Clinical Outcomes of Transpalatal Distraction for Transverse Maxillary Hypoplasia
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Home > Medicine & Health Science textbooks > Medical specialties, branches of medicine > Dentistry > Oral and maxillofacial surgery > Clinical Outcomes of Transpalatal Distraction for Transverse Maxillary Hypoplasia: A Retrospective Study
Clinical Outcomes of Transpalatal Distraction for Transverse Maxillary Hypoplasia: A Retrospective Study

Clinical Outcomes of Transpalatal Distraction for Transverse Maxillary Hypoplasia: A Retrospective Study


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About the Book

This dissertation, "Clinical Outcomes of Transpalatal Distraction for Transverse Maxillary Hypoplasia: a Retrospective Study" by Chee-wei, Lee, 李志維, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Aim of study The aim of this clinical retrospective study is to evaluate the clinical outcomes of patients with transverse maxillary hypoplasia who underwent surgical assisted maxillary expansion (SARME) using a bone borne distractor in 2 different surgical centers. Patients and Methods This is a clinical retrospective cross‐sectional study of adult patients diagnosed with maxillary transverse hypoplasia and having had transpalatal distraction by SARME done in two surgical centers (Oral and Maxillofacial Surgery, The University of Hong Kong, Hong Kong and The Baruch Padeh Medical Center, Poriya, Israel) from January 2004 to December 2011. A total of 37 patients were identified. The mean age was 27.1. Each patient underwent a standard Le Fort I osteotomy with midline split with no mobilization under general anesthesia. A bone‐borne palatal distractor was fitted on the hard palate. The distractor was activated at a rate of 0.6mm per day following 5 ‐ 7 days of latency until the amount of expansion was reached according to plan. Occlusal radiographs and lateral cephalographs were obtained at pre‐expansion phase and regular postoperative intervals during the activation and consolidation period. Among the 37 patients, only 15 patients could be contacted by phone, mail or e‐mail and has agreed to participate in the cross‐sectional analysis. Clinical examination was performed and included the following: tooth vitality, tooth mobility, periodontal status and occlusion. Questionnaire was also given to patients to grade their experiences toward the treatment outcome. Results The mean transverse expansion achieved was 9.58mm. The TPD was removed from the patients in the ranged of 2 months to the longest 8 months (mean: 5.2 months). The distraction gap was gradually ossified by bone and then the teeth were aligned into the space achieving stable dental occlusion. No intra‐operative complications were recorded. Post‐operatively, 2 patients had to be re‐operated due to failure to activate the distractor. Others post‐operative complications encountered were pain, fixation screw loosening, insufficient distractor length, infection, asymmetric expansion and tooth migration into the distraction gap. These complications were well managed accordingly. Majority of the patients were satisfied with the treatment and will recommend it to others. Conclusions Correction of maxillary transverse hypoplasia using a transpalatal distractor can reliably achieve large bony expansion of the maxillary arch with few postoperative complications. DOI: 10.5353/th_b5063960 Subjects: Maxilla - Surgery Face - Surgery


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Product Details
  • ISBN-13: 9781360996967
  • Publisher: Open Dissertation Press
  • Publisher Imprint: Open Dissertation Press
  • Height: 279 mm
  • No of Pages: 42
  • Sub Title: A Retrospective Study
  • Width: 216 mm
  • ISBN-10: 1360996966
  • Publisher Date: 26 Jan 2017
  • Binding: Hardback
  • Language: English
  • Spine Width: 6 mm
  • Weight: 399 gr


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