最少侵入性手术辅助的迷你螺旋定快速 palatal 扩张 (sa-MARPE) 技术:避免传统的水平骨切除术 - 一个技术说明
Andrea Balercia1, Giulio Cirignaco2, Paolo Balercia1
1Maxillo-Facial Surgery Unit, Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona, Italy.
概括
一种新的微创性手术辅助快速 palatal 扩张 (sa-MARPE) 技术为成年人提供了一个不那么侵入性的替代方案. 这种方法显示了稳定的骨扩张和交叉咬伤纠正,副作用最小.
科学领域:
- 矯正牙醫和臉外科手術 矯正牙醫和臉外科手術
- 面部的发展和重建.
背景情况:
- 在骨成熟的患者中,横向大缺陷由于硬的面 sutures 提出了挑战.
- 传统的手术辅助快速 palatal 扩张 (SARPE) 通常需要广泛的骨切除术,增加患病率.
研究的目的:
- 描述一个微创的,手术辅助的MARPE (sa-MARPE) 协议.
- 评估其在克服传统SARPE的局限性方面的有效性,同时避免完全的Le Fort I骨切除术.
主要方法:
- 一种新的sa-MARPE技术,涉及三个小的粘膜切口和在关键的 palatal 和 pterygomaxillary 接口的有限的骨切口术.
- 保持粘膜完整性和血管供应,以尽量减少术后并发症.
- 在骨成熟的患者中使用骨载扩展器 (HIMAME) 的应用.
主要成果:
- 在35岁的女性患者身上,成功和稳定的骨扩张和后部交叉咬伤的纠正.
- 经过3年的随访,表现出稳定的结果,没有报告的并发症或复发.
- 观察到最小的dentoalveolar副作用.
结论:
- 描述的最小侵入性sa-MARPE协议为成年人提供可预测的骨结果.
- 这种技术代表了传统SARPE的可行的门诊替代方案,可降低发病率和改善恢复.
- 建议进行进一步的研究,以确认长期稳定性,并与其他辅助扩张方法进行比较.
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