Research Article
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Year 2018, Volume: 52 Issue: 2, 94 - 98, 01.05.2018

Abstract

References

  • 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. 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. 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. 5. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 1970; 58: 41-66. 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. 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. 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. 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. 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. 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. 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. 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. 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. 17. Silverstein K, Quinn PD. Surgically-assisted rapid palatal expansion for management of transverse maxillary deficiency. J Oral Maxillofac Surg 1997; 55: 725-7. 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. 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. 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. 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.

Skeletal changes following surgically assisted rapid maxillary expansion (SARME)

Year 2018, Volume: 52 Issue: 2, 94 - 98, 01.05.2018

Abstract

DOI: 10.26650/eor.2018.465


Purpose



Surgically assisted rapid maxillary
expansion (SARME) is a common treatment technique in the correction of
maxillary transverse deficiency. The purpose of this study was to evaluate
nasal and palatal skeletal changes following SARME using Cone Beam Computed
Tomography (CBCT) and posterior anterior (PA) cephalograms.



Materials and Methods



In this retrospective study, the
radiographic images obtained from 14 patients with transverse maxillary
deficiency before treatment and 6 months after SARME operations were evaluated.
The changes in nasal bone width and palatal bone width were measured on CBCT.
The changes in basal maxillary width, nasal cavity width and angular
measurements were evaluated on PA cephalograms.



Results



Nasal floor width was measured at the
levels of upper first premolar teeth and molar teeth which significantly
increased following SARME (p=0.005 and 0.017 respectively). Palatal bone width
between first premolar teeth and molar teeth also 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 also significantly increased (p<0.05).



Conclusion



Nasal and palatal skeletal transverse
dimensions increased following SARME. Due to the enlargement of the nasal floor
and nasal cavity, it is likely to improve air pass through the nose.

References

  • 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. 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. 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. 5. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 1970; 58: 41-66. 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. 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. 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. 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. 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. 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. 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. 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. 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. 17. Silverstein K, Quinn PD. Surgically-assisted rapid palatal expansion for management of transverse maxillary deficiency. J Oral Maxillofac Surg 1997; 55: 725-7. 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. 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. 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. 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.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Gökhan Gürler

Nevin Kaptan Akar This is me

Çağrı Delilbaşı This is me

İpek Kaçar This is me

Publication Date May 1, 2018
Submission Date May 8, 2017
Published in Issue Year 2018 Volume: 52 Issue: 2

Cite

EndNote Gürler G, Kaptan Akar N, Delilbaşı Ç, Kaçar İ (May 1, 2018) Skeletal changes following surgically assisted rapid maxillary expansion (SARME). European Oral Research 52 2 94–98.