外科辅助快速上颌扩张的临床研究进展
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摘要
外科辅助快速上颌扩张(SARME)是治疗上颌横向发育不足的常用方法,本文针对SARME术中是否离断翼上颌连接和鼻中隔,术后牵张器的选择进行了文献回顾,并对比了SARME、上颌快速扩张(RME)和上颌骨分段骨切开术(SMO)3种方法在治疗上颌横向发育不足的特点,结果发现术中可不离断翼上颌连接和鼻中隔,减少术中风险,而牙-骨支持式和骨-骨支持式2种牵张器各有优势,SARME、RME和SMO这3种方法的治疗效果与扩张方式各异,需结合临床实际综合考虑进行选择。
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.
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.
引文
[1]Contar CM,Muller PR,Brunetto AR,et al.Surgical treatment of maxillary transverse deficiency:retrospective study of 14 patients[J].J Maxillofac Oral Surg,2009,8(3):249-253.
[2]Jensen T,Rodrigo-Domingo M.Surgically assisted rapid maxillary expansion(SARME)with or without intraoperative releasing of the nasal septum[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2017,123(3):e85-e90.
[3]Angell EC.Treatment of irregularities of the permanent adult teeth[J].Dent Cosmos,1860,1:540-545.
[4]Menon S,Manerikar R,Sinha R.Surgical management of transverse maxillary deficiency in adults[J].J Maxillofac Oral Surg,2010,9(3):241-246.
[5]Zandi M,Miresmaeili A,Heidari A,et al.The necessity of pterygomaxillary disjunction in surgically assisted rapid maxillary expansion:a short-term,double-blind,historical controlled clinical trial[J].J Craniomaxillofac Surg,2016,44(9):1181-1186.
[6]Sygouros A,Motro M,Ugurlu F,et al.Surgically assisted rapid maxillary expansion:cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex[J].Am J Orthod Dentofacial Orthop,2014,146(6):748-757.
[7]Hamedi Sangsari A,Sadr-Eshkevari P,Al-Dam A,et al.Surgically assisted rapid palatomaxillary expansion with or without pterygomaxillary disjunction:a systematic review and Meta-analysis[J].J Oral Maxillofac Surg,2016,74(2):338-348.
[8]Reinbacher KE,Wallner J,Pau M,et al.Surgically assisted rapid maxillary expansion:feasibility of not releasing the nasal septum[J].Int J Oral Maxillofac Surg,2013,42(3):321-325.
[9]Altug-Atac AT,Atac MS,Kurt G,et al.Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion[J].Int J Oral Maxillofac Surg,2010,39(2):129-135.
[10]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].J Cranio maxillofac Surg,2014,42(7):1190-1195.
[11]Kayalar E,Schauseil M,Kuvat SV,et al.Comparison of tooth-borne and hybrid devices in surgically assisted rapid maxillary expansion:a randomized clinical cone-beam computed tomography study[J].J Craniomaxillofac Surg,2016,44(3):285-293.
[12]Hamedi-Sangsari A,Chinipardaz Z,Carrasco L.Following surgically assisted rapid palatal expansion,do tooth-borne or bone-borne appliances provide more skeletal expansion and dental expansion[J].J Oral Maxillofac Surg,2017,75(10):2211-2222.
[13]Kunz F,Linz C,Baunach G,et al.Expansion patterns in surgically assisted rapid maxillary expansion:transpalatal distractor versus hyrax appliance[J].J Orofac Orthop,2016,77(5):357-365.
[14]Sokucu O,Kosger HH,Bicakci AA,et al.Stability in dental changes in RME and SARME:a 2-year follow-up[J].Angle Orthod,2009,79(2):207-213.
[15]Kurt G,Altug-Ata?AT,Ata?MS,et al.Stability of surgically assisted rapid maxillary expansion and orthopedic maxillary expansion after 3 years’followup[J].Angle Orthod,2010,80(4):425-431.
[16]Giannini L,Maspero C,Galbiati G,et al.Comparison of the palatal expansion obtained via the use of the rapid maxillary expander compared with surgically assisted rapid maxillary expansion[J].Minerva Stomatol,2016,65(2):72-80.
[17]Samra DA,Hadad R.Skeletal Age-related changes of midpalatal suture densities in skeletal maxillary constriction patients:CBCT study[J].J Contemp Dent Pract,2018,19(10):1260-1266.
[18]Yao W,Bekmezian S,Hardy D,et al.Cone-beam computed tomographic comparison of surgically assisted rapid palatal expansion and multipiece Le FortⅠosteotomy[J].J Oral Maxillofac Surg,2015,73(3):499-508.
[19]Seeberger R,Gander E,Hoffmann J,et al.Surgical management of cross-bites in orthognathic surgery:surgically assisted rapid maxillary expansion(SARME)versus two-piece maxilla[J].J Craniomaxillofac Surg,2015,43(7):1109-1112.
[20]Starch-Jensen T,Bl?hr TL.Transverse expansion and stability after segmental Le FortⅠosteotomy versus surgically assisted rapid maxillary expansion:a sys tematic review[J].J Oral Maxillofac Res,2016,7(4):e1.
[21]Lee HW,Kim SJ,Kwon YD.Salvage rapid maxillary expansion for the relapse of maxillary transverse expansion after Le FortⅠwith parasagittal osteotomy[J].J Korean Assoc Oral Maxillofac Surg,2015,41(2):97-101.
[22]Leyder P,Altounian G,Chardain J,et al.Adjustable selective maxillary expansion combined with maxillomandibular surgery:a case report[J].Int Orthod,2015,13(3):320-331.
[2]Jensen T,Rodrigo-Domingo M.Surgically assisted rapid maxillary expansion(SARME)with or without intraoperative releasing of the nasal septum[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2017,123(3):e85-e90.
[3]Angell EC.Treatment of irregularities of the permanent adult teeth[J].Dent Cosmos,1860,1:540-545.
[4]Menon S,Manerikar R,Sinha R.Surgical management of transverse maxillary deficiency in adults[J].J Maxillofac Oral Surg,2010,9(3):241-246.
[5]Zandi M,Miresmaeili A,Heidari A,et al.The necessity of pterygomaxillary disjunction in surgically assisted rapid maxillary expansion:a short-term,double-blind,historical controlled clinical trial[J].J Craniomaxillofac Surg,2016,44(9):1181-1186.
[6]Sygouros A,Motro M,Ugurlu F,et al.Surgically assisted rapid maxillary expansion:cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex[J].Am J Orthod Dentofacial Orthop,2014,146(6):748-757.
[7]Hamedi Sangsari A,Sadr-Eshkevari P,Al-Dam A,et al.Surgically assisted rapid palatomaxillary expansion with or without pterygomaxillary disjunction:a systematic review and Meta-analysis[J].J Oral Maxillofac Surg,2016,74(2):338-348.
[8]Reinbacher KE,Wallner J,Pau M,et al.Surgically assisted rapid maxillary expansion:feasibility of not releasing the nasal septum[J].Int J Oral Maxillofac Surg,2013,42(3):321-325.
[9]Altug-Atac AT,Atac MS,Kurt G,et al.Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion[J].Int J Oral Maxillofac Surg,2010,39(2):129-135.
[10]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].J Cranio maxillofac Surg,2014,42(7):1190-1195.
[11]Kayalar E,Schauseil M,Kuvat SV,et al.Comparison of tooth-borne and hybrid devices in surgically assisted rapid maxillary expansion:a randomized clinical cone-beam computed tomography study[J].J Craniomaxillofac Surg,2016,44(3):285-293.
[12]Hamedi-Sangsari A,Chinipardaz Z,Carrasco L.Following surgically assisted rapid palatal expansion,do tooth-borne or bone-borne appliances provide more skeletal expansion and dental expansion[J].J Oral Maxillofac Surg,2017,75(10):2211-2222.
[13]Kunz F,Linz C,Baunach G,et al.Expansion patterns in surgically assisted rapid maxillary expansion:transpalatal distractor versus hyrax appliance[J].J Orofac Orthop,2016,77(5):357-365.
[14]Sokucu O,Kosger HH,Bicakci AA,et al.Stability in dental changes in RME and SARME:a 2-year follow-up[J].Angle Orthod,2009,79(2):207-213.
[15]Kurt G,Altug-Ata?AT,Ata?MS,et al.Stability of surgically assisted rapid maxillary expansion and orthopedic maxillary expansion after 3 years’followup[J].Angle Orthod,2010,80(4):425-431.
[16]Giannini L,Maspero C,Galbiati G,et al.Comparison of the palatal expansion obtained via the use of the rapid maxillary expander compared with surgically assisted rapid maxillary expansion[J].Minerva Stomatol,2016,65(2):72-80.
[17]Samra DA,Hadad R.Skeletal Age-related changes of midpalatal suture densities in skeletal maxillary constriction patients:CBCT study[J].J Contemp Dent Pract,2018,19(10):1260-1266.
[18]Yao W,Bekmezian S,Hardy D,et al.Cone-beam computed tomographic comparison of surgically assisted rapid palatal expansion and multipiece Le FortⅠosteotomy[J].J Oral Maxillofac Surg,2015,73(3):499-508.
[19]Seeberger R,Gander E,Hoffmann J,et al.Surgical management of cross-bites in orthognathic surgery:surgically assisted rapid maxillary expansion(SARME)versus two-piece maxilla[J].J Craniomaxillofac Surg,2015,43(7):1109-1112.
[20]Starch-Jensen T,Bl?hr TL.Transverse expansion and stability after segmental Le FortⅠosteotomy versus surgically assisted rapid maxillary expansion:a sys tematic review[J].J Oral Maxillofac Res,2016,7(4):e1.
[21]Lee HW,Kim SJ,Kwon YD.Salvage rapid maxillary expansion for the relapse of maxillary transverse expansion after Le FortⅠwith parasagittal osteotomy[J].J Korean Assoc Oral Maxillofac Surg,2015,41(2):97-101.
[22]Leyder P,Altounian G,Chardain J,et al.Adjustable selective maxillary expansion combined with maxillomandibular surgery:a case report[J].Int Orthod,2015,13(3):320-331.