Skeletal Changes Following Surgically Assisted Rapid Maxillary Expansion (Sarme)

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

doi:10.17096/jiufd.90013

Cited by 4 publications

(6 citation statements)

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“…Considering the prevalence of posterior crossbite in the permanent dentition (Alhammadi, 2018), SARME is one of the treatment options commonly chosen, often performed by maxillofacial surgeons. According to Gurler et al (2018), patients undergoing SARME may experience changes in the facial bones, such as increase in the volume of the nasal cavity, nasal volume and nasal vault. However, no study had reported possible changes in PPF.…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review (Carvalho et al, 2019) demonstrated the occurrence of postoperative complications in 29.95% and 16.87% of patients not submitted to and submitted to PMD respectively (Verlinden et al, 2009;Hernandez-Alfaro et al, 2010;Williams et al, 2012;Pereira et al, 2018). In addition, greater possibilities for orthodontic complications were also found when PMD was not performed (22.99% versus 9.27%) (Zandi et al, 2016), and 86.67% of cases of post-maxillary asymmetry were credited for not performing the PMD during SARME (Gurler et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Analysis of the pterygopalatine fossa in patients undergoing surgically-assisted rapid maxillary expansion: a morphometric study using cone beam

Zanutto

Filho

Silva

et al. 2021

RSD

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This retrospective, observational, longitudinal study performed a morphometric analysis of the pterygopalatine fossa (PPF) in patients undergoing surgically assisted rapid maxillary expansion (SARME) using cone beam CT (CBCT). CBCT scans of 41 consecutive patients were assessed and the following measurements were performed: PPF volume (PPFV), height (PPFH), length (PPFL) and angle (PPFA). The sample was divided into groups D (patients undergoing SARME; n=26) and control (n=15). Group D was subdivided into D+ (with pterygomaxillary disjunction – PMD) and D- (without PMD). The differences between the pre and postoperative periods were tested using the U Mann-Whitney or the t-test. Groups D+ and D- were compared using the one-way ANOVA or Kruskal-Wallis tests (level of significance set at 5%). In general, there were morphometric variations in PPF, with lower values after SARME. Differences for PPFH, PPFL and PPFA were not significant (p>0.05). On the right side, there were differences in PPFV, with lower values in patients from group D+ (p<0.05). These findings indicate a morphometric reduction of PPF after SARME, with differences when the disjunction is performed or not. The maxillofacial surgeon must be aware of these changes when performing SARME with or without disjunction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of the pterygopalatine fossa in patients undergoing surgically-assisted rapid maxillary expansion: a morphometric study using cone beam

Zanutto

Filho

Silva

et al. 2021

RSD

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“…w trakcie snu (15). Terapia ortodontyczna u pacjentów młodocianych uwzględnia protokół RME (Rapid Maxillary Expansion) przy zastosowaniu aparatów Hyrax lub Hybrid Hyrax, natomiast u pacjentów z zakończonym wzrostem konieczne jest chirurgicznie wspomagane poszerzenie szczęki (SARME -Surgically Assisted Rapid Maxillary Expansion) (30)(31)(32)(33). Szczególną rolą ortodontów jest leczenie przyczynowe pacjentów OSA -w przypadku dorosłych często jest nim leczenie zespołowe ortodontyczno-chirurgiczne.…”

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Role of cephalometry and cone beam computed tomography in the diagnostics of obstructive sleep apnea

Marczak¹,

Walerzak²,

Tokarska³

et al. 2022

for

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StreszczenieObturacyjny bezdech podczas snu jest częstą formą obwodowych zaburzeń czynności oddechowej. Pomimo dostępnych metod diagnostyki bezdechu sennego na uwagę zwraca fakt, że stosunkowo łatwą i tanią diagnostyką w kierunku bezdechu może być teleradiogram boczny głowy i tomografia stożkowa CBCT, które są powszechnie są wykonywane w praktyce ortodontycznej. Cel. Celem pracy jest przedstawienie parametrów analizy cefalometrycznej oraz zastosowania tomografii wiązki stożkowej -badań możliwych do wykonania u pacjentów z grupy ryzyka lub z dodatnim badaniem podmiotowym. Materiał i metody. Przeprowadzono przegląd piśmiennictwa z lat 1990-2021, wykorzystując

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“…Some trials investigated the effect of orthodontic rapid maxillary expansion on nasal septal changes and reported significant deviations of the nasal septum after orthodontic treatment [9,10]; others reported few and nonsignificant alterations of nasal septum [11,12] or did not find any NSD [13]. Although some studies investigated the effect of SARME on nasal and facial alterations [14][15][16][17][18], there is no evidence that correlates NSD to SARME as a possible postoperative outcome.…”

Section: Introductionmentioning

confidence: 99%

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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Skeletal Changes Following Surgically Assisted Rapid Maxillary Expansion (Sarme)

Cited by 4 publications

References 0 publications

Analysis of the pterygopalatine fossa in patients undergoing surgically-assisted rapid maxillary expansion: a morphometric study using cone beam

Analysis of the pterygopalatine fossa in patients undergoing surgically-assisted rapid maxillary expansion: a morphometric study using cone beam

Role of cephalometry and cone beam computed tomography in the diagnostics of obstructive sleep apnea

Nasal Septal Deviation After Surgically Assisted Rapid Maxillary Expansion

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