Posted by: MewingIsForCats

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349060/

I haven't seen this study referenced on here before, and thought I'd share. I find the results to be quite impressive.

How does this surgical procedure compare to something like MSE in terms of invasiveness? Are they similar at all and is there hardware used to keep things stabilized? The reason I ask is because I am against surgical procedures, unless, of course, it as, more or less, invasive as MSE for many good logical reasons. in a nutshell, most of thes surgeries (LeFort etc.) don't work well in the long run, so they are a waste of time imo.

Thanks in advance and also thank you for sharing!

SARPE is a midpalatal osteotomy to allow the break in the inter-maxillary suture. It's a lefort minus the vertical/saggital procedures.

I think it can be done under local anesthesia but most do total.

After they break the suture it's followed by some form of RME for tranverse gains.

It's outdated in my opinion but you do get suture separation 100%, which may be the only things that makes it "better" thn MSE, which as you probably know there is a percentage of failed attempts.

MSE from the installation videos i've seen is way less invasive. Especially because your face won't look like a balloon the days after. You also have the option to do cortipuncture with MARPE/MSE. Plus it's only a local anesthesia.

These are pretty similar treatments long term wise i think and people do keep the results after.

Keep in mind this is a uneducated opinion.

If there are doubts of maxillary suture split with MSE expander why wouldn't this be used to guarantee seperation? 

Posted by: Le_Fort_or_Bust

If there are doubts of maxillary suture split with MSE expander why wouldn't this be used to guarantee seperation? 

Usually the procedure is done with only a midpalatal cut. The suture separates but in a V shape. Extra steps on the pterygoid plates can be done to allow more of a U shape separation. Tho this last step is riskier and more intrusive. 

People don't do it with MSE because it was especially developed to be a surgery free procedure that's minimally invasive. That's the whole point of MSE and the bone anchored mini plates.. You wouldn't need a bone anchored expansion device after a surgical suture split. 

Also because

some patients don't want to do it. They're against surgery. Or afraid of it or whatever their reasons are. 

Because it's more expensive than the MSE generally.

Because total anesthesia. 

Because recovery time is not easy at all. 

Because face = balloon, after the procedure. Plus the pain and possible complications, even tho the rate of complications isn't high. 

Because people need to work and can't do it for at least 1 or 2 weeks. 

MSE can also be done with cortipuncture focused more on the front palate to allow better separation. 

There's different forms of SARME and to be honest if I went for SARME I'd just go for a Le Fort. It's pretty much a lefort minus the vertical and saggital adjustments and usually patients undergo total anesthesia. So it's one of those cases that 'meh, I might aswell'