u1ebfp c\u1eadn \u0111\u1ec3 n\u00e2ng m\u00e0ng Schneiderian. Vi\u1ec7c l\u1ef1a ch\u1ecdn k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i hay k\u1ef9 thu\u1eadt n\u00e2ng xoang k\u00edn ch\u1ee7 y\u1ebfu ph\u1ee5 thu\u1ed9c v\u00e0o chi\u1ec1u cao c\u1ee7a x\u01b0\u01a1ng \u1ed5 r\u0103ng c\u00f2n l\u1ea1i t\u1eeb m\u00e0o x\u01b0\u01a1ng \u1ed5 \u0111\u1ebfn s\u00e0n xoang h\u00e0m v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng.<\/p>\n<h2>2. K\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i trong n\u00e2ng xoang ph\u1eabu thu\u1eadt Implant<\/h2>\n<p>N\u00e2ng xoang b\u1eb1ng k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u r\u1ed9ng r\u00e3i, v\u00e0 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t \u0111\u1ec3 l\u00e0m t\u0103ng chi\u1ec1u cao x\u01b0\u01a1ng \u1ed5 r\u0103ng \u1edf v\u00f9ng r\u0103ng sau h\u00e0m tr\u00ean, t\u1eeb \u0111\u00f3 cho ph\u00e9p ph\u1ee5c h\u1ed3i mi\u1ec7ng b\u1eb1ng implant \u1edf v\u00f9ng x\u01b0\u01a1ng h\u00e0m tr\u00ean b\u1ecb teo. N\u00e2ng xoang h\u00e0m b\u1eb1ng k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ec3 t\u0103ng chi\u1ec1u cao x\u01b0\u01a1ng \u1ed5 r\u0103ng nh\u1eb1m cho ph\u00e9p \u0111\u1eb7t implant c\u00f3 k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p. Chi\u1ec1u cao s\u1ed1ng h\u00e0m \u0111\u01b0\u1ee3c d\u1ef1 ki\u1ebfn t\u0103ng 7-10 mm tr\u01b0\u1edbc khi \u0111\u1eb7t implant.<\/p>\n<p>T\u1ea1o \u0111\u01b0\u1eddng r\u1ea1ch ch\u00e9o \u1edf m\u1eb7t ngo\u00e0i li\u00ean t\u1ee5c v\u1edbi \u0111\u01b0\u1eddng r\u1ea1ch gi\u1eefa m\u00e0o x\u01b0\u01a1ng \u0111\u1ec3 quan s\u00e1t t\u1ed1t h\u01a1n v\u00e0 ti\u1ebfp c\u1eadn x\u01b0\u01a1ng d\u1ec5 d\u00e0ng h\u01a1n, t\u1eeb \u0111\u00f3 t\u1ea1o thu\u1eadn l\u1ee3i cho ph\u1eabu thu\u1eadt. V\u1ecb tr\u00ed v\u00e0 h\u00ecnh d\u1ea1ng c\u1ee7a c\u1eeda s\u1ed5 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf d\u1ef1a tr\u00ean gi\u1ea3i ph\u1eabu c\u1ee7a xoang h\u00e0m tr\u00ean phim to\u00e0n c\u1ea3nh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. C\u1eaft c\u1eeda s\u1ed5 c\u00e1ch s\u00e0n xoang 3 mm v\u00e0 \u0111i theo \u0111\u01b0\u1eddng d\u1ed1c c\u1ee7a th\u00e0nh tr\u01b0\u1edbc \u0111\u1ec3 d\u1ec5 ti\u1ebfp c\u1eadn h\u01a1n trong qu\u00e1 tr\u00ecnh n\u00e2ng m\u00e0ng.<\/p>\n<figure id=\"attachment_31843\" aria-describedby=\"caption-attachment-31843\" style=\"width: 1268px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-31843\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-32.png\" alt=\"ky-thuat-cua-so-1\" width=\"1268\" height=\"540\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-32.png 1268w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-32-300x128.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-32-1024x436.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-32-768x327.png 768w\" sizes=\"(max-width: 1268px) 100vw, 1268px\" \/><figcaption id=\"caption-attachment-31843\" class=\"wp-caption-text\">Minh h\u1ecda k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i. (A) Tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. Kh\u00f4ng \u0111\u1ee7 chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u1eb7t implant. (B) T\u1ea1o \u0111\u01b0\u1eddng vi\u1ec1n ngang ph\u00eda th\u00e2n r\u0103ng c\u1ee7a c\u1eeda s\u1ed5 c\u00e1ch s\u00e0n xoang 3 mm. (C) Sau giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng, \u0111\u1eb7t implant.<\/figcaption><\/figure>\n<p>Th\u1ee7ng m\u00e0ng Schneiderian l\u00e0 bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i. C\u1ea7n h\u1ebft s\u1ee9c c\u1ea9n th\u1eadn \u0111\u1ec3 kh\u00f4ng v\u00f4 t\u00ecnh l\u00e0m th\u1ee7ng m\u00e0ng, ph\u1ea3i gi\u1eef m\u00e0ng nguy\u00ean v\u1eb9n. Th\u1ee7ng c\u00f3 th\u1ec3 x\u1ea3y ra khi c\u1eaft x\u01b0\u01a1ng b\u1eb1ng m\u0169i khoan ho\u1eb7c khi n\u00e2ng xoang b\u1eb1ng tay. \u0110\u1ea7u \u0111i\u1ec7n \u00e1p \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ca n\u00e0y \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 th\u1ee7ng trong qu\u00e1 tr\u00ecnh n\u00e2ng m\u00e0ng ban \u0111\u1ea7u. C\u00e2y n\u00e2ng xoang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u00e1ch m\u00e0ng d\u1ecdc theo s\u00e0n xoang, ti\u1ebfp theo l\u00e0 th\u00e0nh tr\u01b0\u1edbc v\u00e0 th\u00e0nh trong. C\u00e2y n\u00e2ng xoang l\u00fac n\u00e0o c\u0169ng ph\u1ea3i n\u1eb1m tr\u00ean b\u1ec1 m\u1eb7t x\u01b0\u01a1ng \u0111\u1ec3 tr\u00e1nh v\u00f4 t\u00ecnh l\u00e0m th\u1ee7ng m\u00e0ng. Ngo\u00e0i ra, g\u00f3c \u0111\u1ed9 c\u1ee7a c\u00e2y n\u00e2ng xoang ph\u1ea3i \u0111\u01b0\u1ee3c thay \u0111\u1ed5i theo gi\u1ea3i ph\u1eabu trong qu\u00e1 tr\u00ecnh n\u00e2ng.<\/p>\n<p>X\u01b0\u01a1ng gh\u00e9p h\u1ea1t th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1ee7 thu\u1eadt n\u00e0y; x\u01b0\u01a1ng gh\u00e9p d\u1ecb lo\u1ea1i (x\u01b0\u01a1ng b\u00f2 kho\u00e1ng kh\u1eed protein) \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ca n\u00e0y. V\u1eadt li\u1ec7u gh\u00e9p \u0111\u01b0\u1ee3c nh\u1ed3i v\u00e0o trong kho\u1ea3ng tr\u1ed1ng sau n\u00e2ng xoang m\u00e0 kh\u00f4ng t\u1ea1o \u00e1p l\u1ef1c qu\u00e1 m\u1ee9c \u0111\u1ec3 tr\u00e1nh l\u00e0m th\u1ee7ng m\u00e0ng.<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 to\u00e0n th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n n\u00e2ng xoang, b\u1edfi v\u00ec s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a b\u1ec7nh l\u00fd xoang to\u00e0n th\u00e2n ho\u1eb7c t\u1eeb tr\u01b0\u1edbc c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn di\u1ec5n ti\u1ebfn bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt, g\u00e2y \u1ea3nh h\u01b0\u1edfng k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt. B\u1ec7nh nh\u00e2n c\u1ea7n khai th\u00e1c k\u1ef9 c\u00e0ng, kh\u00f4ng n\u00ean c\u00f3 ti\u1ec1n s\u1eed vi\u00eam xoang, \u0111\u1ed3ng th\u1eddi gi\u1ea3 s\u1eed n\u1ebfu c\u00f3 t\u00ecnh tr\u1ea1ng b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 cao huy\u1ebft \u00e1p th\u00ec c\u0169ng n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn kh\u00f4ng c\u00f3 b\u1ec7nh nha chu ho\u1eb7c v\u1ea5n \u0111\u1ec1 n\u1ed9i nha tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n n\u00e2ng xoang \u0111\u1ec3 tr\u00e1nh nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt. B\u1ec7nh nh\u00e2n c\u1ea7n cam k\u1ebft v\u1edbi nha s\u0129 \u0111i\u1ec1u tr\u1ecb, h\u1ee3p t\u00e1c v\u00e0 gi\u1eef v\u1ec7 sinh r\u0103ng mi\u1ec7ng t\u1ed1t trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, \u0111\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng.<\/p>\n<p><em>Ngu\u1ed3n t\u00e0i li\u1ec7u: Clinical Cases in Implant Dentistry, First Edition &#8211; Published 2017 by John Wiley &amp; Sons, Inc.<\/em><\/p>\n<p><em>1. Tatum Jr H. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30(2):207-229.<\/em><br \/>\n<em>2. Stern A, Green J. Sinus lift procedures: an overview of current techniques. Dent Clin North Am 2012;56(1):219-233.<\/em><br \/>\n<em>3. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38(8):613-616.<\/em><br \/>\n<em>4. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium 1994;15(2):152, 154-156, 158.<\/em><br \/>\n<em>5. Davarpanah M, Martinez H, Tecucianu JF, et al. The modified osteotome technique. Int J Periodontics Restorative Dent 2001;21(6):599\u2013607<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u00e2ng xoang l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt t\u0103ng th\u00eam chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 cho ph\u00e9p \u0111\u1eb7t implant c\u00f3 k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p v\u00e0o nh\u1eefng v\u00f9ng thi\u1ebfu th\u1ec3 t\u00edch x\u01b0\u01a1ng \u1edf v\u00f9ng m\u1ea5t r\u0103ng ph\u00eda sau h\u00e0m tr\u00ean. N\u00e2ng xoang b\u1eb1ng k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u r\u1ed9ng r\u00e3i, v\u00e0 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t [&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":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>K\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i trong n\u00e2ng xoang ph\u1eabu thu\u1eadt Implant.<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 thu\u1eadt c\u1eeda s\u1ed5 ngo\u00e0i trong qu\u00e1 tr\u00ecnh n\u00e2ng xoang ph\u1eabu thu\u1eadt Implant, gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c v\u1ea5n \u0111\u1ec1 x\u01b0\u01a1ng h\u00e0m b\u1ec7nh nh\u00e2n.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, 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