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Influência da expansão rápida da maxila nas vias aéreas superiores: revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_29605 | 300.99 KB | Adobe PDF |
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Abstract(s)
A expansão rápida da maxila é a desarticulação dos ossos maxilares e palatinos ao longo
da sutura palatina mediana, aumentando assim a dimensão transversal do palato duro e mole e,
também, a área dos maxilares. No entanto por consequência aumenta também o volume das
vias aéreas superiores, assim como nas larguras ântero-posteriores do piso nasal.
A existência de vários disjuntores – o de Haas, o de Hyrax, o de MacNamara e o
MARPE – que permitem executar a expansão rápida da maxila, provocam entre outros efeitos
secundários o aumento da base do nariz, aumentando o fluxo aéreo e melhorando
concomitantemente a respiração do paciente.
A descoberta de novos dispositivos como é o caso do dispositivo MARPE vieram trazer
uma nova realidade, onde se pode tratar pacientes com a sutura palatina num estado mais
avançado de ossificação sem um impacto tão grande a nivel dento-alveolar. Permitindo um
impacto na qualidade de vida dos pacientes adultos.
Mais estudos são necessários nesta área para permitir a definição de protocolos
específicos e avaliar o impacto real da disjunção no fluxo respiratório.
Rapid maxillary expansion is a disarticulation of the maxillary and palatine bones along the median palatine suture, thus increasing the hard and soft palate and also na area of the jaws. However, as a consequence, the volume of the upper airways, as well as in the anterior-posterior widths of the nasal floor. The existence of several circuit breakers – Haas, Hyrax, MacNamara and MARPE – that allow the rapid expansion of the maxilla to be carried out, cause, among other side effects, the increase in the base of the nose, increasing airflow and simultaneously improving the patients breathing. The discovery of new devices such as the case of the MARPE device has brought a new reality, in which patients with palatal suture can be treated in a more advanced state of ossification without such a great impact at the dento-alveolar level. Allowing an impact on the quality of life of adult patients. Further, studies are needed in this area to allow the definition of specific protocols and to assess the real impact of the disjunction on respiratory flow.
Rapid maxillary expansion is a disarticulation of the maxillary and palatine bones along the median palatine suture, thus increasing the hard and soft palate and also na area of the jaws. However, as a consequence, the volume of the upper airways, as well as in the anterior-posterior widths of the nasal floor. The existence of several circuit breakers – Haas, Hyrax, MacNamara and MARPE – that allow the rapid expansion of the maxilla to be carried out, cause, among other side effects, the increase in the base of the nose, increasing airflow and simultaneously improving the patients breathing. The discovery of new devices such as the case of the MARPE device has brought a new reality, in which patients with palatal suture can be treated in a more advanced state of ossification without such a great impact at the dento-alveolar level. Allowing an impact on the quality of life of adult patients. Further, studies are needed in this area to allow the definition of specific protocols and to assess the real impact of the disjunction on respiratory flow.
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Keywords
Expansão rápida da maxila Vias aéreas superiores Disjuntores Rapid maxillary expansion Upper airways Circuit breakers