Santagata M, Tartaro G, Guida D, D'Amato S, Boschetti C E, Chirico F
Department of Multidisciplinary Medical, Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy.
Department of Multidisciplinary Medical, Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy.
Int J Oral Maxillofac Surg. 2025 Jan;54(1):43-50. doi: 10.1016/j.ijom.2024.07.007. Epub 2024 Jul 15.
Studies have consistently shown an association of the Le Fort I osteotomy with undesirable adverse events in the nasolabial region, including lengthening and thinning of the upper lip, a reduction in upper vermilion exposure, and nasal base enlargement. Various minimally invasive techniques have been developed based on knowledge collected over recent decades on the aetiopathogenesis of these aesthetic impairments. The common scope of these techniques is to reduce the damage to the facial soft tissues and achieve a sound and spontaneous healing process, avoiding those procedures that are commonly used to counteract undesirable aesthetic changes. This paper provides a summary of the aetiopathogenesis of these adverse events, as well as an overview of current concepts in minimally invasive surgically assisted rapid maxillary expansion (miSARME).
研究一直表明，Le Fort I型截骨术与鼻唇区域不良事件相关，包括上唇变长变薄、上唇红暴露减少以及鼻基底增大。基于近几十年来收集的有关这些美学损伤病因发病机制的知识，已开发出各种微创技术。这些技术的共同目标是减少对面部软组织的损伤，并实现良好且自然的愈合过程，避免使用那些通常用于对抗不良美学变化的手术。本文总结了这些不良事件的病因发病机制，以及微创外科辅助快速上颌扩弓（miSARME）的当前概念概述。
