Pterygopalatine disjunction-associated SARME and the nasal cavity - A systematic literature review.

Autor:	de Medeiros JR; Postgraduate Student, Division of Oral Maxillofacial Surgery, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil. Professor Division of Oral and Maxillofacial Surgery, Fortaleza University (UNIFOR), Fortaleza, Ceará, Brazil., Costa FWG; Adjunct Professor, Division of Radiology, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil., Carvalho FSR; Professor, Division of Oral and Maxillofacial Surgery, Federal University of Ceará - campus Sobral, Sobral, Ceará, Brazil., Mouta AEA; Postgraduate student in Health Sciences, Federal University of Ceará (UFC), Fortaleza, Ceará, Brazil., Bezerra MF; Professor, Division of Oral and Maxillofacial Surgery, Federal University of Ceará - campus Sobral, Sobral, Ceará, Brazil., Junior JMMDC; Private Practioner, Ceará, Fortaleza, Brazil., Silva PGB; Professor, Division of Oral Pathology, Postgraduate Program in Dentistry, Unichristus University Center, Fortaleza, Ceará, Brazil., Soares ECS; Full Professor Titular, Division of Oral Maxillofacial Sugery, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of clinical and experimental dentistry [J Clin Exp Dent] 2024 Sep 01; Vol. 16 (9), pp. e1129-e1137. Date of Electronic Publication: 2024 Sep 01 (Print Publication: 2024).
DOI:	10.4317/jced.62026
Abstrakt:	Background: This study aimed to evaluate the effect of surgically assisted rapid maxillary expansion (SARME) with pterygopalatine disjunction (PD) on the nasomaxillary complex structures. Material and Methods: A systematic two-phase review, recorded in the PROSPERO database, was conducted. Search strategies were performed using PubMed, Scopus, Web of Science, COCHRANE, LILACS and DOSS databases, including gray literature (Open Grey, Google Scholar, and ProQuest). The methodological quality and evidence of the included studies were assessed. Results: Out of 1017 studies, 10 met the inclusion criteria. Generally, a moderate risk of bias was noted. The studies involved 236 adults evaluated preoperatively and postoperatively. Key outcomes assessed included nasal cavity volume, minimum cross-sectional area (MCSA), nasal septum positioning, nasal cavity width, and nose volume (soft tissues). Conclusions: Although findings indicated increased MCSA, nasal cavity, and nasopharynx volumes, and no changes in nasal septum post-SARME + PD, the current evidence is insufficient for definitive clinical recommendations due to study limitations, particularly the small number of included studies. More clinical studies with robust methodologies and low risk of bias are needed. Key words: Nasal septum, nasal cavity, palatine expansion technique. Competing Interests: Declared none. (Copyright: © 2024 Medicina Oral S.L.)
Databáze:	MEDLINE
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