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.
|Tipologia:||Articolo su rivista|
|Citazione:||Pirelli, P., Saponara, M., & Guilleminault, C. (2004). Rapid maxillary expansion in children with obstructive sleep apnea syndrome. SLEEP, 27(4), 761-766.|
|IF:||Con Impact Factor ISI|
|Settore Scientifico Disciplinare:||Settore MED/28 - Malattie Odontostomatologiche|
|Revisione (peer review):||Sì, ma tipo non specificato|
|Stato di pubblicazione:||Pubblicato|
|Data di pubblicazione:||2004|
|Titolo:||Rapid maxillary expansion in children with obstructive sleep apnea syndrome|
|Autori:||Pirelli, P; Saponara, M; Guilleminault, C|
|Appare nelle tipologie:||01 - Articolo su rivista|