Dergin Guhan, Aktop Sertac, Varol Altan, Ugurlu Faysal, Garip Hasan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Jun;119(6):601-7. doi: 10.1016/j.oooo.2015.01.008. Epub 2015 Feb 3.
The goals of this retrospective clinical study were to identify surgically assisted rapid palatal expansion (SARPE) complications and assess their incidence, with the aim of informing surgeons and orthodontists of the risks of this widely used procedure before they recommend it to patients.
Between June 2008 and July 2010, 60 patients (23 women and 37 men) underwent SARPE according to a defined multidisciplinary protocol at the University of Marmara, Istanbul, Turkey.
Twelve patients (20%) suffered from nasal bleeding. Of these 12, 2 patients suffered late-onset bleeding beginning on postoperative day 8, and in the other 10, nasal bleeding was insignificant. Three patients reported excessive lacrimation postoperatively. Minor problems related to pain and numbness were all temporary.
SARPE procedures have traditionally been reported to be associated with low morbidity, especially in comparison with other orthognathic surgical procedures. However, many complications have been reported.
这项回顾性临床研究的目的是确定外科辅助快速腭扩展术（SARPE）的并发症并评估其发生率，以便在外科医生和正畸医生向患者推荐这一广泛应用的手术前，告知他们该手术的风险。
2008年6月至2010年7月期间，60例患者（23名女性和37名男性）在土耳其伊斯坦布尔马尔马拉大学按照既定的多学科方案接受了SARPE手术。
12例患者（20%）出现鼻出血。在这12例中，2例患者术后第8天开始出现迟发性出血，另外10例鼻出血不严重。3例患者术后报告有过度流泪。与疼痛和麻木相关的小问题均为暂时性。
传统上报道SARPE手术的发病率较低，尤其是与其他正颌外科手术相比。然而，也有许多并发症的报道。
