Cargando…

Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review

OBJECTIVE: To compare polysomnographic parameters with others from the literature in order to provide more accurate information about Rapid Maxillary Expansion (RME) for treating Obstructive Sleep Apnea (OSA) in children, through raising the question: Is RME a good option for treating OSA in childre...

Descripción completa

Detalles Bibliográficos
Autores principales: Barbosa, Denise Fernandes, Bana, Laura Fernandes, Michel, Maria Cristina Buta, Meira e Cruz, Miguel, Zancanella, Edilson, Machado Júnior, Almiro José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196337/
https://www.ncbi.nlm.nih.gov/pubmed/36894478
http://dx.doi.org/10.1016/j.bjorl.2023.02.004
_version_ 1785044329796993024
author Barbosa, Denise Fernandes
Bana, Laura Fernandes
Michel, Maria Cristina Buta
Meira e Cruz, Miguel
Zancanella, Edilson
Machado Júnior, Almiro José
author_facet Barbosa, Denise Fernandes
Bana, Laura Fernandes
Michel, Maria Cristina Buta
Meira e Cruz, Miguel
Zancanella, Edilson
Machado Júnior, Almiro José
author_sort Barbosa, Denise Fernandes
collection PubMed
description OBJECTIVE: To compare polysomnographic parameters with others from the literature in order to provide more accurate information about Rapid Maxillary Expansion (RME) for treating Obstructive Sleep Apnea (OSA) in children, through raising the question: Is RME a good option for treating OSA in children? Prevention of mouth breathing during children's growth remains a challenge with significant clinical consequences. In addition, OSA induces anatomofunctional changes during the critical period of craniofacial growth and development. METHODS: The Medline, PubMed, EMBASE, CINAHL, Web of Science, SciELO and Scopus electronic databases were searched up to February 2021 for systematic reviews with meta-analysis in the English language. Among 40 studies on RME for treating OSA in children, we selected seven in which polysomnographic measurements of the Apnea-Hypopnea Index (AHI) had been made. Data were extracted and examined in order to clarify whether any consistent evidence exists for indicating RME as a treatment for OSA in children. RESULTS: We found no consistent evidence favoring RME for long-term treatment of OSA in children. All the studies presented considerable heterogeneity due to variability of age and length of follow-up. CONCLUSION: Through this umbrella review, the need for methodologically better studies on RME is supported. Moreover, it can be considered that RME is not recommended for treating OSA in children. Further studies and more evidence identifying early signs of OSA are necessary in order to achieve consistent healthcare practice.
format Online
Article
Text
id pubmed-10196337
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-101963372023-05-20 Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review Barbosa, Denise Fernandes Bana, Laura Fernandes Michel, Maria Cristina Buta Meira e Cruz, Miguel Zancanella, Edilson Machado Júnior, Almiro José Braz J Otorhinolaryngol Review Article OBJECTIVE: To compare polysomnographic parameters with others from the literature in order to provide more accurate information about Rapid Maxillary Expansion (RME) for treating Obstructive Sleep Apnea (OSA) in children, through raising the question: Is RME a good option for treating OSA in children? Prevention of mouth breathing during children's growth remains a challenge with significant clinical consequences. In addition, OSA induces anatomofunctional changes during the critical period of craniofacial growth and development. METHODS: The Medline, PubMed, EMBASE, CINAHL, Web of Science, SciELO and Scopus electronic databases were searched up to February 2021 for systematic reviews with meta-analysis in the English language. Among 40 studies on RME for treating OSA in children, we selected seven in which polysomnographic measurements of the Apnea-Hypopnea Index (AHI) had been made. Data were extracted and examined in order to clarify whether any consistent evidence exists for indicating RME as a treatment for OSA in children. RESULTS: We found no consistent evidence favoring RME for long-term treatment of OSA in children. All the studies presented considerable heterogeneity due to variability of age and length of follow-up. CONCLUSION: Through this umbrella review, the need for methodologically better studies on RME is supported. Moreover, it can be considered that RME is not recommended for treating OSA in children. Further studies and more evidence identifying early signs of OSA are necessary in order to achieve consistent healthcare practice. Elsevier 2023-02-17 /pmc/articles/PMC10196337/ /pubmed/36894478 http://dx.doi.org/10.1016/j.bjorl.2023.02.004 Text en © 2023 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier España, S.L.U. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review Article
Barbosa, Denise Fernandes
Bana, Laura Fernandes
Michel, Maria Cristina Buta
Meira e Cruz, Miguel
Zancanella, Edilson
Machado Júnior, Almiro José
Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review
title Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review
title_full Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review
title_fullStr Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review
title_full_unstemmed Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review
title_short Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review
title_sort rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196337/
https://www.ncbi.nlm.nih.gov/pubmed/36894478
http://dx.doi.org/10.1016/j.bjorl.2023.02.004
work_keys_str_mv AT barbosadenisefernandes rapidmaxillaryexpansioninpediatricpatientswithobstructivesleepapneaanumbrellareview
AT banalaurafernandes rapidmaxillaryexpansioninpediatricpatientswithobstructivesleepapneaanumbrellareview
AT michelmariacristinabuta rapidmaxillaryexpansioninpediatricpatientswithobstructivesleepapneaanumbrellareview
AT meiraecruzmiguel rapidmaxillaryexpansioninpediatricpatientswithobstructivesleepapneaanumbrellareview
AT zancanellaedilson rapidmaxillaryexpansioninpediatricpatientswithobstructivesleepapneaanumbrellareview
AT machadojunioralmirojose rapidmaxillaryexpansioninpediatricpatientswithobstructivesleepapneaanumbrellareview