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• W2051222503 abstract "Scopo di questo studio è stato esaminare le modificazioni scheletriche ottenute sul piano trasverso in pazienti adulti, sottoposti nel medesimo tempo chirurgico a osteotomia mascellare di Le Fort I segmentata e a osteotomia mandibolare sagittale secondo Epker, e valutare se il miglioramento apportato ai diametri trasversi del volto sia stato reale e statisticamente significativo. Sono stati analizzati 20 pazienti di entrambi i sessi (8 femmine e 12 maschi), di età compresa tra 22 e 47 anni, affetti da ipoplasia maxillare trasversa associata ad alterazioni anche sul piano sagittale e verticale. A ogni paziente è stata prescritta una teleradiografia posteroanteriore prima e dopo l’intervento e in un follow-up a 6 mesi. Su queste radiografie sono state condotte analisi cefalometriche secondo la Scuola di Milano. In seguito al trattamento sono aumentate, in tutti i soggetti considerati, sia le dimensioni trasversali del mascellare superiore e della cavità nasale sia la larghezza dell’arcata superiore e inferiore. Sono stati osservati, inoltre, la correzione delle dismetrie iniziali e il ripristino di un’ottima simmetria dento-scheletrica. Con l’osteotomia di Le Fort I segmentata, associata a osteotomia mandibolare, è stato possibile ottenere un miglioramento reale e statisticamente significativo dei diametri trasversi del volto, con l’enorme vantaggio di poter risolvere in un unico step chirurgico la disgnazia maxillare e mandibolare nella sua interezza. The aim of this work was to evaluate the skeletal modifications obtained on transverse plane in adult patients, subjected to maxillary segmented Le Fort I osteotomy and sagittal mandibular osteotomy by Epker in the same surgical procedure, and to consider if the improvement provided to transverse diameters of the face was real and statistically significant. 20 patients of both genders (8 females and 12 males) aged 22 to 47 years and showing a transverse maxillary hypoplasia, associated to alterations on sagittal and vertical plane, were analysed. A posteroanterior teleradiography before, after treatment and during a 6 months follow-up was prescribed to each patient. On these radiographs, cephalometric evaluations were performed, according to the Milan School guidelines. After treatment, the transverse dimensions of the maxilla and nasal cavity, the width of the upper and lower dental arch increased in all patients considered. Furthermore, the correction of the original dysmetrias and the recovery of dentofacial and skeletal symmetry were observed. Through segmented Le Fort I osteotomy, combined with mandibular osteotomy, it was possible to obtain a real and statistically significant improvement in the transverse diameter of the face, with the great advantage of solving both the maxillary and mandibular malocclusion in a single-phase surgery." @default.
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• W2051222503 date "2014-06-01" @default.
• W2051222503 modified "2023-09-24" @default.
• W2051222503 title "Disgiunzione maxillare chirurgica: osteotomia di Le Fort I multisegmentata" @default.
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• W2051222503 doi "https://doi.org/10.1016/s0011-8524(14)70190-4" @default.
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