scholarly journals Rapid maxillary expansion as a treatment for obstructive sleep apnea syndrome in children and adolescents: an evaluation by polysomnography and quality of life

2021 ◽  
Vol 10 (2) ◽  
pp. e52710212825
Author(s):  
Letícia Cabrera Capalbo ◽  
Renan Dal-Fabbro ◽  
Ana Laura Modesto de Albuquerque Donine ◽  
Juliana Sobreira Saraiva ◽  
Renato Bigliazzi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Obstructive Sleep ◽  
Apnea Syndrome

Sleep-related breathing disorders range from snoring to more serious disorders, such as Obstructive Sleep Apnea Syndrome (OSAS). It affects the quality of life of children and are related to mouth breathing, one of the main causes of malocclusion. The aim of this research was to evaluate the polysomnography respiratory data and quality of life in patients diagnosticated with OSAS before and after rapid maxillary expansion (RME). Children aged 7 to 11 were included, all of them presented respiratory complaints of snoring with or without associated respiratory pauses. Children with genetic and craniofacial syndromes, neuropaths, children with grade 4 tonsils or signs of OSAS severity with cyanosis, pulmonary hypertension or pulmonale were excluded. All children underwent occlusal examination and type 3-night polysomnography, in addition to filling out the OSA 18 quality of life questionnaires and the Sleep Disorders Scale in Children. The data were compared before (T0) and after (T1) RME procedure. For parametric values, paired t test was used, and for the non-parametric ones, the Wilcoxon test was applied. There was a significant variation in AHI from T0 = 6.89 to   T1 = 5.34, as well as a significant reduction in OSA 18 scores in 46.2% of cases. RME was effective for the treatment of OSAS considering polysomnography results and also improved quality of life in children.

Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up

2007 ◽  
Vol 8 (2) ◽  
pp. 128-134 ◽  
Author(s):  
Maria Pia Villa ◽  
Caterina Malagola ◽  
Jacopo Pagani ◽  
Marilisa Montesano ◽  
Alessandra Rizzoli ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Obstructive Sleep ◽  
Apnea Syndrome

scholarly journals Quality of life of patients with obstructive sleep apnea syndrome treated with an intraoral mandibular repositioner

2004 ◽  
Vol 62 (2a) ◽  
pp. 222-225 ◽  
Author(s):  
Marco Antonio Cardoso Machado ◽  
Lucila Bizari Fernandes do Prado ◽  
Luciane Bizari Coin de Carvalho ◽  
Silvio Francisco ◽  
Ademir Baptista da Silva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Obstructive Sleep ◽  
Global Quality Of Life ◽  
Apnea Syndrome ◽  
Excellent Improvement

BACKGROUND: Obstructive sleep apnea syndrome (OSAS) is a very important and prevalent disease, which is associated with a poor quality of life in many patients. Treatments for OSAS include surgery, Continuos Positive Air way Pressure, and an intraoral mandibular repositioner (IOMR), but the tendency of sleep centers is to emphasize the apnea index, neglecting quality of life as treatment outcome. OBJECTIVE: To verify to what extent treatment with an IOMR improves the OSAS patient's quality of life. METHOD: Eleven male patients aged 34 to 63 years (mean=49) with mild to moderate OSAS were evaluated using the Calgary SAQLI questionnaire applied before and four weeks after treatment with an IOMR. The mandibular repositioners were manufactured individually for each patient with acrylic polymer and equipped with a retentive device to maintain the mandible in a forward position during sleep. RESULTS: Excellent improvement in the quality of life was observed in five patients (45.5%) and excellent improvement in symptoms in 10 (90.9%). CONCLUSION: The systematic use of the IOMR indicates a clear improvement in the global quality of life as well as in the symptoms of patients with OSAS.

scholarly journals Efficacy of Rapid Maxillary Expansion with or without Previous Adenotonsillectomy for Pediatric Obstructive Sleep Apnea Syndrome Based on Polysomnographic Data: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 10 (18) ◽  
pp. 6485
Author(s):  
Vincenzo Quinzi ◽  
Sabina Saccomanno ◽  
Rebecca Jewel Manenti ◽  
Silvia Giancaspro ◽  
Licia Coceani Paskay ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Meta Analysis ◽  
Sleep Apnea Syndrome ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Obstructive Sleep ◽  
Before And After ◽  
Apnea Syndrome

Aim: To systematically review international literature related to rapid maxillary expansion (RME) as the treatment for obstructive sleep apnea syndrome (OSAS) in children less than 18 years-old, followed by a meta-analysis of the apnea-hypopnea index (AHI) before and after RME, with or without a previous adenotonsillectomy (AT). Methods: Literature on databases from PubMed, Wiley online library, Cochrane Clinical Trials Register, Springer link, and Science Direct were analyzed up to March 2020. Two independent reviewers (S.G. and R.J.M.) screened, assessed, and extracted the quality of the publications. A meta-analysis was performed to compare AHI values before and after the treatment with RME. Results: Six studies reported outcomes for 102 children with a narrow maxillary arch suffering from OSAS with a mean age of 6.7 ± 1.3. AHI improved from a M ± SD of 7.5 ± 3.2/h to 2.5 ± 2.6/h. A higher AHI change in patients with no tonsils (83.4%) and small tonsils (97.7%) was detected when compared to children with large tonsils (56.4%). Data was analyzed based on a follow-up duration of ≤3 year in 79 children and >3 years in 23 children. Conclusion: Reduction in the AHI was detected in all 102 children with OSAS that underwent RME treatment, with or without an adenotonsillectomy. Additionally, a larger reduction in the AHI was observed in children with small tonsils or no tonsils. A general improvement on the daytime and nighttime symptoms of OSAS after RME therapy was noted in all the studies, demonstrating the efficacy of this therapy.

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