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Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective
Background. To evaluate the possible effects of Rapid Maxillary Expansion (RME), such as nasal breathing problems, middle ear function, Obstructive Sleep Apnea (OSA) in the otolaryngology field. RME has already been introduced in orthodontics to expand the maxilla of young patients affected by trans...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457357/ https://www.ncbi.nlm.nih.gov/pubmed/36079172 http://dx.doi.org/10.3390/jcm11175243 |
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author | Cerritelli, Luca Hatzopoulos, Stavros Catalano, Andrea Bianchini, Chiara Cammaroto, Giovanni Meccariello, Giuseppe Iannella, Giannicola Vicini, Claudio Pelucchi, Stefano Skarzynski, Piotr Henryk Ciorba, Andrea |
author_facet | Cerritelli, Luca Hatzopoulos, Stavros Catalano, Andrea Bianchini, Chiara Cammaroto, Giovanni Meccariello, Giuseppe Iannella, Giannicola Vicini, Claudio Pelucchi, Stefano Skarzynski, Piotr Henryk Ciorba, Andrea |
author_sort | Cerritelli, Luca |
collection | PubMed |
description | Background. To evaluate the possible effects of Rapid Maxillary Expansion (RME), such as nasal breathing problems, middle ear function, Obstructive Sleep Apnea (OSA) in the otolaryngology field. RME has already been introduced in orthodontics to expand the maxilla of young patients affected by transversal maxillary constriction. Methods. A literature search was performed using different databases (Medline/PubMed, EMBASE, and CINAHL), from May 2005 to November 2021, according to the PRISMA guidelines. Results. The application of RME in children has shown good results on nasal function, reducing nasal resistances, independently from a previous adenotonsillectomy. These results are not only related to the increasing of nasal transverse diameters and volume, but also to the stiffening of airway muscles, enabling the nasal filtrum function and avoiding mouth opening, thereby decreasing respiratory infections. Positive effects have also been reported for the treatment of conductive hearing loss and of OSA, with the reduction of Apnea Hypopnea Index (AHI), possibly due to (i) an increased pharyngeal dimensions, (ii) a new tongue posture, and (iii) reduced nasal respiratory problems. Conclusions. Otolaryngologists should be aware of the indications and benefits of the RME treatment, considering its possible multiple beneficial effects. |
format | Online Article Text |
id | pubmed-9457357 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94573572022-09-09 Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective Cerritelli, Luca Hatzopoulos, Stavros Catalano, Andrea Bianchini, Chiara Cammaroto, Giovanni Meccariello, Giuseppe Iannella, Giannicola Vicini, Claudio Pelucchi, Stefano Skarzynski, Piotr Henryk Ciorba, Andrea J Clin Med Review Background. To evaluate the possible effects of Rapid Maxillary Expansion (RME), such as nasal breathing problems, middle ear function, Obstructive Sleep Apnea (OSA) in the otolaryngology field. RME has already been introduced in orthodontics to expand the maxilla of young patients affected by transversal maxillary constriction. Methods. A literature search was performed using different databases (Medline/PubMed, EMBASE, and CINAHL), from May 2005 to November 2021, according to the PRISMA guidelines. Results. The application of RME in children has shown good results on nasal function, reducing nasal resistances, independently from a previous adenotonsillectomy. These results are not only related to the increasing of nasal transverse diameters and volume, but also to the stiffening of airway muscles, enabling the nasal filtrum function and avoiding mouth opening, thereby decreasing respiratory infections. Positive effects have also been reported for the treatment of conductive hearing loss and of OSA, with the reduction of Apnea Hypopnea Index (AHI), possibly due to (i) an increased pharyngeal dimensions, (ii) a new tongue posture, and (iii) reduced nasal respiratory problems. Conclusions. Otolaryngologists should be aware of the indications and benefits of the RME treatment, considering its possible multiple beneficial effects. MDPI 2022-09-05 /pmc/articles/PMC9457357/ /pubmed/36079172 http://dx.doi.org/10.3390/jcm11175243 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Cerritelli, Luca Hatzopoulos, Stavros Catalano, Andrea Bianchini, Chiara Cammaroto, Giovanni Meccariello, Giuseppe Iannella, Giannicola Vicini, Claudio Pelucchi, Stefano Skarzynski, Piotr Henryk Ciorba, Andrea Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective |
title | Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective |
title_full | Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective |
title_fullStr | Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective |
title_full_unstemmed | Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective |
title_short | Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective |
title_sort | rapid maxillary expansion (rme): an otolaryngologic perspective |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457357/ https://www.ncbi.nlm.nih.gov/pubmed/36079172 http://dx.doi.org/10.3390/jcm11175243 |
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