World Sleep 2019/Maxillary Expansion: Endoscopic Assisted Surgical Expansion (EASE)

Sleep Apnea Surgery Center
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[@lena990]

But why do you make EASE so inaccessible for literally everyone. Imagine how you could change the world if you made EASE a few thousand dollars

[@henrykwieniawski7233]

Ikr???!!

[@jonathanbrown2190]

Limited time and ability to monitor patients?

[@Sunrise-fr9jb]

If it was only a few thousand the the waitlist would be like 5 years

[@maximedelmas]

Ain't that better than not being able to do it?@@Sunrise-fr9jb

[@maxaffe3195]

Does MMA also give more nasal cavity space? also posterior?

[@juliedeclunder7759]

Do you need to correct the bite afterwards? because the upper teeth don't match the lower teeth anymore

[@fckdischit]

So what happens to the cone shaped space? Does it fill with bone? I'd be scared to move the teeth into empty space.

[@tjam4229]

fckdischit, Yes. Eventually it fills in with bone, forming new bone from the edges of the newly exposed palatal split. That’s why it’s important to expand “slowly”…it gives a chance for new bone to form as widening is occurring.

[@tjam4229]

It seems like this procedure would have even higher predictability if EVERY anchor point of the maxilla to the skull was cut and every point from left to right side of the maxilla cut. Basically removing the maxilla from the rest of the skull and dividing it into two portions…left and right…allowing the expansion screw to do its work “with ease” (pun intended)

[@user-p6-3561]

That's just traditional SARPE, you wouldn't get as much nasal breathing benefits

[@tjam4229]

@@user-p6-3561, no. You are incorrect. SARPE cuts WITHIN the maxilla. It cuts a potion of the maxilla away from the rest of the skull 💀 just above the roots of the maxillary teeth (while also splitting the palate). SARPE has surgical cuts in areas that were NOT at the points of skeletal sutures (points where bones came together a fused). I’m suggesting all the significant MAXILLARY SUTURES be cut. To release the entire mid face from the rest of the skull. To mimic going back in time. Just before the bones of the mid-face fused together. THAT is what I’m suggesting. I guess it’s similar to DOME. Important thing is that you would want to leave the entire maxilla as one piece, so you get NASAL expansion once expansion forces are applied. With all the Maxillary sutures cut, the expansion should take less force, therefore be easier, and more predictable, with more uniform expansion from left to right sides.
Maybe even cut the zygomatic-frontal suture where you want the expansive forces on the maxilla to hinge/rotate.

[@Johns367]

So mike mew is wrong with the alf appliance?

[@antoniovasquez5587]

Good for young kids

[@auburntiger6829]

ALF hasn’t been proven for adults, which already completed growth

[@Sunrise-fr9jb]

Is it just me or do they look worse after..?

[@KvltKommando]

Then what, are you just stuck with a gap in your teeth forever? Cause that looks pretty bad and I'd never choose to have a gap in my teeth unless my problems were severe

[@MaybeBeni]

I’m guessing Invisalign could definitely close the gap. Considering EASE gives way less of a significant diastema, it seems to be more effective in helping expand the nasal cavity compared to other procedures like SARPE / MSE.
But if that’s not the case, personally, I wouldn’t mind having that small gap if it would definitely help my sleep apnea. I wouldn’t even say I have severe apnea, but I’m very symptomatic (fatigue, brain fog, terrible with cardio due to inability to breathe through my nose as much, etc.)

[@user-p6-3561]

@@MaybeBeni well said

[@joeblogs7453]

@@MaybeBeniI’d do anything to treat this

[@maxaffe3195]

@@MaybeBeni but why is less gap better? doesnt more gap mean wider nasel cavity???

[@MaybeBeni]

@@maxaffe3195 it’s possible to get more expansion at the back of your palate compared to the front, which tends to make less of a gap appear in your front teeth. It all depends on the exact placement of the expander. I had an FME recently which did just that. However, I needed a second expander, which was a custom MARPE. I’m done expanding and my nasal breathing is way better.