Nasal soft- and hard-tissue changes following tooth-borne and hybrid surgically assisted rapid maxillary expansion: A randomized clinical cone-beam computed tomography study
The aim of this study was to assess the effects of tooth/bone-borne (hybrid) and tooth-borne (TB) surgically assisted rapid maxillary expansion (SARME) on the width of the nasal soft and hard tissue. Twenty skeletally mature patients (nine males and 11 females; mean age 19.4 years) with transverse m...
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| Veröffentlicht in: | Journal of cranio-maxillo-facial surgery 2019-08, Vol.47 (8), p.1190-1197 |
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| container_title | Journal of cranio-maxillo-facial surgery |
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| creator | Kayalar, Emre Schauseil, Michael Hellak, Andreas Emekli, Ufuk Fıratlı, Sönmez Korbmacher-Steiner, Heike |
| description | The aim of this study was to assess the effects of tooth/bone-borne (hybrid) and tooth-borne (TB) surgically assisted rapid maxillary expansion (SARME) on the width of the nasal soft and hard tissue.
Twenty skeletally mature patients (nine males and 11 females; mean age 19.4 years) with transverse maxillary hypoplasia were randomly assigned to hybrid or TB devices. The patients had undergone SARME operations, performed by the same surgical team using the same procedure (Le Fort I osteotomy with pterygomaxillary dysjunction, midline osteotomy, and no down-fracture). Nasal soft- and hard-tissue changes were analyzed using CBCT preoperatively (T0), at the end of the active expansion phase (T1), and after 6 months of retention (T2). The study was approved by the relevant ethics committee.
The skeletal and soft-tissue nasal parameters increased significantly in the T0–T1 and T0–T2 periods in both groups (P |
| doi_str_mv | 10.1016/j.jcms.2019.01.005 |
| format | Article |
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Twenty skeletally mature patients (nine males and 11 females; mean age 19.4 years) with transverse maxillary hypoplasia were randomly assigned to hybrid or TB devices. The patients had undergone SARME operations, performed by the same surgical team using the same procedure (Le Fort I osteotomy with pterygomaxillary dysjunction, midline osteotomy, and no down-fracture). Nasal soft- and hard-tissue changes were analyzed using CBCT preoperatively (T0), at the end of the active expansion phase (T1), and after 6 months of retention (T2). The study was approved by the relevant ethics committee.
The skeletal and soft-tissue nasal parameters increased significantly in the T0–T1 and T0–T2 periods in both groups (P < 0.05). No statistically significant differences between the groups were observed. The mean piriform aperture width increased from 1.26 mm in T0–T1 to 0.97 mm in T1–T2 and 2.17 mm in T0–T2 (P < 0.008). In the soft tissue, the alar base width increased to 2.78 mm and the alar width to 2.95 mm in T0–T2 (P = 0.001). There was a positive correlation (63.6%) between the changes in skeletal and soft-tissue values.
The hybrid and TB devices led to similarly significant widening effects in nasal soft and hard tissues in both the short term and 6 months after SARME.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2019.01.005</identifier><identifier>PMID: 31307850</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Alar width ; CBCT ; Cephalometry ; Cone-Beam Computed Tomography ; Dentistry ; Female ; Humans ; Hybrid hyrax RME ; Male ; Maxilla ; Nasal changes ; Nose ; Palatal Expansion Technique ; SARME ; Surgically assisted rapid maxillary expansion ; Tooth ; Young Adult</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2019-08, Vol.47 (8), p.1190-1197</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-abc3c3d3d58925217b98939dd35757970d5e15c9541a626b2fad870f1e2776be3</citedby><cites>FETCH-LOGICAL-c356t-abc3c3d3d58925217b98939dd35757970d5e15c9541a626b2fad870f1e2776be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcms.2019.01.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31307850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kayalar, Emre</creatorcontrib><creatorcontrib>Schauseil, Michael</creatorcontrib><creatorcontrib>Hellak, Andreas</creatorcontrib><creatorcontrib>Emekli, Ufuk</creatorcontrib><creatorcontrib>Fıratlı, Sönmez</creatorcontrib><creatorcontrib>Korbmacher-Steiner, Heike</creatorcontrib><title>Nasal soft- and hard-tissue changes following tooth-borne and hybrid surgically assisted rapid maxillary expansion: A randomized clinical cone-beam computed tomography study</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>The aim of this study was to assess the effects of tooth/bone-borne (hybrid) and tooth-borne (TB) surgically assisted rapid maxillary expansion (SARME) on the width of the nasal soft and hard tissue.
Twenty skeletally mature patients (nine males and 11 females; mean age 19.4 years) with transverse maxillary hypoplasia were randomly assigned to hybrid or TB devices. The patients had undergone SARME operations, performed by the same surgical team using the same procedure (Le Fort I osteotomy with pterygomaxillary dysjunction, midline osteotomy, and no down-fracture). Nasal soft- and hard-tissue changes were analyzed using CBCT preoperatively (T0), at the end of the active expansion phase (T1), and after 6 months of retention (T2). The study was approved by the relevant ethics committee.
The skeletal and soft-tissue nasal parameters increased significantly in the T0–T1 and T0–T2 periods in both groups (P < 0.05). No statistically significant differences between the groups were observed. The mean piriform aperture width increased from 1.26 mm in T0–T1 to 0.97 mm in T1–T2 and 2.17 mm in T0–T2 (P < 0.008). In the soft tissue, the alar base width increased to 2.78 mm and the alar width to 2.95 mm in T0–T2 (P = 0.001). There was a positive correlation (63.6%) between the changes in skeletal and soft-tissue values.
The hybrid and TB devices led to similarly significant widening effects in nasal soft and hard tissues in both the short term and 6 months after SARME.</description><subject>Alar width</subject><subject>CBCT</subject><subject>Cephalometry</subject><subject>Cone-Beam Computed Tomography</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Hybrid hyrax RME</subject><subject>Male</subject><subject>Maxilla</subject><subject>Nasal changes</subject><subject>Nose</subject><subject>Palatal Expansion Technique</subject><subject>SARME</subject><subject>Surgically assisted rapid maxillary expansion</subject><subject>Tooth</subject><subject>Young Adult</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAUhCMEoqXwAiyQl2wSbOc6ThCbqio_UlU2sLYc--ReXyV28HHahnfqO-LoFpaszkjnm5FGUxRvGa0YZc2HY3U0E1acsq6irKJUPCvOWSvbcsdY9zxrymgpWMvPileIR0ppQ9vuZXFWs5rKVtDz4vFWox4JhiGVRHtLDjraMjnEBYg5aL8HJEMYx3Dv_J6kENKh7EP0cKLXPjpLcIl7Z_Q4rkQjOkxgSdRz_kz6wY2jjiuBh1l7dMF_JJf56W2Y3O_MmdH5zUtM8FD2oKespnnZMlKYwj4HHVaCabHr6-LFoEeEN0_3ovj5-frH1dfy5vuXb1eXN6WpRZNK3Zva1La2ou244Ez2XdvVnbW1kEJ2kloBTJhO7JhueNPzQdtW0oEBl7Lpob4o3p9y5xh-LYBJTQ4N5CIewoKKc9HKnZSCZZSfUBMDYoRBzdFNubBiVG0zqaPaZlLbTIoylWfKpndP-Us_gf1n-btLBj6dAMgt7xxEhcaBN2BdBJOUDe5_-X8AKEan4Q</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Kayalar, Emre</creator><creator>Schauseil, Michael</creator><creator>Hellak, Andreas</creator><creator>Emekli, Ufuk</creator><creator>Fıratlı, Sönmez</creator><creator>Korbmacher-Steiner, Heike</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201908</creationdate><title>Nasal soft- and hard-tissue changes following tooth-borne and hybrid surgically assisted rapid maxillary expansion: A randomized clinical cone-beam computed tomography study</title><author>Kayalar, Emre ; Schauseil, Michael ; Hellak, Andreas ; Emekli, Ufuk ; Fıratlı, Sönmez ; Korbmacher-Steiner, Heike</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-abc3c3d3d58925217b98939dd35757970d5e15c9541a626b2fad870f1e2776be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Alar width</topic><topic>CBCT</topic><topic>Cephalometry</topic><topic>Cone-Beam Computed Tomography</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Hybrid hyrax RME</topic><topic>Male</topic><topic>Maxilla</topic><topic>Nasal changes</topic><topic>Nose</topic><topic>Palatal Expansion Technique</topic><topic>SARME</topic><topic>Surgically assisted rapid maxillary expansion</topic><topic>Tooth</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kayalar, Emre</creatorcontrib><creatorcontrib>Schauseil, Michael</creatorcontrib><creatorcontrib>Hellak, Andreas</creatorcontrib><creatorcontrib>Emekli, Ufuk</creatorcontrib><creatorcontrib>Fıratlı, Sönmez</creatorcontrib><creatorcontrib>Korbmacher-Steiner, Heike</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kayalar, Emre</au><au>Schauseil, Michael</au><au>Hellak, Andreas</au><au>Emekli, Ufuk</au><au>Fıratlı, Sönmez</au><au>Korbmacher-Steiner, Heike</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nasal soft- and hard-tissue changes following tooth-borne and hybrid surgically assisted rapid maxillary expansion: A randomized clinical cone-beam computed tomography study</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2019-08</date><risdate>2019</risdate><volume>47</volume><issue>8</issue><spage>1190</spage><epage>1197</epage><pages>1190-1197</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>The aim of this study was to assess the effects of tooth/bone-borne (hybrid) and tooth-borne (TB) surgically assisted rapid maxillary expansion (SARME) on the width of the nasal soft and hard tissue.
Twenty skeletally mature patients (nine males and 11 females; mean age 19.4 years) with transverse maxillary hypoplasia were randomly assigned to hybrid or TB devices. The patients had undergone SARME operations, performed by the same surgical team using the same procedure (Le Fort I osteotomy with pterygomaxillary dysjunction, midline osteotomy, and no down-fracture). Nasal soft- and hard-tissue changes were analyzed using CBCT preoperatively (T0), at the end of the active expansion phase (T1), and after 6 months of retention (T2). The study was approved by the relevant ethics committee.
The skeletal and soft-tissue nasal parameters increased significantly in the T0–T1 and T0–T2 periods in both groups (P < 0.05). No statistically significant differences between the groups were observed. The mean piriform aperture width increased from 1.26 mm in T0–T1 to 0.97 mm in T1–T2 and 2.17 mm in T0–T2 (P < 0.008). In the soft tissue, the alar base width increased to 2.78 mm and the alar width to 2.95 mm in T0–T2 (P = 0.001). There was a positive correlation (63.6%) between the changes in skeletal and soft-tissue values.
The hybrid and TB devices led to similarly significant widening effects in nasal soft and hard tissues in both the short term and 6 months after SARME.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>31307850</pmid><doi>10.1016/j.jcms.2019.01.005</doi><tpages>8</tpages></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Alar width CBCT Cephalometry Cone-Beam Computed Tomography Dentistry Female Humans Hybrid hyrax RME Male Maxilla Nasal changes Nose Palatal Expansion Technique SARME Surgically assisted rapid maxillary expansion Tooth Young Adult |
| title | Nasal soft- and hard-tissue changes following tooth-borne and hybrid surgically assisted rapid maxillary expansion: A randomized clinical cone-beam computed tomography study |
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