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MISMARPE 方案：微创外科和微型螺钉辅助快速腭扩张。

MISMARPE protocol: minimally invasive surgical and miniscrew-assisted rapid palatal expansion.

机构信息

São Lucas Hospital of Pontifical Catholic University of Rio Grande do Sul, Department of Oral and Maxillofacial Surgery (Porto Alegre/RS, Brazil).

Private Practice (Porto Alegre/RS, Brazil).

出版信息

Dental Press J Orthod. 2024 Aug 12;29(3):e24spe3. doi: 10.1590/2177-6709.29.3.e24spe3. eCollection 2024.

DOI:10.1590/2177-6709.29.3.e24spe3
PMID:39140569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321491/
Abstract

OBJECTIVE

The purpose of this article is to present the MISMARPE technique, a new minimally invasive surgical procedure to treat maxillary transverse atresia in adult patients under local anesthesia and on an outpatient basis.

TECHNIQUE DESCRIPTION

The technique consists of miniscrew-assisted rapid palatal expansion (MARPE) associated with a minimally invasive approach using maxillary osteotomies, latency and activation periods until the desired expansion is achieved. The present MISMARPE technique was performed in 25 consecutive cases with a success rate of 96%, yielding good skeletal outcomes with minimal trauma. The expander appliances, with their anchorage types, and a description of the surgical steps of the MISMARPE technique are presented.

CONCLUSION

MISMARPE is a new and effective alternative for less invasive treatment of maxillary transverse deficiency in adults, compared to conventional surgery. Emphasis is placed on the importance of systematic and well-established protocols, for executing the procedures safely and predictably.

摘要

目的

本文旨在介绍 MISMARPE 技术，这是一种新的微创外科手术方法，可在局部麻醉和门诊基础上治疗成年患者的上颌横向发育不全。

技术描述

该技术包括微型螺钉辅助快速腭扩张（MARPE）与使用上颌切开术的微创方法相结合，经历潜伏期和激活期，直到达到所需的扩张效果。目前的 MISMARPE 技术已在 25 例连续病例中成功实施，成功率为 96%，具有良好的骨骼效果和最小的创伤。介绍了扩展器器具及其锚固类型，以及 MISMARPE 技术的手术步骤描述。

结论

与传统手术相比，MISMARPE 是一种新的、有效的微创治疗成人上颌横向发育不全的替代方法。强调了执行程序的安全性和可预测性需要系统且成熟的方案。

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