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The effect of rapid maxillary expansion in children: a meta-analysis()()

INTRODUCTION: Craniofacial growth is modified by chronic mouth breathing. Rapid maxillary expansion leads to separation of the mid-palatal suture, improving the occlusion and the upper airway size. AIM: Systematically evaluate scientific articles on the effects of rapid maxillary expansion on airway...

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Autores principales: Santana, Denise M.C., Nogueira, Vania S., Lima, Silvana A.M., Fernandes, Luciana P.A., Weber, Silke A.T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615535/
https://www.ncbi.nlm.nih.gov/pubmed/33674227
http://dx.doi.org/10.1016/j.bjorl.2020.12.017
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author Santana, Denise M.C.
Nogueira, Vania S.
Lima, Silvana A.M.
Fernandes, Luciana P.A.
Weber, Silke A.T.
author_facet Santana, Denise M.C.
Nogueira, Vania S.
Lima, Silvana A.M.
Fernandes, Luciana P.A.
Weber, Silke A.T.
author_sort Santana, Denise M.C.
collection PubMed
description INTRODUCTION: Craniofacial growth is modified by chronic mouth breathing. Rapid maxillary expansion leads to separation of the mid-palatal suture, improving the occlusion and the upper airway size. AIM: Systematically evaluate scientific articles on the effects of rapid maxillary expansion on airway dimensions and classify the quality of the evidence of the information. METHODS: Searches on PUBMED, LILACS, EMBASE, SCOPUS, WEB OF SCIENCE and COCHRANE, as well as in the grey literature were performed. The articles found were selected and evaluated both for the risk of bias (ROBINS-I) and for the quality of evidence (GRADE). RESULTS: Of the 309 works found, 26 papers were selected for full reading, of which 22 were excluded. Data compilation and analysis were performed in four papers, two being controlled non-randomized clinical trials and two non-randomized and uncontrolled clinical trials. No randomized clinical trial was found. CONCLUSIONS: The meta-analysis found an increase in the internasal and inter-zygomatic distances and oropharyngeal volume after rapid maxillary expansion, which, together with clinical findings, makes the recommendation favorable to the intervention. The quality of the evidence for each outcome was considered very low.
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spelling pubmed-96155352022-10-29 The effect of rapid maxillary expansion in children: a meta-analysis()() Santana, Denise M.C. Nogueira, Vania S. Lima, Silvana A.M. Fernandes, Luciana P.A. Weber, Silke A.T. Braz J Otorhinolaryngol Original Article INTRODUCTION: Craniofacial growth is modified by chronic mouth breathing. Rapid maxillary expansion leads to separation of the mid-palatal suture, improving the occlusion and the upper airway size. AIM: Systematically evaluate scientific articles on the effects of rapid maxillary expansion on airway dimensions and classify the quality of the evidence of the information. METHODS: Searches on PUBMED, LILACS, EMBASE, SCOPUS, WEB OF SCIENCE and COCHRANE, as well as in the grey literature were performed. The articles found were selected and evaluated both for the risk of bias (ROBINS-I) and for the quality of evidence (GRADE). RESULTS: Of the 309 works found, 26 papers were selected for full reading, of which 22 were excluded. Data compilation and analysis were performed in four papers, two being controlled non-randomized clinical trials and two non-randomized and uncontrolled clinical trials. No randomized clinical trial was found. CONCLUSIONS: The meta-analysis found an increase in the internasal and inter-zygomatic distances and oropharyngeal volume after rapid maxillary expansion, which, together with clinical findings, makes the recommendation favorable to the intervention. The quality of the evidence for each outcome was considered very low. Elsevier 2021-02-16 /pmc/articles/PMC9615535/ /pubmed/33674227 http://dx.doi.org/10.1016/j.bjorl.2020.12.017 Text en © 2021 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. 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 Original Article
Santana, Denise M.C.
Nogueira, Vania S.
Lima, Silvana A.M.
Fernandes, Luciana P.A.
Weber, Silke A.T.
The effect of rapid maxillary expansion in children: a meta-analysis()()
title The effect of rapid maxillary expansion in children: a meta-analysis()()
title_full The effect of rapid maxillary expansion in children: a meta-analysis()()
title_fullStr The effect of rapid maxillary expansion in children: a meta-analysis()()
title_full_unstemmed The effect of rapid maxillary expansion in children: a meta-analysis()()
title_short The effect of rapid maxillary expansion in children: a meta-analysis()()
title_sort effect of rapid maxillary expansion in children: a meta-analysis()()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615535/
https://www.ncbi.nlm.nih.gov/pubmed/33674227
http://dx.doi.org/10.1016/j.bjorl.2020.12.017
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