Skeletal changes following surgically assisted rapid maxillary expansion (SARME)

Gürler, Gökhan; Akar, Nevin Kaptan; Delilbaşi, Çağrı; Kaçar, İpek

doi:10.26650/eor.2018.465

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…According to the literature review, the largest expansion point is at the molar site [26]. Also, expansion leads to enlargement of nasal floor width resulting in increased transversal proportions and most likely improvement in breathing function [27].…”

Section: Discussionmentioning

confidence: 99%

Need for orthognathic surgery in cleft patients from Northern Finland

Podleśny,

Ylikontiola,

K. Sándor

et al. 2024

AOS

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Objective: Northern Finland has a unique distribution of clefts compared to the rest of Europe and Finland. This may reflect the need for orthognathic surgery among Northern Finland’s patient pool. The aim of this study was to compare previously operated patients aged 18 years or older with cleft lip, cleft lip and alveolus, cleft lip and palate, cleft palate and to evaluate the need for orthognathic surgery in order to achieve a stable and functional occlusion. Materials and methods: The study group consisted of all 18-years-old cleft patients treated in the Oulu Cleft Center. The total amount of patients was 110. The patients were compared retrospectively using patients’ hospital records. The majority of patients did not have any cleft-associated syndrome. The need for maxillary or bimaxillary orthognathic or corrective-jaw surgery was evaluated by the Oulu Cleft Team. A descriptive and statistical analysis was used to determine the need for orthognathic surgery according to sex and cleft type. Results: There were nineteen patients of the total of 110 patients who met the criteria requiring corrective-jaw surgery (17,3%). In total 12 males (25,0%) and 7 females (11,3%) were evaluated for the need of orthognathic surgery. Sixteen of the 19 patients had palatal involvement of the cleft. Conclusions: The need for orthognathic surgery was greater in the cleft lip palate and cleft palate patient groups compared to cleft lip alveolus or cleft lip groups. This study also found that males from Northern Finland need surgery more often than females.

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Section: Discussionmentioning

confidence: 99%

Need for orthognathic surgery in cleft patients from Northern Finland

Podleśny,

Ylikontiola,

K. Sándor

et al. 2024

AOS

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Nasal Septal Deviation After Surgically Assisted Rapid Maxillary Expansion

Seidita

Carvalho

Santos

et al. 2021

J. Maxillofac. Oral Surg.

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Background and Aim Surgically assisted rapid maxillary expansion (SARME) is a surgical technique widely used to correct deficiency of the transverse maxillary dimension. Although some studies investigated the effect of SARME on nasal and facial alterations, there is no evidence that correlates nasal septal deviation (NSD) to SARME as a possible postoperative sequel. The aim of this study is to address and quantify possible variations in the position of the nasal bony septum after SARME and identify any NSD as a postoperative outcome of this surgical technique. Patients and Methods This is a retrospective study, conducted at the Department of Oral and Maxillofacial Surgery of the University Hospital of Araraquara (Unesp, faculty of dentistry), SP, Brazil. Twenty-nine patients who underwent SARME were studied; every patient was evaluated by cone-beam computerized tomography (CBCT) before (T0) and six months after surgery (T1), and we collected the variation of nasal septal position by measuring the distance between the bony septum and the nasal lateral wall. Our measurements were carried out at the level of the head, midpoint and tail of the inferior turbinate. Results A mean NSD ranging from 0.4 to 1.2 mm was measured, and it is more pronounced at the anterior part of the bony septum. Twenty-seven patients (93.1%) presented minor changes in bony septum position; in 2 cases (6.8%), a significant NSD was found (p < 0.05). Conclusion A variation of bony nasal septum position can be expected in any direction after SARME, and it is more pronounced at anterior portion.

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Satisfactory outcomes after orthognathic surgery with surgically assisted rapid maxillary expansion using a hybrid device

et al. 2020

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The self-reported functional outcomes, clinical findings, and results of dental cast analysis before and after orthognathic surgery with surgically assisted rapid maxillary expansion (SARME) using a hybrid rapid maxillary expander (RME) were evaluated. Data were collected from 43 patients who underwent orthognathic surgery with SARME using a hybrid RME between 2001 and 2013. The patients were recruited during a follow-up clinical examination and were required to complete a questionnaire about their opinions and self-reported functional outcomes.Dental casts were used to analyze posttreatment palatal expansion. The mean follow-up time was 68 months (range: 25-135 months). The most common indication for SARME was the presence of a crossbite. Of the 30 patients who underwent a follow-up clinical examination (69.8% answer rate), 4 (13.3%) had symptoms of temporomandibular disorder (TMD), 1 (3.3%) experienced myalgia, and 3 (10.0%) experienced arthralgia on clinical palpation. Cast analysis revealed significant palatal expansion. The intercanine distance, intermolar distance, and palatal height were increased by 3, 5, and 2 mm, respectively. Overall, the patients were satisfied with the preoperative information, improved functions, and aesthetic results. The prevalence of TMD symptoms and other side effects following orthognathic surgery with SARME using a hybrid RME was low, and significant palatal expansions were achieved.

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Skeletal changes following surgically assisted rapid maxillary expansion (SARME)

Cited by 4 publications

References 24 publications

Need for orthognathic surgery in cleft patients from Northern Finland

Need for orthognathic surgery in cleft patients from Northern Finland

Nasal Septal Deviation After Surgically Assisted Rapid Maxillary Expansion

Satisfactory outcomes after orthognathic surgery with surgically assisted rapid maxillary expansion using a hybrid device

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