Surgically assisted rapid palatal expansion: An outpatient technique with long-term stability

Bays, Robert A.; Greco, Joan M.

doi:10.1016/0278-2391(92)90352-z

Cited by 221 publications

(162 citation statements)

References 11 publications

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“…In the molar area, the average expansion was 5.93 mm, with minimal expansion of 3.11 mm and a maximal expansion of 8.44 mm. These results were quite close to those presented in a previous study [6]. However, we believe comparing the amounts of expansion is not relevant, as transverse needs vary from case to case.…”

Section: Discussionsupporting

confidence: 91%

“…When pterygomaxillary and/or lateral nasal osteotomy and nasal mucoperiosteal dissection are not performed, the risk of an intra-or postoperative hemorrhage is very low [3,6,9]. In our study, none of the patients experienced hemorrhaging.…”

Section: Discussionmentioning

confidence: 53%

“…Avoiding the pterygomaxillary suture makes this procedure acceptable for outpatient use, because the chance of intraoperative and postoperative bleeding is minimal [6]. Some studies have even proposed the possibility of office-based surgery [6,12,16] Although the technique is feasible on an outpatient basis under intravenous sedation and local anesthesia, our protocol recommends general anesthesia in order to make the patient more comfortable and to decrease surgery time.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have even proposed the possibility of office-based surgery [6,12,16] Although the technique is feasible on an outpatient basis under intravenous sedation and local anesthesia, our protocol recommends general anesthesia in order to make the patient more comfortable and to decrease surgery time. However, the financial costs of general anesthesia and hospitalization can sometimes influence the decision of whether or not to undergo SARME, and the possibility of managing SARME in the office setting remains a question that is frequently asked by surgeons [16].…”

Section: Discussionmentioning

confidence: 99%

“…Determining the necessity for surgery in a maxillary transverse-deficient patient requires an initial evaluation of the existence and severity of the discrepancy and differentiation between the skeletal and dental components of the deformity [6]. Many cases exist in which teeth are compensated and although the occlusion appears to be normal, there is a transverse deficiency present.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Surgical treatment of maxillary transverse deficiency: retrospective study of 14 patients

Milani

Müller

Brunetto

et al. 2009

J. Maxillofac. Oral Surg.

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Introduction The diversity of the proposed techniques in the treatment of maxillary transverse deficiency in adults reflects the conflicting opinions about the primary area of resistance to maxillary expansion in the craniofacial skeleton. In order to evaluate the efficiency of the surgical expansion in which no osteotomies of the pterygomaxillary junction were made, we have carried out a retrospective study with 14 patients with maxillary transverse deficiency, who were treated from 2003 to 2006. Material and methods In the study, models were made prior to and after surgery, and the intercanine and intermolar distances and the improvement of the interocclusal relationships were analyzed. Breathing function and the complications that occurred during and after the surgeries were also analyzed. Results All expansions were carried out according to pre-surgical planning so that expansion completely corrected the crossbite, resulting in the desired final occlusion for all patients. Intraoperative complications were limited to one Hyrax appliance deformation. Two patients had minor postoperative complications that included wound dehiscence and pain. Improvements in nasal breathing were observed in all patients that complained of breathing problems prior to the surgery. Conclusion The satisfactory results obtained turns the surgical protocol described in this study recommended for the treatment of maxillary transverse deficiency in adults. Importantly, we found that pterygomaxillary osteotomy is not essential for maxillary expansion. The morbidity of the procedure was low with fairly minor complications, and surgically assisted rapid maxillary expansion was shown to improve nasal breathing.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 53%