Objective: To evaluate the effect of rapid maxillary expansion on children with nasal breathing and obstructive sleep apnea syndrome. Method: Recruitment of children with maxillary contraction, without of adenoid hypertrophy, with a body mass index < 24 kg/m2, with obstructive sleep apnea syndrome demonstrated by polysomnography, and whose parents signed informed consent. Otolaryngologic and orthognathic-odontologic evaluation with clinical evaluation, anterior rhinometry and nasal fibroscopy, panoramic radiographs, anteroposterior and laterolateral telecephalometry were performed at entry and follow-up. Intervention: Rapid maxillary expansion (ie, active phase of treatment) was performed for 10 to 20 days; maintenance of device (for consolidation) and orthodontic treatment on teeth lasted 6 to 12 months. Results: 31 children (19 boys), mean age 8.7 years, participated in the study. The mean apnea-hypopnea index was 12.2 events per hour. At the 4-month follow-up, the anterior rhinometry was normal, and all children had an apnea-hypopnea index < 1 event per hour. The mean cross-sectional expansion of the maxilla was 4.32 +/- 0.7 mm. There was a mean increase of the pyriform opening of 1.3 +/- 0.3 mm. Conclusion: Rapid maxillary expansion may be a useful approach in dealing with abnormal breathing during sleep.

Pirelli, P., Saponara, M., Guilleminault, C. (2004). Rapid maxillary expansion in children with obstructive sleep apnea syndrome. SLEEP, 27(4), 761-766.

Rapid maxillary expansion in children with obstructive sleep apnea syndrome

PIRELLI, PAOLA;
2004-01-01

Abstract

Objective: To evaluate the effect of rapid maxillary expansion on children with nasal breathing and obstructive sleep apnea syndrome. Method: Recruitment of children with maxillary contraction, without of adenoid hypertrophy, with a body mass index < 24 kg/m2, with obstructive sleep apnea syndrome demonstrated by polysomnography, and whose parents signed informed consent. Otolaryngologic and orthognathic-odontologic evaluation with clinical evaluation, anterior rhinometry and nasal fibroscopy, panoramic radiographs, anteroposterior and laterolateral telecephalometry were performed at entry and follow-up. Intervention: Rapid maxillary expansion (ie, active phase of treatment) was performed for 10 to 20 days; maintenance of device (for consolidation) and orthodontic treatment on teeth lasted 6 to 12 months. Results: 31 children (19 boys), mean age 8.7 years, participated in the study. The mean apnea-hypopnea index was 12.2 events per hour. At the 4-month follow-up, the anterior rhinometry was normal, and all children had an apnea-hypopnea index < 1 event per hour. The mean cross-sectional expansion of the maxilla was 4.32 +/- 0.7 mm. There was a mean increase of the pyriform opening of 1.3 +/- 0.3 mm. Conclusion: Rapid maxillary expansion may be a useful approach in dealing with abnormal breathing during sleep.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/28 - Malattie Odontostomatologiche
English
Con Impact Factor ISI
article; body mass; cephalometry; child; clinical article; clinical examination; clinical trial; device; evaluation; female; fiberscope endoscopy; follow up; human; male; maxilla; maxillofacial disorder; nose airflow; nose airway resistance; nose breathing; orthodontics; outcomes research; panoramic radiography; parameter; polysomnography; priority journal; prospective study; rapid maxillary expansion; rhinometry; sleep apnea syndrome; technique; body mass index; palatal expansion technique; severity of illness index; time factors; nasal opening; rapid maxillary expansion
Pirelli, P., Saponara, M., Guilleminault, C. (2004). Rapid maxillary expansion in children with obstructive sleep apnea syndrome. SLEEP, 27(4), 761-766.
Pirelli, P; Saponara, M; Guilleminault, C
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/56073
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