This document describes endoscopic assisted SARME (segmental alveolar repositioning with miniplates and endoscopy). It notes the open technique involves a Le Fort I incision while the endoscopic technique uses a single vertical midline incision and subperiosteal tunneling with a Storz endoscope. Key benefits of the endoscopic approach include reduced postoperative pain and swelling, no risk of oroantral communication, no scarring of the labial fold, and direct visualization beyond the zygomatic buttress.

1. Endoscopic assisted
SARME
M.S. Maningky
OMF Surgeon

2. SARME
•
Open technique le Fort I incision
•
Hyrax
•
Narrow maxilla
•
Nasal and zygomatic buttress, alveolar bone
midline

3. Adverse effects
•
Postoperative pain and swelling
•
Oroantral communication
•
Reduced depth of labial fold due to scartissue
contraction

4. Endoscopic assisted
SARME
•
Single vertical midline incision
•
Subperiosteal tunnel
•
Storch 0' endoscope
•
Round bur

5. Single incision

6. Subperiosteal tunnel

7. Round burr

8. Zygomatic buttress

9. Bone incision

10. Contralateral side

11. Intact Schneiderian membrane

12. No scarring in labial fold

13. Benefit endoscopic vs open
•
Reduced postoperative pain and swelling?
•
No oroantral communication
•
No scartissue in labial fold
•
Direct visualisation distal to zygomatic buttress