Rapid expansion of the maxila in treatment of obstructive sleep apnea syndrome in children and teenagers: a systematic review
DOI:
https://doi.org/10.29327/2393773.15.1-9Keywords:
Palatal expansion technique, sleep apnea syndromes, mouth breathinAbstract
Objectives: The present study aims to verify the influence of rapid maxillary expansion in the treatment of obstructive sleep apnea syndrome in children, as well as the stability of its long-term effects. Methodology: A data search was carried out in electronic databases (Pubmed, Web of Science and Scopus), until April 2019. Results: In general, MRE contributed to a significant improvement in the signs and symptoms of OSAS in children, but In some cases, a multidisciplinary approach was necessary for complete remission of symptoms. Conclusion: the degree of improvement in the signs and symptoms of OSAS resulting from ERM appears to be related to the level of the initial apnea and hypopnea index, and this procedure showed long-term stability, especially when the intervention is performed as early as possible and other factors obstructions are not present.
References
BUCCHERI, A. et al. Rapid Maxillary Expansion in Obstructive Sleep Apnea in Young Patients: Cardio-Respiratory Monitoring. J Clini Pediatr Dent, 2017; 41 (4): 312-316
CAMACHO, M. et al. Rapid Maxillary Expansion for Pediatric Obstructive Sleep Apnea: Av Systematic Review and Meta-Analysis. Laryngoscope. 2016 Jul;127(7):1712-1719.
FATSUCA, R. et al. Airway compartments volume and oxygen saturation changes after rapid maxillary expansion: a longitudinal correlation study. Angle Orthod 2015;85:955–961.
GUILLEMINAULT, C. et al. Adenotonsillectomy and rapid maxillary distraction in pre-pubertal children, a pilot study. Sleep Breath 2011;15:173–177.
GUILLEMINAULT, C. et al. Teenage sleepdisordered breathing: recurrence of syndrome. Sleep Med 2013;14:37–44.
HOEKEMA, A.; STEGENGA, B.; DE BONT L. Efficacy and Co-morbidity of Oral Appliances in the Treatment of Obstructive Sleep Apnea-Hypopnea: A Systematic Review. Critical Reviews in Oral Biology & Medicine, 2004. 15(3), 137–155.
HOSSELET, J. et al. Evaluation of maxillary expansion for the treatment of sleep-disordered breathing in children. Am J Respir Crit Care Med 179;2009:A1748.
HOXHA, S. et al. Effect of semi-rapid maxillary expansion in children with obstructive sleep apnea syndrome: 5-month follow-up study. Sleep Breath. 2018.
KIM, M. Orthodontic treatment with rapid maxillary expansion for treating a boy with severe obstructive sleep apnea. Sleep Med Res. 2014; 5:33–36.
MARINO, A. et al. Rapid maxillary expansion in children with obstructive sleep apnoea syndrome (OSAS). Eur J Paediatr Dent. 2012;13:57–63.
MIANO S, et al. NREM sleep instability changes following rapid maxillary expansion in children with obstructive apnea sleep syndrome. Sleep Med 2009;10: 471–478.
PIRELLI, P.; SAPONARA, M.; ATTANASIO, G. Obstructive Sleep Apnoea Syndrome (OSAS) and rhino-tubaric disfunction in children: therapeutic effects of RME therapy. Prog Orthod. 2005;6(1):48-61
PIRELLI, P. et al. Orthodontics and obstructive sleep apnea in children. Med Clin North Am 2010;94:517–529.
PIRELLI, P.; SAPONARA. M.; GUILLEMINAULT, C. Rapid maxillary expansion before and after adenotonsillectomy in children with obstructive sleep apnea. Somnologie 2012;16:125–132.
PIRELLI, P,; SAPONARA, M.; GUILLEMINAULT, C. Rapid maxillary expansion (RME) for pediatric obstructive sleep apnea: a 12-year follow-up. Sleep Med 2015;16:933–935.
ROSE, E.; SCHESSL; J. Orthodontic procedures in the treatment of obstructive sleep apnea in children. J Orofac Orthop 2006;67:58–67.
TADDEI, M. et al. Effects of rapid maxillary expansion and mandibular advancement on upper airways in Marfan’s syndrome children: a home sleep study and cephalometric evaluation. Sleep Breath 2015;19:1213–1220.
TSUKADA E. et al. Prevalence of childhood obstructive sleep apnea syndrome and its role in daytime sleepiness. Plos one. 2018;13(10):e0204409.
TURPIN, D.L. Updated CONSORT and PRISMA documents now available. American Journal of Orthodontics and Dentofacial Orthopedics. 2010; 137 (6): 721-722.
VALE, F. et al. Efficacy of rapid maxillary expansion in the treatment of Obstructive Sleep Apnea Syndrome: A systematic review with meta-analysis, The Journal of Evidence-Based Dental Practice, 2017.
VILLA M.P. et al. Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up. Sleep Med 2007;8:128–134.
VILLA, M.P. et al. Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath 2011;15:179–184.
VILLA, M.P., et al. Adenotonsillectomy and orthodontic therapy in pediatric obstructive sleep apnea. Sleep Breath 2014;18:533–539.
VILLA, M.P. et al. Rapid maxillary expansion outcomes in treatment of obstructive sleep apnea in children. Sleep Med 2015;16: 709–716.
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