Int J Stomatol

Int J Stomatol ›› 2019, Vol. 46 ›› Issue (3): 343-348.doi: 10.7518/gjkq.2019043

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Clinical research progress on surgically assisted rapid maxillary expansion

Yingyou He,Sen Hu,Jihua Li()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthognathic and Temporomandibular Joint Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2018-08-26 Revised:2019-01-26 Online:2019-05-01 Published:2019-06-05
  • Contact: Jihua Li E-mail:leejimwa6698@sohu.com
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81470720)

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Abstract:

Surgically assisted rapid maxillary expansion (SARME) is a common method for treating maxillary transverse deficiency. This article aims to review published studies on the benefits and risks of the intraoperative release of the pterygomaxillary disjunction and the nasal septum and to compare the devices used postoperatively for SARME and the characteristics of three commonly used methods [SARME, rapid maxillary expansion (RME) and segmental maxillary osteotomy (SMO)] for treating maxillary transverse deficiency. Results indicate that the intraoperative release of the pterygomaxillary disjunction and the nasal septum is unnecessary during SARME to reduce intraoperative complications. Tooth- and bone-borne devices are effective and have unique advantages for SARME. Treatments with SARME, RME and SMO yield different therapeutic effects and expansion styles. The selection of a treatment method should be based on clinical requirements.

Key words: surgically assisted rapid maxillary expansion, rapid maxillary expansion, segmental maxillary osteotomy, pterygomaxillary junction, nasal septum, device

CLC Number: 

  • R782.2+3

TrendMD: 

Fig 1

Modified Le Fort Ⅰ osteotomy without the separation of the pterygomaxillary suture and downfracture"

Fig 2

Skeletal and dental measurements in the first premolar (A) and first molar (B) regions"

Fig 3

Measurement of Angles Ⅰand Ⅱ using anatomic landmarks on CT images"

Fig 4

Tooth- and bone-borne hybrid device"

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