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Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up

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Abstract

Purpose

In view of the positive outcome of orthodontic treatment using rapid maxillary expansion (RME) on sleep-disordered breathing, we generated data on RME in children with obstructive sleep apnea (OSA) by evaluating objective and subjective data over a 36-month follow-up period, to determine whether RME is effective in the long-term treatment of OSA. We selected all patients with dental malocclusions and OSA syndrome (OSAS) confirmed by polysomnography.

Methods

Ten of the 14 children who completed the 12-month therapeutic trial using RME were enrolled in our follow-up study. The study was performed 24 months after the end of the RME orthodontic treatment. We enrolled all children presented with deep, retrusive or crossbite at the orthodontic evaluation. All subjects underwent an overnight polysomnography at the baseline, after 1 year of treatment and 24 months after the end of the orthodontic treatment. The children's mean age was 6.6 ± 2.1 years at entry and 9.7 ± 1.6 years at the end of follow-up.

Results

After treatment, the apnea hypopnoea index (AHI) decreased and the clinical symptoms had resolved by the end of the treatment period. Twenty-four months after the end of the treatment, no significant changes in the AHI or in other variables were observed.

Conclusions

RME may be a useful approach in children with malocclusion and OSAS, as the effects of such treatment were found to persist 24 months after the end of treatment.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Pediatric, Sleep Disease Centre, University of Rome La Sapienza-Sant’Andrea Hospital, Via Grottarossa 1035/1039, Rome, 00189, Italy

    Maria Pia Villa, Alessandra Rizzoli & Silvia Miano

  2. Department of Dentistry, Orthodontic Unit, University of Rome La Sapienza-Sant’Andrea Hospital, Via Grottarossa 1035/1039, Rome, 00189, Italy

    Caterina Malagola

  3. Pediatric Clinic, Sant’Andrea Hospital, Via Grottarossa 1035/1039, 00189, Rome, Italy

    Maria Pia Villa

Authors
  1. Maria Pia Villa
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  2. Alessandra Rizzoli
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  3. Silvia Miano
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  4. Caterina Malagola
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Correspondence to Maria Pia Villa.

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Villa, M.P., Rizzoli, A., Miano, S. et al. Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath 15, 179–184 (2011). https://doi.org/10.1007/s11325-011-0505-1

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  • DOI: https://doi.org/10.1007/s11325-011-0505-1

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