Verquin M, Daems L, Politis C
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium.
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium.
Int J Oral Maxillofac Surg. 2017 Mar;46(3):303-308. doi: 10.1016/j.ijom.2016.11.016. Epub 2016 Dec 18.
Surgically assisted rapid palatal expansion (SARPE) has been considered a safe procedure with minimal patient morbidity. The aim of this study was to identify short-term complications encountered after tooth-borne expansion with a standardized approach to inform surgeons and orthodontists of the patient risk. In this retrospective cohort study, 55 patients (35 female, 20 male) undergoing SARPE between January 2013 and December 2014 were evaluated. Twenty-eight patients developed one or more complications. Postoperative haemorrhage was seen in six patients. Sixteen patients presented with injury to the infraorbital nerve, five had dental complications, and four had severe postoperative pain. A prolonged hospital stay was necessary for six patients and additional surgery was required in two cases. It is concluded that the short-term complications after tooth-borne SARPE are generally mild; however, the number of complications encountered indicates that SARPE is not free of risk and should be preceded by careful patient selection and planning.
外科辅助快速腭扩展术（SARPE）被认为是一种安全的手术，患者发病率极低。本研究的目的是通过标准化方法确定牙支持式扩展术后出现的短期并发症，以便告知外科医生和正畸医生患者所面临的风险。在这项回顾性队列研究中，对2013年1月至2014年12月期间接受SARPE的55例患者（35例女性，20例男性）进行了评估。28例患者出现了一种或多种并发症。6例患者出现术后出血。16例患者出现眶下神经损伤，5例出现牙齿并发症，4例出现严重术后疼痛。6例患者需要延长住院时间，2例患者需要再次手术。结论是，牙支持式SARPE术后的短期并发症一般较轻；然而，所遇到的并发症数量表明，SARPE并非没有风险，术前应仔细选择患者并进行规划。
