比格犬上颌窦的应用解剖

游冬冬 戴霖霖 陈永辉 林兆楠 付小明 吴东* 黄文秀*

doi:10.16098/j.issn.0529-1356.2016.05.012

PDF(407 KB)

解剖学报 ›› 2016, Vol. 47 ›› Issue (5) : 652-657. DOI: 10.16098/j.issn.0529-1356.2016.05.012

解剖学

比格犬上颌窦的应用解剖

游冬冬¹戴霖霖²陈永辉³ 林兆楠¹ 付小明⁴ 吴东^1* 黄文秀^1*

作者信息 +

Applied anatomy of the maxillary sinus of the beagle dog

YOU Dong-dong¹ DAI Lin-lin² CHEN Yong-hui³ LIN Zhao-nan¹ FU Xiao-ming⁴WU Dong ^1* HUANG Wen-xiu^1*

Author information +

文章历史 +

摘要

目的探讨比格犬上颌窦正常解剖，为与上颌窦有关的动物实验提供解剖学依据。方法收集16个比格犬上颌窦，利用锥形束投照计算机重组断层影像（CBCT）扫描，并完成局部解剖，详细观察上颌窦形态、位置、容积、自然窦口位置及与周围组织的毗邻关系。另购买2只健康成年比格犬，利用CBCT确定上颌窦窦底，经腭侧开窗，显露软组织，夹取该位点黏膜行组织学检查，光学显微镜下验证所夹取黏膜是否为上颌窦黏膜。结果比格犬上颌窦形状略似锥形，前部较窄，后部宽大，位于上颌第3前磨牙与第1磨牙之间的腭侧，四周均有骨壁包绕。于第4前磨牙远中牙尖腭侧，距腭中缝约17～18mm处可见上颌窦最低点。同一个体双侧对比，差异无统计学意义。结论比格犬双侧上颌窦无明显差异，有利于上颌窦相关研究进行随机分组；窦腔内无明显骨嵴或分隔，降低窦黏膜穿孔的危险；行上颌窦外提升时，结合CBCT于上颌窦最低点经腭侧骨板开窗是最佳的术式。

Abstract

Objective To investigate the anatomy of beagle dog’s maxillary sinus, and provide the anatomic data for animal study. Methods Sixteen maxillary sinuses of the beagle dog were collected and scanned by cone beam computerized tomography (CBCT). The morphology, position, volume, ostium of maxillary sinus as well as its relation to the adjacent tissues were examined. Two other health adult beagle dogs were used for histological examination in which after the preoprerational CBCT examination.A bone block in hard palate was surgicall lifted and the living mucosa tissue was sampled for histological examination. Results It was observed from CBCT that the shape of the maxillary sinus was nearly taper type which was stenosis in the front，spacious at the back. Maxillary sinus was located in the palate side between the maxillary third premolar and the maxillary first molar surrounded with bony. The maxillary sinus floor was in the palate side of the maxillary forth premolar, and was about 17-18mm distant from midpalatal suture. There was no obvious statistic difference in both side of same individual. Conclusion The characteristics of the bilateral maxillary sinus have no significant difference, and are conducive to make the randomly grouping design for maxillary sinus’s study; The rates of membrane perforation is reduced as for there is no bone crest or antral septa in sinus cavity. Sinus floor elevation in the right space by use of anatomic mark point in CBCT is able to accurately display the complete image of the maxillary sinus, and liftting bone block in hard palate of the the maxillary sinus floor is safer and more accurate, and more minimally invasive.

导出引用

游冬冬戴霖霖陈永辉林兆楠付小明吴东黄文秀. 比格犬上颌窦的应用解剖[J]. 解剖学报. 2016, 47(5): 652-657 https://doi.org/10.16098/j.issn.0529-1356.2016.05.012

YOU Dong-dong DAI Lin-lin CHEN Yong-hui LIN Zhao-nan FU Xiao-ming WU Dong HUANG Wen-xiu. Applied anatomy of the maxillary sinus of the beagle dog[J]. Acta Anatomica Sinica. 2016, 47(5): 652-657 https://doi.org/10.16098/j.issn.0529-1356.2016.05.012

参考文献

［1］Chen SL,Huang DY, Zhou M,et al.An experimental model for maxillary sinus elevation and bone grafting with simultaneous implant placement with osteotome technique［J］.Journal of Sun Yat-sen University（Medical Science), 2004, 25(6): 549-553. (in Chinese)

陈松龄，黄代营，周苗，等.冲顶式上颌窦底提升植骨牙种植动物模型的建立［J］.中山大学学报（医学科学版），2004, 25（6）:549-553.

［2］Schwarz F, Herten M,Sager M，et al. Histological and immunohistochemical analysis of initial and early subepithelial connective tissue attachment at chemically modified and conventional SLAtitanium implants. A pilot study in dogs ［J］.Clin Oral Investig, 2007,11(3):245-255.

［3］Iizuka T,Hallermann W,Seto I,er al.Bi-directional distraction osteogenesis of the alveolar bone using an extraosseous device ［J］.Clin Oral Implants Res,2005,16(6):700-707.

［4］Nadjmi V, VanErumR, Schoenaers J, et al. Maxillary distraction using a trans-sinusal distractor:technical note ［J］. Int J Oral Maxillofac Surg,2003,32(5):553-559.

［5］Wang TY,Han ZY.Anatomical Atlas of Experimental Animals ［M］. Shenyang: Liaoning Fine Arts Publishing House, Liaoning Science and Technology Publishing House, 2000：84-87. (in Chinese)

王太一，韩子玉.实验动物解剖图谱［M］.沈阳：辽宁美术出版社，辽宁科学技术出版社，2000：84-87.

［6］Huang DY, Chen SL, Deng W, et al. The dogs’ maxillofacial anatomy ［J］. Anatoy Research, 2007, 29(6):459-460(in Chinese)

黄代营, 陈松龄, 邓伟,等.犬的颌面解剖［J］.解剖学研究,2007,29(6)：459-460.

［7］Evans HE. Miller’s Guide to the Dissection of the Dog ［M］. 3rd ed. Holland: Elsevier Medicine,1988:149-151.

［8］van den Bergh JP, ten Bruggenkate CM, Disch FJ, et al.Anatomical aspects of sinus floor elevations ［J］. Clin Oral Implants Res,2000,11(3):256-265.

［9］Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum ［J］. J Oral Maxillofac Surg, 1994,52(3): 332-333.

［10］Liu N, Sun F, Xu C, et al. A comparative study of dog models for osteotome sinus floor elevation and dental implants in posterior maxilla subjacent to the maxillary sinus ［J］. Oral Surg Oral Med Oral Pathol Oral Radiol,2013,115(3):e15-20.

［11］Niu YSh,Li ZhJ. Study on the structure of the end of maxillary sinus in youth［J］. Journal of Practical Stomatology, 2011,27(3):410-412. (in Chinese)

牛一山,李志军. 青年上颌窦窦底结构的影像解剖学研究［J］. 实用口腔医学杂志,2011,27(3):410-412.

［12］Lee SH,Choi BH,Li J,et al.Comparison of corticocancellous block and particulate bone grafts in maxillary sinus floor augmentation for bone healing around dental implants［J］.Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2007,104(3):324-328.

［13］Xiao LH, Wang ShL, Ji XL, et al. Anatomy of sheeps’ maxillary sinus and experimental study in modeling the maxillary sinus with chronic inflammation［J］. Journal of Clinical Otorhinolaryngology, 2004,18(11):685-687. (in Chinese)

肖来华，王胜利，计学理.等.绵羊上颌窦解剖及上颌窦慢性炎症模型制作的实验研究［J］.临床耳鼻咽喉科杂志,2004,18(11):685-687.

［14］Liu HM, Zhao HJ, Li ZhSh. Inferring lateral area of maxillary sinus on radiograph［J］.Chinese Journal of Anatomy,2007,30(1)：82-83. (in Chinese)

刘红敏，赵红军,李占生.X线片上推测上颌窦的侧面积［J］.解剖学杂志，2007，30(1)：82-83.

［15］Jiang F, Gu ZhY, Zhang X,et al.The in application of spiral CT maxillary sinus for the dental implant［J］. Chinese Journal of Oral Implantology, 2009, 14(4): 109,110,120.(in Chinese)

蒋峰，谷志远，张雄，等. 螺旋CT测量上颌窦体积在种植牙中的应用分析［J］. 中国口腔种植学杂志, 2009,14(4)：109, 110, 120.

［16］Wang X, Shen H,Yang YJ, et al. Cone beam CT evaluation of unilateral scissors-bite posterior molar patients with orthodontic treatment: condylar morphology and location［J］. Acta Anatomica Sinica, 2015, 46(6): 812-818. (in Chinese)

王鑫，沈焕，杨永进，等.锥形束CT研究正畸治疗前后的单侧后牙正锁合的髁突变化［J］.解剖学报，2015, 46(6): 812-818.

［17］Rong Q, Zhu ShX, Chen SL,et al.Osteogenic property of osteoprogenitor cells from canine maxillary sinus floor mucosa［J］.Journal of Sun Yat-sen university（medical science), 2013,34(3):378-386.(in Chinese)

荣琼,朱双喜,陈松龄, 等. 犬上颌窦底黏膜骨原细胞的培养和成骨性能的研究［J］. 中山大学学报（医学科学版），2013,34（3）:378-386.

［18］Schlegel KA, Fichtner G, Schultze-Mosgau S, et al. Histologic findings in sinus augmentation with autogenous bone chips versus a bovine bone substitute［J］.Int J Oral Maxillofac Implants, 2003,18(1):53-58.

［19］Zheng J,Zhang S,Lu E, et al.Systematic modification and evaluation of a canine model for elevation of the floor of the maxillary sinus［J］.Br J Oral Maxillofac Surg, 2014,52(9):784-788.