[First experiences in maxillary arch expansion using the MWD (Maxillary Widening Device)].

Oliver Seitz, Constantin Landes, Jan-Philipp Dissmann, Robert Sader, Cornelius Klein
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引用次数: 2

Abstract

Aim: Conventional devices for surgical assisted rapid palatinal expansion are either tooth or bone borne. During clinical application over years, system dependant deficiencies, using either device became apparent. So together with Normed, Tuttlingen, we developed a new bone borne distractor (MWD, Maxillary Widening Device). In this article we introduce this distractor and present our first experiences in using this device.

Patients and methods: In this study, 20 patients suffering from maxillary arch compression with anterior crowding were treated using MWD in combination with Glassman's modified Le-Fort-I-osteotomy. Additionally the MWD was inserted in two cleft lip and palate patients, as well as one patient with bilateral microsomy.

Results: The MWD turned out to be a safe, easy to handle and reliable bone borne distractor leading to excellent results. The MWD can be used in early adult as well as in syndromal patients. In early adult patients the complication rate averaged 25%, widening averaged 7,6mm. Relaps was not discovered.

Conclusion: The MWD turned out to be a reliable, stable and user-friendly device leading to excellent results.

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[首次使用MWD(上颌扩大装置)进行上颌弓扩张的经验]。
目的:传统的手术辅助快速腭扩张装置是牙或骨。在多年的临床应用中,使用任何一种设备的系统依赖性缺陷变得明显。因此,我们与Normed, Tuttlingen一起开发了一种新的骨载牵张器(MWD,上颌扩大装置)。在这篇文章中,我们介绍了这个分心器,并介绍了我们使用这个装置的第一次经验。患者和方法:本研究采用MWD联合Glassman改良le - fort - i截骨术治疗20例上颌弓受压伴前牙拥挤患者。此外,MWD还被植入了两名唇腭裂患者,以及一名双侧显微畸形患者。结果:MWD是一种安全、易操作、可靠的骨载牵张器,效果良好。MWD既可用于早期成人,也可用于综合征患者。早期成人患者并发症发生率平均为25%,增宽平均为7.6 mm。Relaps没有被发现。结论:MWD是一种可靠、稳定、使用方便的仪器,效果良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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