Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate - PubMed

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• PMID: 28675100
• DOI: 10.1177/0194599817707168

Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate

Stanley Yung-Chuan Liu et al. Otolaryngol Head Neck Surg. 2017 Aug.

Abstract

A narrow maxilla with high arched palate characterizes a phenotype of obstructive sleep apnea (OSA) patients that is associated with increased nasal resistance and posterior tongue displacement. Current maxillary expansion techniques for adults are designed to correct dentofacial deformity. We describe distraction osteogenesis maxillary expansion (DOME) tailored to adult patients with OSA with narrow nasal floor and high arched palate without soft tissue redundancy. DOME is performed with placement of maxillary expanders secured by mini-implants along the midpalatal suture. This minimizes the maxillary osteotomies necessary to re-create sutural separation for reliable expansion at the nasal floor and palatal vault. We report the safety and efficacy profile of the first 20 patients at Stanford who underwent DOME.

Keywords: bone-borne maxillary expander; distraction osteogenesis; high arched palate; maxillary expansion; mini-implant assisted rapid maxillary expander; nasal obstruction; obstructive sleep apnea; rapid palatal expander.

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