Benetti Mariachiara, Montresor Luca, Cantarella Daniele, Zerman Nicoletta, Spinas Enrico
Department of Surgical Science, Post Graduate School of Orthodontics, University of Cagliari, Via Ospedale, 01924 Cagliari, Italy.
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Commenda 10, 20122 Milan, Italy.
Dent J (Basel). 2024 Mar 1;12(3):60. doi: 10.3390/dj12030060.
(1) Objective: This scoping review evaluates the effects of miniscrew-assisted rapid palatal expansion (MARPE) on different regions of the upper airway in adult patients and investigates various methods of measurement. (2) Methods: The search encompassed Pubmed, Cochrane Library, Scopus and Web of Science. This review was conducted following the PRISMA_ScR guidelines, and the inclusion criteria for examined studies were chosen in accordance with the PICOS framework. (3) Results: Seven studies were included in this review, comprising four retrospective studies, one prospective and two case reports. All studies involved the use of Cone Beam Computed Tomography (CBCT) for measurements of the areas of interest. The percentage of increase in the volume of the nasal cavity varied between 31% and 9.9%, depending on the study. Volumetric variations in the nasopharynx were reported as increases between T0 (before expansion) and T1 (immediately after expansion) of 6.4%, 20.7% and 14.1%. All studies considered T0 before expansion and T1 immediately after expansion. Only one study evaluated remote follow-up to assess if the results were maintained after one year. (4) Conclusions: MARPE appears to lead to a statistically significant increase in the upper airway, especially in the nasal cavity and nasopharynx immediately after expansion. However, further prospective and retrospective trails with long-term controls are required to verify the effects of MARPE on the upper airway.
(1) 目的：本范围综述评估微螺钉辅助快速腭扩展（MARPE）对成年患者上气道不同区域的影响，并研究各种测量方法。(2) 方法：检索范围包括PubMed、Cochrane图书馆、Scopus和科学网。本综述按照PRISMA_ScR指南进行，根据PICOS框架选择纳入研究的标准。(3) 结果：本综述纳入了7项研究，包括4项回顾性研究、1项前瞻性研究和2例病例报告。所有研究均使用锥形束计算机断层扫描（CBCT）测量感兴趣区域。鼻腔体积增加的百分比在31%至9.9%之间，具体取决于研究。据报道，鼻咽部的体积变化在T0（扩展前）和T1（扩展后立即）之间增加了6.4%、20.7%和14.1%。所有研究均考虑扩展前的T0和扩展后立即的T1。只有一项研究评估了远期随访，以评估一年后结果是否保持。(4) 结论：MARPE似乎会导致上气道在统计学上显著增加，尤其是在扩展后立即在上鼻腔和鼻咽部。然而，需要进一步进行有长期对照的前瞻性和回顾性试验，以验证MARPE对上气道的影响。
