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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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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. |
format | Online Article Text |
id | pubmed-9615535 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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