Surgically assisted rapid palatal expansion (SARPE) prior to combined Le Fort I and sagittal osteotomies: a case report.
A severe Class III malocclusion with maxillary transverse and anteroposterior deficiency, mandibular prognathism, and excessive lower facial height is presented. The malocclusion was treated with a combination of orthodontics and a 2-stage surgical treatment: a surgically assisted rapid palatal expansion prior to a sagittal mandibular and chin reduction and Le Fort I osteotomies. The patient exhibited excellent stability 6 years after treatment. The controversy regarding one surgery or a 2-stage surgical approach is discussed briefly.
Tavares
C A
CA
Department of Orthodontics, Associação Brasileira de Odontologia-RS Porte Alegre, Brazil.
Scheffer
M
M
D000328:Adult; D002508:Cephalometry; D002680:Chin / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000601:surgery; D008334:Mandible / Q000601:surgery*; D008437:Maxilla / Q000002:abnormalities / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000145:classification*; D010155:Palatal Expansion Technique / Q000295:instrumentation; D010159:Palate / Q000601:surgery*; D011378:Prognathism / Q000601:surgery; D014087:Tooth Movement Techniques / Q000295:instrumentation; D014716:Vertical Dimension; D015050:Zygoma / Q000601:surgery