The role of rapid maxillary expansion in pediatric obstructive sleep apnea: Efficacy, mechanism and multidisciplinary collaboration

被引：13
作者：
Xie, Bintao [1 ,2 ,3 ,4 ]
Zhang, Lingling [1 ,2 ,3 ,4 ]
Lu, Yanqin [1 ,2 ,3 ,4 ,5 ,6 ]
机构：
[1] Hunan Key Lab Oral Hlth Res, Changsha, Peoples R China
[2] Hunan Clin Res Ctr Oral Major Dis & Oral Hlth, Changsha, Peoples R China
[3] Cent South Univ, Xiangya Stomatol Hosp, Changsha 410008, Hunan, Peoples R China
[4] Cent South Univ, Xiangya Sch Stomatol, Changsha 410008, Hunan, Peoples R China
[5] Cent South Univ, Xiangya Stomatol Hosp, Dept Orthodont, 72 Xiangya Rd, Changsha, Hunan, Peoples R China
[6] Cent South Univ, Xiangya Sch Stomatol, 72 Xiangya Rd, Changsha, Hunan, Peoples R China
来源：
SLEEP MEDICINE REVIEWS | 2023年 / 67卷
关键词：
Pediatric obstructive sleep apnea; Sleep-disordered breathing; Rapid maxillary expansion; Ef ficacy; Mechanism; Multidisciplinary team; BEAM-COMPUTED-TOMOGRAPHY; UPPER AIRWAY CHANGES; PALATAL EXPANSION; PHARYNGEAL AIRWAY; MANDIBULAR ADVANCEMENT; TONGUE POSTURE; FOLLOW-UP; CHILDREN; ADENOTONSILLECTOMY; VOLUME;
D O I：
10.1016/j.smrv.2022.101733
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
This review aims to provide current knowledge about the efficacy, mechanism, and multidisciplinary collaboration of rapid maxillary expansion (RME) treatment in pediatric obstructive sleep apnea (OSA). OSA is a chronic disease characterized by progressively increasing upper airway resistance, with various symptoms and signs. Increasingly the evidence indicates that RME is a non-invasive and effective therapy option for children with OSA. Besides, the therapeutic mechanism of RME includes increasing upper airway volume, reducing nasal resistance, and changing tongue posture. Recent clinical researches and case reports also show that a multidisciplinary approach improves sleep-disordered breathing in children. Applied with adenotonsillectomy, mandibular advancement, continuous positive airway pressure, and comprehensive orthodontic treatment, RME can be more effective in recurrent or residual OSA.(c) 2022 Elsevier Ltd. All rights reserved.
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页数：7
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