Analysis of Incision Effects on Upper Lip Height and Thickness After Maxillary Surgically Assisted Expansion: A Randomized Clinical Trial

Antonini, Fernando; Costa, Delson João da; Moares, Rafaela Scariot de; Rebellato, Nelson Luís Barbosa; Klüppel, Leandro Eduardo; Parente, Eduardo Varela

doi:10.1016/j.joms.2013.04.013

Cited by 5 publications

(18 citation statements)

References 11 publications

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“…There were no significant changes in upper lip length with the two techniques studied, as previously noted 1,5,6,17 . However, Antonini et al 20 observed a shortening of the upper lip after SARME, even when V-Y closures were used. Surgical expansion of the maxilla does not promote osseous vertical changes; thus, labial suturing techniques will have little effect on the vertical position of the upper lip 6 .…”

Section: Discussionmentioning

confidence: 99%

“…Surgical expansion of the maxilla does not promote osseous vertical changes; thus, labial suturing techniques will have little effect on the vertical position of the upper lip 6 . Labial alterations that can occur after SARME are mainly because of scar contraction and muscle shortening after incision and soft muscle detachment and elevation 20 .…”

Section: Discussionmentioning

confidence: 99%

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Nasolabial changes after two different approaches for surgically assisted rapid maxillary expansion

Alves

Oliveira

Pereira-Filho

et al. 2017

International Journal of Oral and Maxillofacial Surgery

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This retrospective study evaluated the nasolabial changes in patients who underwent surgically assisted rapid maxillary expansion (SARME) using two different approaches. Nineteen patients were included in the study, divided into two groups according to the kind of surgical approach performed: group 1 (n=9), SARME performed through the standard Le Fort I circumvestibular approach followed by the alar base cinch, and group 2 (n=10), SARME performed through a subtotal vestibular approach associated to a V-shaped incision at the maxillary midline in the labial frenulum region, without alar base cinch. Measurements of width, length, and nasal projection as well as upper lip length were taken from cone beam tomographic images obtained before surgery (T1) and 6 months postoperatively (T2). Both groups presented an increase in the alar base width postoperatively (P<0.05). The approach used in group 2 resulted in smaller changes in the alar base width as measured at the superior alar curvature (P<0.05). Nasal length and projection and upper lip length were not altered by SARME. The type of surgical approach influenced nasolabial changes, but did not eliminate increase in width of the alar base.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nasolabial changes after two different approaches for surgically assisted rapid maxillary expansion

Alves

Oliveira

Pereira-Filho

et al. 2017

International Journal of Oral and Maxillofacial Surgery

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“…The initial number of combined hits of the electronic databases and hand search was 2536. After the removal of duplicates, 1318 articles remained, while after the application of the eligibility criteria, 15 studies were included in the present systematic review [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Two studies shared the same samples, but they evaluated different soft tissue characteristics.…”

Section: Flow Diagrammentioning

confidence: 99%

Effects of Surgically Assisted Rapid Palatal Expansion on Facial Soft Tissues: A Systematic Review

Vogiatzis

Ρούσσος²,

Doulis

et al. 2022

Applied Sciences

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Surgically assisted rapid palatal expansion (SARPE) is a successful method for treating transverse discrepancies in adult patients. The relocation of maxillary segments may induce changes at the surrounding soft tissues as well. The aim of this systematic review was to examine the possible effects that SARPE may have in the soft tissues of the face. Our search strategy included electronic databases (Pubmed, Scopus, ProQuest, Google Scholar, Cochrane Library) and a hand search of the reference list of found reviews. A priori definition of inclusion and exclusion criteria was made. Finally, 15 articles were included in qualitative synthesis. Risk of bias was generally high among the included studies. Study outcomes included nasal, labial, nasolabial and other facial soft tissue measurements. The evaluation of the changes was two-dimensional in six studies, and three-dimensional in nine studies. Meta-analysis was unfeasible due to lack of standardization, important methodological limitations, and shortcomings of the studies. A post-surgical increase in the dimensions of the alar width and the alar base width was commonly reported among the included studies. However, the above should be considered with caution due to the high risk of bias and the inability for quantitative synthesis.

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“…Considering that the static and dynamic changes to the facial contour depend on whether the facial muscles are transected or detached from their origin and considering the potentially damaging effect of normal cutting instruments on osteotomies, we have chosen to use this protocol for surgically assisted rapid expansion. 2,3 In conclusion, the three incisions with tunnel approach allow for limiting the effects on soft tissues, and the use of piezosurgery allows for limiting the potential damage and negative effects due to traditional cutting tools. The procedure is explained in Figure 1.…”

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confidence: 99%

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confidence: 99%

Piezosurgery-assisted Minimally Invasive Surgical Rapid Palatal Expansion

Zavattero

Gerbino

Raveggi

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Analysis of Incision Effects on Upper Lip Height and Thickness After Maxillary Surgically Assisted Expansion: A Randomized Clinical Trial

Cited by 5 publications

References 11 publications

Nasolabial changes after two different approaches for surgically assisted rapid maxillary expansion

Nasolabial changes after two different approaches for surgically assisted rapid maxillary expansion

Effects of Surgically Assisted Rapid Palatal Expansion on Facial Soft Tissues: A Systematic Review

Piezosurgery-assisted Minimally Invasive Surgical Rapid Palatal Expansion

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