Diagnosis and Effect of Maxillary Expansion in Pediatric Sleep-Disordered Breathing / 대한소아치과학회지
Journal of Korean Academy of Pediatric Dentistry
; (4): 369-381, 2019.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-787393
Biblioteca responsável:
WPRO
ABSTRACT
The aim of this study was to analyze the changes and improvements in symptoms of sleep-disordered breathing (SDB) using semi-rapid maxillary expansion (SRME) in children with narrow maxilla and SDB symptoms. Subjects were 15 patients with sleep disorder (apnea-hypopnea index, AHI ≥ 1) and narrow maxillary arch between 7 and 9 years of age. Before the SRME was applied, all subjects underwent pediatric sleep questionnaires (PSQ), lateral cephalometry, and portable sleep monitoring before expansion (T0). All subjects were treated with SRME for 2 months, followed by maintenance for the next 3 months. All subjects had undergone PSQ, lateral cephalometry, and portable sleep monitoring after expansion (T1). Adenoidal-nasopharyngeal ratio (ANR), upper airway width and hyoid bone position were measured by lateral cephalometry. The data before and after SRME were statistically analyzed with frequency analysis and Wilcoxon signed rank test. As reported by PSQ, the total PSQ scale was declined significantly from 0.45 (T0) to 0.18 (T1) (p = 0.001). Particularly, snoring, breathing, and inattention hyperactivity were significantly improved (p = 0.001). ANR significantly decreased from 0.63 (T0) to 0.51 (T1) (p = 0.003). After maxillary expansion, only palatopharyngeal airway width was significantly increased (p = 0.035). There was no statistically significant difference in position of hyoid bone after expansion (p = 0.333). From analysis of portable sleep monitoring, changes in sleep characteristics showed a statistically significant decrease in AHI and ODI, and the lowest oxygen desaturation was significantly increased after SRME (p = 0.001, 0.004, 0.023).In conclusion, early diagnosis with questionnaires and portable sleep monitoring is important. Treatment using SRME will improve breathing of children with SDB.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
/
Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
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Saúde Mental e Transtornos do Comportamento
/
Outras Doenças Respiratórias
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oxigênio
/
Respiração
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Síndromes da Apneia do Sono
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Transtornos do Sono-Vigília
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Ronco
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Cefalometria
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Técnica de Expansão Palatina
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Polissonografia
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Diagnóstico Precoce
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Diagnóstico
Tipo de estudo:
Estudo diagnóstico
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Estudo de rastreamento
Limite:
Criança
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Academy of Pediatric Dentistry
Ano de publicação:
2019
Tipo de documento:
Artigo