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Office-based Surgically Assisted Rapid Maxillary Expansion Under Simple Local Anesthesia (LIGHT SARPE).

Mirco Raffaini1,2, Francesco Arcuri3

  • 1Private Practice, "Facesurgery" Center, Parma.

The Journal of Craniofacial Surgery
|May 13, 2025
PubMed
Summary

LIGHT Surgically Assisted Rapid Maxillary Expansion (SARPE) offers a minimally invasive alternative to traditional methods, reducing discomfort and complications. This technique shows promise for treating maxillary transverse deficiency in adults.

Keywords:
Maxillary osteotomySARMESARPEorthognathic surgerysurgically assisted rapid maxillary expansion

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Area of Science:

  • Orthodontics
  • Oral and Maxillofacial Surgery
  • Minimally Invasive Surgery

Background:

  • Traditional Surgically Assisted Rapid Maxillary Expansion (SARPE) often involves general anesthesia and chisels, leading to significant patient discomfort and potential complications.
  • A novel technique, LIGHT SARPE, has been developed to minimize morbidity and enhance patient comfort during maxillary expansion.

Purpose of the Study:

  • To evaluate the efficacy and safety of the LIGHT SARPE technique, a novel approach performed under local anesthesia.
  • To compare the outcomes of LIGHT SARPE with conventional SARPE methods.

Main Methods:

  • A retrospective analysis of 30 patients who underwent LIGHT SARPE between 2020 and 2023.
  • The procedure utilized piezoelectric surgery for osteotomies and temporary anchorage devices for expansion in an office setting.

Main Results:

  • Average surgery time was 21 minutes with minimal postoperative complications.
  • Achieved a mean maxillary expansion of 7.2 mm in anterior distance, with no significant correlation between expansion and complications.
  • LIGHT SARPE demonstrated reduced discomfort, shorter operative times, and fewer complications compared to conventional SARPE, preserving periodontal integrity.

Conclusions:

  • LIGHT SARPE represents a significant advancement in SARPE procedures, offering improved predictability, efficacy, and patient outcomes.
  • The technique is associated with lower morbidity and costs, suggesting its potential as a preferred treatment for maxillary transverse deficiency in skeletally mature patients.