Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review
Obstructive sleep apnea (OSA) is a sleeping breathing disorder. In children, adenotonsillar hypertrophy remains the main anatomical risk factor of OSA. The aim of this study was to assess the current scientific data and to systematically summarize the evidence for the efficiency of adenotonsillectom...
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MDPI AG
2020-07-01
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Online Access: | https://www.mdpi.com/2077-0383/9/8/2387 |
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author | Laura Templier Cecilia Rossi Manuel Miguez Javier De la Cruz Pérez Adrián Curto Alberto Albaladejo Manuel Lagravère Vich |
author_facet | Laura Templier Cecilia Rossi Manuel Miguez Javier De la Cruz Pérez Adrián Curto Alberto Albaladejo Manuel Lagravère Vich |
author_sort | Laura Templier |
collection | DOAJ |
description | Obstructive sleep apnea (OSA) is a sleeping breathing disorder. In children, adenotonsillar hypertrophy remains the main anatomical risk factor of OSA. The aim of this study was to assess the current scientific data and to systematically summarize the evidence for the efficiency of adenotonsillectomy (AT) and orthodontic treatment (i.e., rapid maxillary expansion (RME) and mandibular advancement (MA)) in the treatment of pediatric OSA. A literature search was conducted in several databases, including PubMed, Embase, Medline, Cochrane and LILACS up to 5th April 2020. The initial search yielded 509 articles, with 10 articles being identified as eligible after screening. AT and orthodontic treatment were more effective together than separately to cure OSA in pediatric patients. There was a greater decrease in apnea hypoapnea index (AHI) and respiratory disturbance index (RDI), and a major increase in the lowest oxygen saturation and the oxygen desaturation index (ODI) after undergoing both treatments. Nevertheless, the reappearance of OSA could occur several years after reporting adequate treatment. In order to avoid recurrence, myofunctional therapy (MT) could be recommended as a follow-up. However, further studies with good clinical evidence are required to confirm this finding. |
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format | Article |
id | doaj.art-065c782bf1924db79d0b7746d2905354 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T18:11:41Z |
publishDate | 2020-07-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
spelling | doaj.art-065c782bf1924db79d0b7746d29053542023-11-20T08:01:32ZengMDPI AGJournal of Clinical Medicine2077-03832020-07-0198238710.3390/jcm9082387Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic ReviewLaura Templier0Cecilia Rossi1Manuel Miguez2Javier De la Cruz Pérez3Adrián Curto4Alberto Albaladejo5Manuel Lagravère Vich6Division of Orthodontics, School of Dentistry, University of Alfonso X el Sabio, 28016 Madrid, Spain; Faculty of MedicineDivision of Orthodontics, School of Dentistry, University of Alfonso X el Sabio, 28016 Madrid, Spain; Faculty of MedicineSleep Dental Medicine Spanish Society (SEMDeS), Dental Sleep Medicine Program, Catholic University of Murcia UCAM, 30107 Murcia, SpainDivision of Orthodontics, School of Dentistry, University of Alfonso X el Sabio, 28016 Madrid, Spain; Faculty of MedicineFaculty of Medicine, University of Salamanca, 37007 Salamanca, SpainFaculty of Medicine, University of Salamanca, 37007 Salamanca, SpainDivision of Orthodontics, School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, CanadaObstructive sleep apnea (OSA) is a sleeping breathing disorder. In children, adenotonsillar hypertrophy remains the main anatomical risk factor of OSA. The aim of this study was to assess the current scientific data and to systematically summarize the evidence for the efficiency of adenotonsillectomy (AT) and orthodontic treatment (i.e., rapid maxillary expansion (RME) and mandibular advancement (MA)) in the treatment of pediatric OSA. A literature search was conducted in several databases, including PubMed, Embase, Medline, Cochrane and LILACS up to 5th April 2020. The initial search yielded 509 articles, with 10 articles being identified as eligible after screening. AT and orthodontic treatment were more effective together than separately to cure OSA in pediatric patients. There was a greater decrease in apnea hypoapnea index (AHI) and respiratory disturbance index (RDI), and a major increase in the lowest oxygen saturation and the oxygen desaturation index (ODI) after undergoing both treatments. Nevertheless, the reappearance of OSA could occur several years after reporting adequate treatment. In order to avoid recurrence, myofunctional therapy (MT) could be recommended as a follow-up. However, further studies with good clinical evidence are required to confirm this finding.https://www.mdpi.com/2077-0383/9/8/2387surgicalorthodontic treatmentsapnea |
spellingShingle | Laura Templier Cecilia Rossi Manuel Miguez Javier De la Cruz Pérez Adrián Curto Alberto Albaladejo Manuel Lagravère Vich Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review Journal of Clinical Medicine surgical orthodontic treatments apnea |
title | Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review |
title_full | Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review |
title_fullStr | Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review |
title_full_unstemmed | Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review |
title_short | Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review |
title_sort | combined surgical and orthodontic treatments in children with osa a systematic review |
topic | surgical orthodontic treatments apnea |
url | https://www.mdpi.com/2077-0383/9/8/2387 |
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