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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 ...
Palatoplasty is a surgical procedure used to correct or reconstruct the palate in a person with a cleft palate.The basic goals of the procedure are to close the abnormal opening between the nose and mouth, to help the patient develop normal speech, and to aid in swallowing, breathing and normal development of associated structures in the mouth.
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.
A study published by Martina et al. [10] stated that rapid maxillary expansion is not more effective than slow maxillary expansion in expanding the maxilla in patients with posterior crossbite. It is important to keep in mind that different studies use different rapid and slow expansion devices and thus comparability between studies is difficult.
Maxillary hypoplasia is the most common secondary deformity that results from cleft lip and cleft palate. Because of the subjective nature of the diagnosis, the incidence of maxillary hypoplasia in people with cleft lip and palate varies between 15-50%. It is estimated that 25-50% of these patients require surgical intervention. [7]
Before he entered Recovery Works, the Georgetown treatment center, Patrick had been living in a condo his parents owned. But they decided that he should be home now. He would attend Narcotics Anonymous meetings, he would obtain a sponsor — a fellow recovering addict to turn to during low moments — and life would go on.
The first involves surgery of the soft tissue (tonsillectomy, uvulopalatopharyngoplasty) and the second involves skeletal surgeries (maxillomandibular advancement). First, Phase 1 or soft tissue surgery is performed and after re-testing with a new sleep study, if there is residual sleep apnea, then Phase 2 surgery would consist of jaw surgery.
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