Abstract

MAYRINK, Gabriela; ELLERY, Saulo; ARAUJO, Marcelo Marotta  and  MOREIRA, Roger William Fernandes. Correction of maxillary transverse deficiency combined with orthognathic surgery: a single or 2-stage surgical approach?. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2010, vol.10, n.3, pp. 033-038. ISSN 1808-5210.

Transverse maxillary deficiency is one of the most common maxillofacial deformities. Its treatment can be conducted 33 only with the use of orthodontics if the patient is still in the growth phase (rapid maxillary expansion). After skeletal maturation, treatment options are surgically assisted rapid maxillary expansion (SARME) or segmented maxillary osteotomy, each with its indications, advantages and disadvantages. This paper reports a case of SARME prior to orthognathic surgery and discusses the advantages of performing this procedure in one or two surgical steps, as well as addressing a number of important considerations regarding the technique.

Keywords : Osteotomy; palatal expansion technique; maxilla.