Chirurgisch unterstützte transversale Oberkieferdistraktion

Abstract

SARME has a significant effect on ear, nose and throat medicine. Nasal airways enlarge significantly, while no significant deviation of the nasal septum is observed.

Effect of Surgically Assisted Rapid Maxillary Expansion on Upper Airway Volume: A Systematic Review

“…After reviewing abstracts, 20 articles initially satisfied the inclusion criteria. After retrieval and review of these articles in full text, 7 were found to not measure or report volume values for the airways, [26][27][28][29][30][31][32] and 2 appeared to use duplicate samples. 33,34 Studies excluded at fulltext review are listed in Table 2.…”

Skeletal changes following surgically assisted rapid maxillary expansion (SARME)

“…Inverted V-shaped horizontal opening movement of the maxillary segments was reported in previous studies (1,5,11) demonstrated a higher amount of expansion in the first premolar than in the molar area following tooth borne SARME. Seeberger et al (12) reported a V shaped opening of the nasal floor and the palatal arch, but a parallel expansion of the alveolar crest with tooth borne SARME devices. Goldenberg et al (13) suggested that the greatest expansion occurred in the most inferior and anterior region of the maxilla; however, Zandi et al (6) reported that transpalatal distractor placed at the molar level provided parallel widening of dental arch, palatal vault and nasal floor.…”

“…They reported an increase in the bony dimension of the nasal cavity and significant improvement of breathing due to decrease in nasal resistance. Seerberger et al (12) applied tooth borne distraction device after SARME and their results showed that transverse shift of the segments can be achieved over the whole bony plate.…”

“…The nasal septum is frequently released from palatal base to prevent septal deviation and nasal airway changes. It is believed that unseparated nasal septum is prone to septal deviation during distraction procedure (22); but there are some studies reporting the ineffectiveness of septum osteotomy to septal deviation (8,12,23). Reinbacher et al (23) investigated the need for releasing the septum during SARME.…”