title: Lateral cephalometry changes after SARPE.
abstract: Surgically assisted rapid palatal expansion (SARPE) is associated with postoperative cephalometric changes. In this study we analyse these changes in the sagittal plane in orthognathic patients undergoing SARPE followed by orthodontic treatment and Le Fort I, bilateral sagittal split osteotomy (BSSO), or bimaxillary surgery. This is a retrospective review of 50 patients (20 males, 30 females) undergoing orthognathic treatment with SARPE to correct transversal deficiency of the maxilla as part of a comprehensive treatment plan. PP-SN, SNA, and ANB angles were increased and U1-SN and U1-PP angles were decreased. All changes were statistically significant. Changes of SNB, PP-Mand plane angle, and SN-Mand. plane angle were not statistically significant. Surgically assisted rapid palatal expansion using a bone-borne appliance as a preparative step for later orthognathic surgery results in clockwise rotation of the maxilla.
authors.affiliation: Department of Oral Maxillofacial Surgery, St. John's Hospital, Genk, Belgium.
authors.forename: A
authors.initials: A
authors.lastname: Parhiz
authors.forename: S
authors.initials: S
authors.lastname: Schepers
authors.forename: I
authors.initials: I
authors.lastname: Lambrichts
authors.forename: L
authors.initials: L
authors.lastname: Vrielinck
authors.forename: Y
authors.initials: Y
authors.lastname: Sun
authors.forename: C
authors.initials: C
authors.lastname: Politis
mesh_terms: D000293:Adolescent; D000328:Adult; D002508:Cephalometry / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000601:surgery; D008313:Malocclusion, Angle Class III / Q000601:surgery; D008334:Mandible / Q000473:pathology / Q000601:surgery; D008437:Maxilla / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009295:Nasal Bone / Q000473:pathology; D009971:Orthodontics, Corrective; D056948:Orthognathic Surgical Procedures / Q000379:methods; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D010155:Palatal Expansion Technique; D010159:Palate / Q000473:pathology; D012189:Retrospective Studies; D012658:Sella Turcica / Q000473:pathology; D012737:Sex Factors; D055815:Young Adult