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Die kombinierte chirurgisch-kieferorthopädische Gaumennahterweiterung im Erwachsenenalter

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Zusammenfassung

Eine Methode zur chirurgischen Unterstützung einer forcierten Gaumennahterweiterung wird beschrieben. Hierbei werden gezielte Osteotomien im Bereich der Ansatzstelle des Processus zygomaticus der Maxilla und des dorsalen und mittleren Abschnittes des harten Gaumens durchgeführt. Die Ergebnisse an 14 patienten werden exemplarisch dargestellt. Bei fast allen Patienten erfolgte nach anschließender Zahnbogenkoordination eine operative Korrektur der sagittalen und/oder vertikalen Kieferrelation. Die chirurgisch-orthopädische Gaumennahterweiterung erwies sich als effiziente und schmerzarme Methode zum präoperativen Ausgleich von transversalen Kieferdiskrepanzen und erleichterte das spätere operative Vorgehen.

Summary

A method of surgical support of a rapid maxillary expansion is described. Specific osteotomies are performed on the attached region of the maxillary zygomatic process and the dorsal and middle part of the hard palate. The results of 14 patients are demonstrated. Almost all patients underwent surgical correction of sagittal and/or vertical jaw relations after a subsequent harmonization. This surgical orthodontic expansion proved to be an efficient and low pain method of preoperative correction of transverse maxillary deficiencies and facilitated the following skeletal surgery.

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Zöller, J., Ullrich, H. Die kombinierte chirurgisch-kieferorthopädische Gaumennahterweiterung im Erwachsenenalter. Fortschritte der Kieferorthopädie 52, 61–65 (1991). https://doi.org/10.1007/BF02164707

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