The essential feature of paediatric sleep-disordered breathing (SDB) is increased upper airway resistance during sleep presenting clinically as snoring. Paediatric SDB is a continuum ranging from primary snoring (PSI, which is not associated with gas exchange abnormalities or significant sleep fragmentation, to obstructive sleep apnoea (OSA) with complete upper airway obstruction, hypoxaemia, and obstructive hypoventilation. Adenotonsillar hypertrophy, obesity and craniofacial disharmonies are important predisposing factors in the development and progression of paediatric SDB. Clinical symptoms are significant and domains affected include behaviour, neurocognition, cardiovascular morbidity and quality of life. Overnight polysomnography is the current diagnostic gold standard method to assess SDB severity while adenotonsillectomy is the recommended first line of treatment. Other treatments for managing paediatric SDB include nasal continuous airway pressure, the administration of nasal steroids, dentofacial orthopaedic treatment and surgery. However, there are insufficient long-term efficacy data using dentofacial orthopaedics to treat paediatric SDB. Further studies are warranted to define the characteristics of patients who may benefit most from orthodontic treatment.
机构:
Virginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
Baldassari, Cristina M.
Mitchell, Ronald B.
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St Louis Univ, Sch Med, Cardinal Glennon Childrens Med Ctr, Dept Otolaryngol Head & Neck Surg, St Louis, MO 63103 USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
Mitchell, Ronald B.
Schubert, Christine
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Virginia Commonwealth Univ, Med Ctr, Dept Biostat, Richmond, VA 23284 USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
Schubert, Christine
Rudnick, Emily F.
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Univ Washington, Med Ctr, Reg Med Ctr, Seattle, WA 98195 USA
Seattle Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Seattle, WA USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
机构:
Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
Baratieri, Carolina
Alves, Matheus, Jr.
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Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
Alves, Matheus, Jr.
Gomes de Souza, Margareth Maria
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Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
Gomes de Souza, Margareth Maria
de Souza Araujo, Monica Tirre
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Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
de Souza Araujo, Monica Tirre
Maia, Lucianne Cople
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Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
机构:Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
Bhattacharjee, Rakesh
Kheirandish-Gozal, Leila
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机构:Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
Kheirandish-Gozal, Leila
Pillar, Giora
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机构:Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
Pillar, Giora
Gozal, David
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Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USAUniv Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
机构:
Virginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
Baldassari, Cristina M.
Mitchell, Ronald B.
论文数: 0引用数: 0
h-index: 0
机构:
St Louis Univ, Sch Med, Cardinal Glennon Childrens Med Ctr, Dept Otolaryngol Head & Neck Surg, St Louis, MO 63103 USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
Mitchell, Ronald B.
Schubert, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Virginia Commonwealth Univ, Med Ctr, Dept Biostat, Richmond, VA 23284 USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
Schubert, Christine
Rudnick, Emily F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Med Ctr, Reg Med Ctr, Seattle, WA 98195 USA
Seattle Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Seattle, WA USAVirginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA
机构:
Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
Baratieri, Carolina
Alves, Matheus, Jr.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
Alves, Matheus, Jr.
Gomes de Souza, Margareth Maria
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
Gomes de Souza, Margareth Maria
de Souza Araujo, Monica Tirre
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h-index: 0
机构:
Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
de Souza Araujo, Monica Tirre
Maia, Lucianne Cople
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h-index: 0
机构:
Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, BrazilUniv Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, BR-21941617 Rio De Janeiro, Brazil
机构:Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
Bhattacharjee, Rakesh
Kheirandish-Gozal, Leila
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h-index: 0
机构:Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
Kheirandish-Gozal, Leila
Pillar, Giora
论文数: 0引用数: 0
h-index: 0
机构:Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
Pillar, Giora
Gozal, David
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h-index: 0
机构:
Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USAUniv Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA