Yıl: 2018 Cilt: 52 Sayı: 2 Sayfa Aralığı: 94 - 98 Metin Dili: İngilizce DOI: 10.26650/eor.2018.465 İndeks Tarihi: 29-06-2020

Skeletal changes following surgically assisted rapid maxillary expansion (SARME)

Öz:
Surgically assisted rapid maxillary expansion (SARME) is a common treatmenttechnique in the correction of maxillary transverse deficiency. The purpose ofthis study was to evaluate nasal and palatal skeletal changes following SARMEusing Cone Beam Computed Tomography (CBCT) and posterior anterior (PA)cephalograms.Materials and MethodsIn this retrospective study, the radiographic images obtained from 14 patientswith transverse maxillary deficiency before treatment and 6 months after SARMEoperations were evaluated. The changes in nasal bone width and palatal bonewidth were measured on CBCT. The changes in basal maxillary width, nasal cavitywidth and angular measurements were evaluated on PA cephalograms.ResultsNasal floor width was measured at the levels of upper first premolar teeth andmolar teeth which significantly increased following SARME (p=0.005 and 0.017respectively). Palatal bone width between first premolar teeth and molar teethalso significantly increased (p=0.003 and 0.002 respectively). Basal maxillary width(p=0.026), nasal cavity width (p=0.024) and other angular measurements alsosignificantly increased (p<0.05).ConclusionNasal and palatal skeletal transverse dimensions increased following SARME. Dueto the enlargement of the nasal floor and nasal cavity, it is likely to improve air passthrough the nose.
Anahtar Kelime:

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Öz:
: Cerrahi destekli hızlı maksiller genişletme (SARME) sonrası iskeletsel değişiklikler. Amaç: Cerrahi destekli hızlı maksiller genişletme (SARME) maksiler transvers yetersizliğin tedavisinde sık kullanılan bir yöntemdir. Bu çalışmanın amacı, SARME uygulanan hastalarda nazal ve palatal iskeletsel değişikliklerin konik ışınlı bilgisayarlı tomografi (KIBT) ve posteroanterior (PA) sefalogramla değerlendirilmesidir. Gereç ve Yöntem: Bu retrospetif çalışmada, maksiler transvers yetmezliği bulunan 14 hastadan SARME öncesi ve girişim sonrası 6. ayda alınan radyografik görüntüler incelendi. Nazal kemik genişliği ve palatal kemik genişliği KIBT üzerinde ölçüldü. Bazal maksiller genişlik, nazal kavite genişlik ölçümleri ve açısal ölçümler PA sefalogramlar üzerinde yapıldı. Bulgular: Üst birinci premolar dişler ve birinci molar dişler seviyesinde ölçülen nazal taban genişliği SARME sonrası anlamlı olarak arttı (sırasıyla p=0,005 ve p=0,017). Palatal kemik genişliği de birinci premolar ve birinci molar dişler seviyesinde anlamlı olarak arttı (sırasıyla p=0,003 ve p=0,002). Bazal maksiller genişlik (p=0,026), nazal kavite genişliği (p=0,024) ve diğer açısal ölçümlerin anlamlı derecede arttığı görüldü (p≤0,05). Sonuç: SARME sonrası nazal ve palatal transvers boyutlar artmıştır. Nazal taban ve nazal kavite genişlemesine bağlı olarak burundan hava akışının iyileşmesi beklenebilir. Anahtar kelimeler: Transvers yetmezlik; maksilla; hızlı genişletme; iskeletsel değişiklik; KIBT
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Kilic E, Kilic B, Kurt G, Sakin C, Alkan A. Effects of surgically assisted rapid palatal expansion with and without pterygomaxillary disjunction on dental and skeletal structures: A retrospective review. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115: 167-74. [CrossRef]
  • 2. Babacan H, Sokucu O, Doruk C, Ay S. Rapid maxillary expansion and surgically assisted rapid maxillary expansion effects on nasal volume. Angle Orthod 2006; 76: 66-71.
  • 3. Doruk C, Sokucu O, Sezer H, Canbay EI. Evaluation of nasal airway resistance during rapid maxillary expansion using acoustic rhinometry. Eur J Orthod 2004; 26: 397-401. [CrossRef]
  • 4. Garrett BJ, Caruso JM, Rungcharassaeng K, Farrage JR, Kim JS, Taylor GD. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2008; 134: 8-9. [CrossRef]
  • 5. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 1970; 58: 41-66. [CrossRef ]
  • 6. Zandi M, Miresmaeili A, Heidari A. Short-term skeletal and dental changes following bone-borne versus tooth-borne surgically assisted rapid maxillary expansion: A randomized clinical trial study. J Craniomaxillofac Surg 2014; 42: 1190-5. [CrossRef]
  • 7. Altug Atac AT, Karasu HA, Aytac D. Surgically assisted rapid maxillary expansion compared with orthopedic rapid maxillary expansion. Angle Orthod 2006; 76: 353-9.
  • 8. Altug-Atac AT, Atac MS, Kurt G, Karasud HA. Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion. Int J Oral Maxillofac Surg 2010; 39: 129-35. [CrossRef]
  • 9. Kyrkanides S, Bellohusen R, Subtelny JD. Skeletal asymmetries of the nasomaxillary complex in noncleft and postsurgical unilateral cleft lip and palate individuals. Cleft Palate Craniofac J 1995; 32: 428-33. [CrossRef]
  • 10. Lagravere MO, Major PW. Proposed reference point for 3-dimensional cephalometric analysis with cone-beam computerized tomography. Am J Orthod Dentofacial Orthop 2005; 128: 657- 60. [CrossRef]
  • 11. Haas AJ. The treatment of maxillary deficiency by opening the midpalatal suture. Angle Orthod 1965; 35: 200-17.
  • 12. Seeberger R, Kater W, Schulte-Geers M, Thiele OC, Davids R, Hofele CH, Freier K. Surgically assisted rapid maxillary expansion. Effects on the nasal airways and nasal septum. HNO 2010; 58: 806-11. [CrossRef]
  • 13. Goldenberg DC, Goldenberg FC, Alonso N, Gebrin ES, Amaral TS, Scanavini MA, Ferreira MC. Hyrax appliance opening and pattern of skeletal maxillary expansion after surgically assisted rapid palatal expansion: A computed tomography evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106: 812-9. [CrossRef]
  • 14. Bell RA. A review of maxillary expansion in relation to rate of expansion and patient’s age. Am J Orthod 1982; 81: 32-7. [CrossRef ]
  • 15. Sandikcioglu M, Hazar S. Skeletal and dental changes after maxillary expansion in the mixed dentition. Am J Orthod Dentofacial Orthop 1997; 111: 321-7. [CrossRef]
  • 16. Doruk C, Sokucu O, Bicakci AA, Yilmaz U, Tas F. Comparison of nasal volume changes during rapid maxillary expansion using acoustic rhinometry and computed tomography. Eur J Orthod 2007; 29: 251-5. [CrossRef]
  • 17. Silverstein K, Quinn PD. Surgically-assisted rapid palatal expansion for management of transverse maxillary deficiency. J Oral Maxillofac Surg 1997; 55: 725-7. [CrossRef]
  • 18. Warren DW, Hershey HG, Turvey TA, Hinton VA, Hairfield WM. The nasal airway following maxillary expansion. Am J Orthod Dentofacial Orthop 1987; 91: 111-6. [CrossRef]
  • 19. Basciftci FA, Mutlu N, Karaman AI, Malkoc S, Kucukkolbasi H. Does the timing and method of rapid maxillary expansion have an effect on the changes in nasal dimensions? Angle Orthod 2002; 72: 118-23.
  • 20. Enoki C, Valera FC, Lessa FC, Elias AM, Matsumoto MA, Anselmo-Lima WT. Effect of rapid maxillary expansion on the dimension of the nasal cavity and on nasal air resistance. Int J Pediatr Otorhinolaryngol 2006; 70: 1225-30. [CrossRef]
  • 21. Magnusson A, Bjerklin K, Nilsson P, Jonsson F, Marcusson A. Nasal cavity size, airway resistance, and subjective sensation after surgically assisted rapid maxillary expansion: A prospective longitudinal study. Am J Orthod Dentofacial Orthop 2011; 140: 641-51. [CrossRef]
  • 22. Corega C, Corega M, Baciut M, Vaida L, Wangerin K, Bran S, Baciut G. Bimaxillary distraction osteogenesis--an effective approach for the transverse jaw discrepancies in adults. Chirurgia (Bucur) 2010; 105: 571-75.
  • 23. Reinbacher KE, Wallner J, Pau M, Feichtinger M, Karcher H, Quehenberger F, Zemann W. Surgically assisted rapid maxillary expansion: Feasibility of not releasing the nasal septum. Int J Oral Maxillofac Surg 2013; 42: 321-5. [CrossRef]
APA GÜRLER G, KAPTAN AKAR N, DELİLBAŞI Ç, KAÇAR İ (2018). Skeletal changes following surgically assisted rapid maxillary expansion (SARME). , 94 - 98. 10.26650/eor.2018.465
Chicago GÜRLER GÖKHAN,KAPTAN AKAR Nevin,DELİLBAŞI Çağrı,KAÇAR İpek Skeletal changes following surgically assisted rapid maxillary expansion (SARME). (2018): 94 - 98. 10.26650/eor.2018.465
MLA GÜRLER GÖKHAN,KAPTAN AKAR Nevin,DELİLBAŞI Çağrı,KAÇAR İpek Skeletal changes following surgically assisted rapid maxillary expansion (SARME). , 2018, ss.94 - 98. 10.26650/eor.2018.465
AMA GÜRLER G,KAPTAN AKAR N,DELİLBAŞI Ç,KAÇAR İ Skeletal changes following surgically assisted rapid maxillary expansion (SARME). . 2018; 94 - 98. 10.26650/eor.2018.465
Vancouver GÜRLER G,KAPTAN AKAR N,DELİLBAŞI Ç,KAÇAR İ Skeletal changes following surgically assisted rapid maxillary expansion (SARME). . 2018; 94 - 98. 10.26650/eor.2018.465
IEEE GÜRLER G,KAPTAN AKAR N,DELİLBAŞI Ç,KAÇAR İ "Skeletal changes following surgically assisted rapid maxillary expansion (SARME)." , ss.94 - 98, 2018. 10.26650/eor.2018.465
ISNAD GÜRLER, GÖKHAN vd. "Skeletal changes following surgically assisted rapid maxillary expansion (SARME)". (2018), 94-98. https://doi.org/10.26650/eor.2018.465
APA GÜRLER G, KAPTAN AKAR N, DELİLBAŞI Ç, KAÇAR İ (2018). Skeletal changes following surgically assisted rapid maxillary expansion (SARME). European oral research (Online), 52(2), 94 - 98. 10.26650/eor.2018.465
Chicago GÜRLER GÖKHAN,KAPTAN AKAR Nevin,DELİLBAŞI Çağrı,KAÇAR İpek Skeletal changes following surgically assisted rapid maxillary expansion (SARME). European oral research (Online) 52, no.2 (2018): 94 - 98. 10.26650/eor.2018.465
MLA GÜRLER GÖKHAN,KAPTAN AKAR Nevin,DELİLBAŞI Çağrı,KAÇAR İpek Skeletal changes following surgically assisted rapid maxillary expansion (SARME). European oral research (Online), vol.52, no.2, 2018, ss.94 - 98. 10.26650/eor.2018.465
AMA GÜRLER G,KAPTAN AKAR N,DELİLBAŞI Ç,KAÇAR İ Skeletal changes following surgically assisted rapid maxillary expansion (SARME). European oral research (Online). 2018; 52(2): 94 - 98. 10.26650/eor.2018.465
Vancouver GÜRLER G,KAPTAN AKAR N,DELİLBAŞI Ç,KAÇAR İ Skeletal changes following surgically assisted rapid maxillary expansion (SARME). European oral research (Online). 2018; 52(2): 94 - 98. 10.26650/eor.2018.465
IEEE GÜRLER G,KAPTAN AKAR N,DELİLBAŞI Ç,KAÇAR İ "Skeletal changes following surgically assisted rapid maxillary expansion (SARME)." European oral research (Online), 52, ss.94 - 98, 2018. 10.26650/eor.2018.465
ISNAD GÜRLER, GÖKHAN vd. "Skeletal changes following surgically assisted rapid maxillary expansion (SARME)". European oral research (Online) 52/2 (2018), 94-98. https://doi.org/10.26650/eor.2018.465