PMID: 22567629May 9, 2012Paper

Maxillary vestibular incision for surgically assisted rapid palatal expansion: evidence for a conservative approach

Orthodontics : the Art and Practice of Dentofacial Enhancement
Alan S HerfordMarco Cicciu

Abstract

To evaluate the soft tissue changes in upper lip, vermilion, and alar bases after surgically assisted rapid palatal expansion (SARPE). A new flap design was proposed to obtain more esthetic results. Sixteen patients who had undergone SARPE for skeletal deformities were evaluated. None of the patients treated had any previous maxillary or nasal surgery, nor did they have any previous trauma to the midface. The soft tissue was clinically evaluated before and after surgery. Lip length and width were traced and measured on the radiograph, both preoperatively and postoperatively, by the same investigator. Preoperative and 6-month postoperative photographs were added. The data suggested that the greater the stability in the soft tissue, particularly in the vermilion width and alar base, the more conservative the maxillary vestibular incision could be. A conservative anterior vestibular incision at 6 months resulted in better esthetics, influencing a smaller loss of vermilion and less widening of alar bases. Otherwise, a traditional incision associated with decreased lip length slightly increased with the modified incision. SARPE can be effectively performed with a more conservative vestibular incision to prevent excessive scarring an...Continue Reading

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Bryce J D WilliamsFelice S O'Ryan
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Diogo Souza Ferreira Rubim de AssisEduardo Sanches Gonçales
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Sylvain Chamberland, William R Proffit
© 2021 Meta ULC. All rights reserved