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

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

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dc.contributor.author Machado-Junior, Almiro-José es
dc.contributor.author Zancanella, Edilson es
dc.contributor.author Crespo, Agrício-Nubiato es
dc.date.accessioned 2016-07-26T12:01:04Z
dc.date.available 2016-07-26T12:01:04Z
dc.date.issued 2016 es
dc.identifier.uri http://hdl.handle.net/10550/54795
dc.relation es
dc.source Machado-Junior, Almiro-José ; Zancanella, Edilson ; Crespo, Agrício-Nubiato. Rapid maxillary expansion and obstructive sleep apnea: a review and meta-analysis. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2016, Vol. 21, No. 4: 465- es
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Rapid maxillary expansion and obstructive sleep apnea: a review and meta-analysis es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.description.abstractenglish 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 apneahypopnea 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. es

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