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A retrospective analysis of the complication rate after SARPE in 111 cases, and its relationship to patient age at surgery

Tijdschriftbijdrage - Tijdschriftartikel

PURPOSE: Surgically assisted rapid palatal expansion (SARPE) is a well-known surgical intervention for treating maxillary transverse deficiencies (MTDs). This investigation aimed to evaluate the complication rate after SARPE, and its relationship to patient age. MATERIALS AND METHODS: Based on multivariate analyses, the complication rate after SARPE and its association with increasing age in 111 patients with MTD was evaluated. In every case the following variables were evaluated: age, gender, concomitant surgery, expander appliance, perioperative and dental complications, pain score, neurosensory disturbances (NSDs), postoperative excessive haemorrhage, length of hospital stay, infection, oronasal communication, palatal ulceration, asymmetrical maxillary expansion, mal- or non-union of the bone, lacrimation, and mechanical failure. RESULTS: Overall, 58 (52.25%) patients had minor-to-severe complications. The most common complications were NSDs (27.03%) and postoperative pain (13.51%). Multivariate analysis showed that the frequency of dental complications (mean age 35.9; SD = 10.5140; p = 0.0021∗), NSDs in general (mean age 30; SD = 9.9827; p = 0.0157∗), NSDs lasting more than 4 weeks (mean age 30,9583; SD = 10.6260; p = 0.0105∗), and NSDs lasting more than 1 year (mean age 36.2; SD = 8.7579; p = 0.0201∗) increased significantly with patient age. CONCLUSION: Detailed data analysis revealed a limited number of severe, long-term complications after SARPE. However, careful patient selection is recommended in elderly cases.
Tijdschrift: Journal of Cranio-Maxillofacial Surgery
ISSN: 1010-5182
Issue: 5
Volume: 48
Pagina's: 467 - 471
Jaar van publicatie:2020
BOF-keylabel:ja
IOF-keylabel:ja
BOF-publication weight:1
CSS-citation score:2
Authors from:Higher Education
Toegankelijkheid:Open