Surgically-assisted maxillary expansion |
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| Authors: | Michael Woods MDSc FRACDS DOrthRCS CertOrth David Wiesenfeld MDSc FDSRCPS FRACDS FICD † Timothy Probert MDSc FRACDS ‡ |
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| Institution: | *Consultant Orthodontist, Oral and Maxillofacial Surgery Unit, The Royal Melbourne Hospital.;†Head, Oral and Maxillofacial Surgery Unit, The Royal Melbourne Hospital.;‡Former Registrar, Oral and Maxillofacial Surgery Unit, The Royal Melbourne Hospital |
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| Abstract: | A combined surgical and orthodontic technique for management of transverse maxillary deficiencies in mature patients is described and discussed. Special references are made to the surgical release of several circummaxillary articulations to facilitate the use of a fixed expansion device, and to the authors' addition of an osteotomy below the nasal spine, to ensure that the nasal septum remains independent of the maxillary segments. Indications for the use of this surgically-assisted maxillary expansion technique, and its advantages when compared with segmented surgical expansion, are also presented. |
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| Keywords: | Orthodontics orthognathic surgery maxillary expansion distraction-osteogenesis |
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