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Surgically assisted rapid palatal expansion (SARPE), also known as surgically assisted rapid maxillary expansion (SARME), [1] is a technique in the field of orthodontics which is used to expand the maxillary arch. This technique is a combination of both Oral and Maxillofacial Surgery and Orthodontics.
A palatal expander Upper and lower jaw functional expanders. A palatal expander is a device in the field of orthodontics which is used to widen the upper jaw [1] so that the bottom and upper teeth will fit together better. [2] [3] This is a common orthodontic procedure. The use of an expander is most common in children and adolescents 8–18 ...
Unlike Surgically Assisted Rapid Palatal Expansion (SARPE), due to the absence of LeFort 1 osteotomy significant expansion of not only the maxilla but also the pharynx and nasal cavity can be achieved, which can be very effective in treating obstructive sleep apnea. [3] [4]
Palatal expansion can be best achieved using a fixed tissue-borne appliance. Removable appliances can push teeth outward but are less effective at maxillary sutural expansion. The effects of a removable expander may look the same as they push teeth outward, but they should not be confused with actually expanding the palate.
For nasal obstruction, options can be septoplasty, turbinate reductions, or surgical palate expansion. [2] Orthognathic surgeries that expands the airway, such as Maxillomandibular advancement (MMA) or Surgically Assisted Rapid Palatal Expansion (SARPE) are the most effective surgeries for sleep disordered breathing.
The second category uses the principles of osteodistraction and osteotomies to facilitate correction of often severe malocclusions, such as rapid maxillary expansion to correct a narrow maxilla or closure of large clefts in cleft palate patients. [9]
A Novel Three-Piece Anterior Mandibular Visor Osteotomy for Genioglossus Advancement in Surgery for Obstructive Sleep Apnea. Operative Techniques in Otolaryngology – Head & Neck Surgery, 13(2): 175-177. Bays Robert, Greco Joan, Hale Robert. 1992. Surgically assisted rapid palatal expansion: An Outpatient Technique with Long-Term Stability.
In cleft palate patients bone grafting during the mixed dentition has been widely accepted since the mid-1960s. The goals of surgery are to stabilize the maxilla, facilitate the healthy eruption of teeth that are adjacent the cleft, improving the esthetics of the base of the nose, create a bone base for dental implants, and to close any oro-nasal fistulas.
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