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在MARPE/MASPE患者中不需要的头骨/面部骨折:隐藏的风险?

Andre Walter¹, Heinz Winsauer², Eduardo Crespo³

¹Department of Orthodontics, Universitat Internacional de Catalunya, Barcelona, Spain. andy@clinicawalter.com.

Progress in orthodontics

|December 5, 2025

概括

迷你螺丝辅助 palatal 扩张可以导致面并发症,如骨折,特别是在快速激活 (MARPE). 密切监测和力量限制至关重要,而较慢的方法 (MASPE) 可能会降低风险.

科学领域:

矯正牙科矯正牙科是一種矯正牙科.
面外科手术面外科手术
生物机械工程生物机械工程

背景情况:

迷你螺丝辅助 palatal 扩张 (MARPE 和 MASPE) 为成年人提供横向大缺陷的非手术纠正.
有关潜在的面并发症存在担忧,因为在骨成熟的患者中,用于中侧部口的高力.

研究的目的:

在MARPE和MASPE之后呈现了面并发症的临床病例.
讨论这些并发症背后的潜在生物力学机制.

主要方法:

对11名成年患者的回顾性分析,这些患者接受了小型螺旋式辅助设备的骨中面扩张.
通过CBCT成像检查识别面位移,包括骨骨折,半侧骨折和不对称的断.

主要成果:

观察到7个不对称的前鼻过程骨折,2个轨道骨折,1个骨骨折,1个骨骨折.
并发症主要与使用快速激活协议的MARPE有关.
在使用缓慢激活的MASPE病例中发生了一种轻微并发症.

结论:

非外科手术的中脸扩张带有不可预测的面位移的风险.
并发症似乎与年龄无关,并且很难从CBCT扫描中预测.
建议对MARPE进行强制性临床随访,并进行力量监测和限制;MASPE和微创性SARPE可能会降低并发症发生率.

关键词:

头骨骨折头骨骨折的发生扩张扩张扩张马尔佩 (MARPE) 是一个标志.在MASPEPE的MASPEPE上迷你螺丝迷你螺丝萨尔佩 (SARPE) 是一个简单的标签.

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