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Functional Surgery Questions / Re: SARPE while MMA for better breathing
« Last post by kavan on Today at 03:05:40 PM »I can't answer your question the way you've asked it or with reference to your understanding of things. However, if it helps, I'll go over my understanding as it relates to putting in an expansion device soon before double jaw surgery.
MMA=Maxilla Mandible advancement= DOUBLE JAW surgery
MARPE= mini screw assisted rapid palatal expansion
SARPE= surgically assisted rapid palatal expansion
You use the terms MARPE and SARPE interchangeably. I don't know the fine point difference between them. What they have in common assisted rapid expansion of the palate.
From what you say, you are going to get a device installed before the surgery to ASSIST RAPID EXPANSION OF THE PALATE. Like, it's not as if the surgeon is going to cut your palate in half and separate it during the surgery. Whether, it's a MARPE or SARPE device, it's something he's going to put in BEFORE the surgery to expand the palate later down the line. The device has a turn key that you turn at home over a period of time for the palate expansion. So right before the surgery, they can make some kind of incision to the palate that will allow expansion later down the line (at home).
Perhaps it might help to know that the ROOF of the hard palate (part of the maxilla) is also the FLOOR of the nose.The floor of the nasal cavity is the hard palate, which separates the nasal cavity from the oral cavity. So, your maxillary advancement aspect of the MMA (DJS) is advancing forward your HARD PALATE and with that is the floor of the nasal cavity. So, with the maxillary advancement, the base of the nose along with it will also be advanced. But there will be no width to width expansion of palate and hence no width to width expansion of the nasal cavity. That comes later via the expansion DEVICE put in which will allow you to turn a key to it for palate expansion after the main surgery.
If in addition to the double jaw surgery (lefort, BSSO and all advancements and rotations involved in it), you also need expansion of the hard PALATE, YES, a device can be put in there soon before surgery where you can turn the key attached to it on a daily basis for EXPANSION of the palate at home.
EXPANSION of the PALATE CAN IMPROVE NASAL BREATHING. But to expand safely and not compromise the blood supply by acutally splitting the palate in half and separating it that way, they put in an expander DEVICE which is what you are getting.
Again, the PART of the maxilla being moved is the HARD PALATE which is addition to being the ROOF of the MOUTH is the FLOOR of the nasal cavity. The main surgical procedure is the DJS (or MMA). So, the base of your nose will be ADVANCED with this. The PRE-SURGICAL installation of the rapid expansion device is for the AT HOME part to make your hard palate WIDER via turning the key to it on a gradual basis. Since the hard palate is the floor of nasal cavity, then you will have more room for breathing.
So, NO, you don't have to wait 2 years to get your palate expansion afterwards. You can get the device put in before your surgery as looks to be the plan and basically expand your palate AT HOME after your main surgery.
MMA=Maxilla Mandible advancement= DOUBLE JAW surgery
MARPE= mini screw assisted rapid palatal expansion
SARPE= surgically assisted rapid palatal expansion
You use the terms MARPE and SARPE interchangeably. I don't know the fine point difference between them. What they have in common assisted rapid expansion of the palate.
From what you say, you are going to get a device installed before the surgery to ASSIST RAPID EXPANSION OF THE PALATE. Like, it's not as if the surgeon is going to cut your palate in half and separate it during the surgery. Whether, it's a MARPE or SARPE device, it's something he's going to put in BEFORE the surgery to expand the palate later down the line. The device has a turn key that you turn at home over a period of time for the palate expansion. So right before the surgery, they can make some kind of incision to the palate that will allow expansion later down the line (at home).
Perhaps it might help to know that the ROOF of the hard palate (part of the maxilla) is also the FLOOR of the nose.The floor of the nasal cavity is the hard palate, which separates the nasal cavity from the oral cavity. So, your maxillary advancement aspect of the MMA (DJS) is advancing forward your HARD PALATE and with that is the floor of the nasal cavity. So, with the maxillary advancement, the base of the nose along with it will also be advanced. But there will be no width to width expansion of palate and hence no width to width expansion of the nasal cavity. That comes later via the expansion DEVICE put in which will allow you to turn a key to it for palate expansion after the main surgery.
If in addition to the double jaw surgery (lefort, BSSO and all advancements and rotations involved in it), you also need expansion of the hard PALATE, YES, a device can be put in there soon before surgery where you can turn the key attached to it on a daily basis for EXPANSION of the palate at home.
EXPANSION of the PALATE CAN IMPROVE NASAL BREATHING. But to expand safely and not compromise the blood supply by acutally splitting the palate in half and separating it that way, they put in an expander DEVICE which is what you are getting.
Again, the PART of the maxilla being moved is the HARD PALATE which is addition to being the ROOF of the MOUTH is the FLOOR of the nasal cavity. The main surgical procedure is the DJS (or MMA). So, the base of your nose will be ADVANCED with this. The PRE-SURGICAL installation of the rapid expansion device is for the AT HOME part to make your hard palate WIDER via turning the key to it on a gradual basis. Since the hard palate is the floor of nasal cavity, then you will have more room for breathing.
So, NO, you don't have to wait 2 years to get your palate expansion afterwards. You can get the device put in before your surgery as looks to be the plan and basically expand your palate AT HOME after your main surgery.