Expansión rápida del maxilar en el tratamiento del síndrome de apnea obstructiva del sueño en niños y adolescentes: revisión sistemática
DOI:
https://doi.org/10.29327/2393773.15.1-9Palabras clave:
Técnica de expansión palatina, síndromes de apnea del sueño, respiración bucal.Resumen
Objetivos: El presente estudio pretende verificar la influencia de la rápida expansión maxilar en el tratamiento del síndrome de apnea obstructiva del sueño en niños, así como la estabilidad de sus efectos a largo plazo. Metodología: Se realizó una búsqueda de datos en bases de datos electrónicas (Pubmed, Web of Science y Scopus), hasta abril de 2019. Resultados: En general, la ERM contribuyó a una mejoría significativa de los signos y síntomas del SAOS en niños, pero en algunos casos , fue necesario un enfoque multidisciplinario para la remisión completa de los síntomas. Conclusión: el grado de mejoría de los signos y síntomas del SAOS resultante de la MER parece estar relacionado con el nivel del índice de apnea e hipopnea inicial, y este procedimiento mostró estabilidad a largo plazo, especialmente cuando la intervención se realiza lo más temprano posible. y otros factores no presentan obstrucciones.
Citas
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.
Descargas
Publicado
Número
Sección
Licencia
Transferência de Direitos Autorais
Declaro que em caso de aceitação do artigo, concordo que os direitos autorais a ele referentes se tornarão propriedade exclusiva da Revista Interdisciplinar.
Assinatura do(s) autor(es)
Data: _____________________________________________________________________
Envio de manuscritos
Os manuscritos devem ser enviados pelo sistema eletrônico para a Revista Interdisciplinar.
