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Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis

BACKGROUND: OSAS during childhood leads to significant physical and neuropsychomotor impairment. Thus, it needs to be recognized and treated early in order to avoid or attenuate the chronic problems associated with OSAS, which are deleterious to a child’s development. Adenotonsillectomy and, in sele...

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Autores principales: Machado-Júnior, Almiro-José, Zancanella, Edilson, Crespo, Agrício-Nubiato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4920460/
https://www.ncbi.nlm.nih.gov/pubmed/27031063
http://dx.doi.org/10.4317/medoral.21073
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author Machado-Júnior, Almiro-José
Zancanella, Edilson
Crespo, Agrício-Nubiato
author_facet Machado-Júnior, Almiro-José
Zancanella, Edilson
Crespo, Agrício-Nubiato
author_sort Machado-Júnior, Almiro-José
collection PubMed
description BACKGROUND: OSAS during childhood leads to significant physical and neuropsychomotor impairment. Thus, it needs to be recognized and treated early in order to avoid or attenuate the chronic problems associated with OSAS, which are deleterious to a child’s development. Adenotonsillectomy and, in select cases, continuous positive airwaypressure (CPAP) have been the preferred treatments for OSAS in children, and yet they are ineffective at fully ameliorating the disease. Minimally invasive treatments have recently been proposed, comprising intra-oral and extra-oral devices as well as speech therapy. Objetive: to conduct a meta-analysis on studies from around the world that used rapid maxillary expansion (RME) to treat OSAS in children. MATERIAL AND METHODS: We performed a meta-analysis of studies using RME for OSA treatment in children. A literature survey was conductedusing PubMed and Medline for English articles published up to December 2014 with the following descriptors: Sleep Apnea, Obstructive, Children, Treatment, Orthodontic, Othopaedic, Maxillaryexpansion. Studies were included in the meta-analysisif they were case-controlled studies, randomized, and involved non-syndromic children aged 0 to 12years old diagnosed with OSA by the polysomnography apnea-hypopnea index (AHI) before and after the intervention, submitted RME only. RESULTS: In all, 10 articles conformed to the inclusion criteria and were included in this meta-analysis. The total sample size across all these articles was 215 children, having a mean age of 6.7 years,of whom58.6%were male. The mean AHI during the follow-up was -6.86 (p <0.0001). CONCLUSIONS: We concluded that rapid maxillary expansion (RME) in children with OSAS appears to be an effective treatment for this syndrome. Further randomized clinical studies are needed to determine the effectiveness of RME in adults. Key words:Rapid maxillary expansión, obstructive sleep apnea, meta-analysis.
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spelling pubmed-49204602016-07-01 Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis Machado-Júnior, Almiro-José Zancanella, Edilson Crespo, Agrício-Nubiato Med Oral Patol Oral Cir Bucal Review BACKGROUND: OSAS during childhood leads to significant physical and neuropsychomotor impairment. Thus, it needs to be recognized and treated early in order to avoid or attenuate the chronic problems associated with OSAS, which are deleterious to a child’s development. Adenotonsillectomy and, in select cases, continuous positive airwaypressure (CPAP) have been the preferred treatments for OSAS in children, and yet they are ineffective at fully ameliorating the disease. Minimally invasive treatments have recently been proposed, comprising intra-oral and extra-oral devices as well as speech therapy. Objetive: to conduct a meta-analysis on studies from around the world that used rapid maxillary expansion (RME) to treat OSAS in children. MATERIAL AND METHODS: We performed a meta-analysis of studies using RME for OSA treatment in children. A literature survey was conductedusing PubMed and Medline for English articles published up to December 2014 with the following descriptors: Sleep Apnea, Obstructive, Children, Treatment, Orthodontic, Othopaedic, Maxillaryexpansion. Studies were included in the meta-analysisif they were case-controlled studies, randomized, and involved non-syndromic children aged 0 to 12years old diagnosed with OSA by the polysomnography apnea-hypopnea index (AHI) before and after the intervention, submitted RME only. RESULTS: In all, 10 articles conformed to the inclusion criteria and were included in this meta-analysis. The total sample size across all these articles was 215 children, having a mean age of 6.7 years,of whom58.6%were male. The mean AHI during the follow-up was -6.86 (p <0.0001). CONCLUSIONS: We concluded that rapid maxillary expansion (RME) in children with OSAS appears to be an effective treatment for this syndrome. Further randomized clinical studies are needed to determine the effectiveness of RME in adults. Key words:Rapid maxillary expansión, obstructive sleep apnea, meta-analysis. Medicina Oral S.L. 2016-07 2016-03-31 /pmc/articles/PMC4920460/ /pubmed/27031063 http://dx.doi.org/10.4317/medoral.21073 Text en Copyright: © 2016 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Machado-Júnior, Almiro-José
Zancanella, Edilson
Crespo, Agrício-Nubiato
Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis
title Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis
title_full Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis
title_fullStr Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis
title_full_unstemmed Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis
title_short Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis
title_sort rapid maxillary expansion and obstructive sleep apnea: a review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4920460/
https://www.ncbi.nlm.nih.gov/pubmed/27031063
http://dx.doi.org/10.4317/medoral.21073
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