SARPE
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SARPE
Surgically assisted rapid palatal expansion (SARPE), also known as surgically assisted rapid maxillary expansion (SARME), is a technique in the field of orthodontics which is used to expand the maxillary arch. This technique is a combination of both Oral and Maxillofacial Surgery and Orthodontics. This procedure is primarily done in adult patients whose maxillary sutures are fused and cannot be expanded via other techniques. History Orthodontic expansion was first described by Emersen Angell about 145 years ago. Kole in 1959 was the first person to speak about the procedure of corticotomy in adults with maxillary constriction. Brown first described the surgical technique for SARPE in 1938. Steinhauser first described the technique involving the segmental left/right split of maxilla along with placement of the graft in 1972. Indications * Skeletal maturity or adult patients * Fused intermaxillary suture * Transverse maxillary hypoplasia * Bilateral posterior crossbite * Previou ...
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Maxilla
The maxilla (plural: ''maxillae'' ) in vertebrates is the upper fixed (not fixed in Neopterygii) bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The two maxillary bones are fused at the intermaxillary suture, forming the anterior nasal spine. This is similar to the mandible (lower jaw), which is also a fusion of two mandibular bones at the mandibular symphysis. The mandible is the movable part of the jaw. Structure In humans, the maxilla consists of: * The body of the maxilla * Four processes ** the zygomatic process ** the frontal process of maxilla ** the alveolar process ** the palatine process * three surfaces – anterior, posterior, medial * the Infraorbital foramen * the maxillary sinus * the incisive foramen Articulations Each maxilla articulates with nine bones: * two of the cranium: the frontal and ethmoid * seven of the face: the nasal, zygomatic, lacrimal, inferior n ...
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General Anaesthesia
General anaesthesia (UK) or general anesthesia (US) is a medically induced loss of consciousness that renders the patient unarousable even with painful stimuli. This effect is achieved by administering either intravenous or inhalational general anaesthetic medications, which often act in combination with an analgesic and neuromuscular blocking agent. Spontaneous ventilation is often inadequate during the procedure and intervention is often necessary to protect the airway. General anaesthesia is generally performed in an operating theater to allow surgical procedures that would otherwise be intolerably painful for a patient, or in an intensive care unit or emergency department to facilitate endotracheal intubation and mechanical ventilation in critically ill patients. A variety of General anesthetic, drugs may be administered, with the overall goal of achieving unconsciousness, amnesia, analgesia, loss of reflexes of the autonomic nervous system, and in some cases paralysis of ske ...
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Le Fort Fracture Of Skull
A Le Fort fracture of the skull is a classic transfacial fracture of the midface, involving the maxillary bone and surrounding structures in either a horizontal, pyramidal or transverse direction. The hallmark of Lefort fractures is traumatic ''pterygomaxillary separation'', which signifies fractures between the pterygoid plates, horseshoe-shaped bony protuberances which extend from the inferior margin of the maxilla, and the maxillary sinuses. Continuity of this structure is a keystone for stability of the midface, involvement of which impacts surgical management of trauma victims, as it requires fixation to a horizontal bar of the frontal bone. The pterygoid plates lie posterior to the upper dental row, or alveolar ridge, when viewing the face from an anterior view. The fractures are named after French surgeon René Le Fort (1869–1951), who discovered the fracture patterns by examining crush injuries in cadavers. Signs and symptoms Le Fort I – Slight swelling of the upper ...
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American Journal Of Orthodontics And Dentofacial Orthopedics
The ''American Journal of Orthodontics and Dentofacial Orthopedics'' is a monthly peer-reviewed medical journal covering orthodontic research. It is published by Elsevier and is the official journal of the American Association of Orthodontists. The editor-in-chief is Rolf G. Behrents ( Saint Louis University). The journal was established in 1915 and obtained its current name in 1986. Previous names include ''American Journal of Orthodontics'' and ''American Journal of Orthodontics and Oral Surgery''. Abstracting and indexing The journal is abstracted and indexed in CINAHL, Index Medicus/MEDLINE/PubMed, and Scopus. According to the ''Journal Citation Reports'', the journal has a 2014 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as ... of 1.382. References External ...
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