Perfil miofuncional orofacial de pacientes com distúrbios do sono: relação com resultado da polissonografia

Miranda, Vanessa Souza Gigoski de; Buffon, Gabriela; Vidor, Deisi Cristina Gollo Marques

doi:10.1590/2317-1782/20182018183

Cited by 8 publications

(7 citation statements)

References 11 publications

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“…The tendency of orofacial myofunctional changes in individuals with OSA has been demonstrated in another study, revealing that the greater the degree of structural impairment, the greater the severity of the disease 18 .…”

Section: Discussionmentioning

confidence: 80%

Prevalence of predictive factors for obstructive sleep apnea in university students

Santos¹,

Silva²,

Lima³

et al. 2022

Sleep Sci

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Objectives: To identify predictive factors for obstructive sleep apnea in university students. Material and Methods: Analytical, observational, cross-sectional study, conducted from August 2018 to February 2019. 144 students of both genders, informed of purposes and procedures, signed consent forms to participate. Procedures included measuring body mass index, abdominal, and neck circumference; inspecting tongue and oropharynx with Mallampati modified classification; answering Berlin questionnaire. Results: 63.9% had normal body mass index; 19.4% were overweight. 59.7% had normal abdominal circumference; 89.6%, normal neck circumference. 65.3% presented Mallampati class IV. 74.3% indicated no obstructive sleep apnea; 25.7% were at high risk. High risk for obstructive sleep apnea associated with body mass index (p<0.001), abdominal (p=0.006), and neck circumference (p<0.001). Discussion: Anthropometries were mostly normal, despite the high prevalence of changed Mallampati classification. Positively correlated predictive factors, also associated with high risk for obstructive sleep apnea, reinforce the need for such preventive measures in youth.

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Section: Discussionmentioning

confidence: 80%

Prevalence of predictive factors for obstructive sleep apnea in university students

Santos¹,

Silva²,

Lima³

et al. 2022

Sleep Sci

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“…Thus, a lower AHI would correspond to better results in rehabilitation, with favorable clinical outcomes. Researchers have found that the greater the degree of severity of apnea, the greater the degree of impairment of orofacial structures [ 37 ]. Accordingly, our results showed a trend, albeit without statistical significance, that individuals who did not show improvement in the degree of pharyngeal residue after swallowing therapy program exhibited higher AHI and higher likelihood of using CPAP.…”

Section: Discussionmentioning

confidence: 99%

Swallowing outcome to speech therapy intervention in resistant hypertensive patients with obstructive sleep apnea

Borges

Muniz

Ferreira

et al. 2022

Eur Arch Otorhinolaryngol

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Purpose To evaluate (i) the outcome of swallowing therapy program on the rehabilitation of oropharyngeal dysphagia in resistant hypertensive patients with obstructive sleep apnea (OSA) and (ii) the association between the clinical and anthropometric characteristics of these individuals and this outcome. Methods This was a prospective interventional study in which resistant hypertensives diagnosed with OSA by polysomnography and dysphagia by fiberoptic endoscopic evaluation of swallowing (FESS) participated. All participants underwent a FEES and assessment of the risk of dysphagia (Eating Assessment Tool, EAT-10) and swallowing-related quality of life (Swal–QoL) before and after the intervention. The therapeutic program was performed daily by the participants, with weekly speech-therapist supervision for eight weeks, including the following strategies: Masako, chin tuck against resistance, and expiratory muscle training. Results A total of 26 (78.8%) of the participants exhibited improvement in the degree of dysphagia in the intervention outcome. After the intervention, there was a statistically significant improvement in the level of penetration–aspiration ( p = 0.007), the degree of pharyngeal residue ( p = 0.001), the site of onset of the pharyngeal phase ( p = 0.001), and the severity of dysphagia ( p = 0.001) compared to before intervention. The EAT-10 score was 2 (0–6) before and 0 (0–3) after intervention ( p = 0.023). Swal–QoL had a score on the symptom frequency domain of 92.8 (75–100) before and 98.2 (87.5–100) after intervention ( p = 0.002). Conclusions Resistant hypertensive patients with OSA showed improved swallowing performance after swallowing therapy program. Supplementary Information The online version contains supplementary material available at 10.1007/s00405-022-07612-3.

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“…The latter is due to routine episodes of partial or total interruption of airflow in the upper respiratory tract caused by an anatomical obstruction in pharyngeal lymphoid tissue, making it collapse during sleep (2) . In children, its main causes include hypertrophy of pharyngeal and palatine tonsils, obesity/overweight, neuromotor diseases, and syndromes or changes related to the craniofacial complex (1)(2)(3)(4) . These aspects can impair children's global development, especially at school age when it is difficult to establish a sleep routine, compromising their weight, craniofacial, cardiopulmonary, neuropsychomotor, and behavioral growth, besides excessive daytime sleepiness and other disorders and habits unfavorable to restful sleep (3,5,6) .…”

Section: Introductionmentioning

confidence: 99%

“…(items 9, 10, and 11);(4) sleep anxiety (items 5, 7, 8, and 21); (5) nighttime wakefulness (items 16, 24, and 25); (6) parasomnia (items 12, 13, 14, 15, 17, 22, and 23); (7) SDB (items 18, 19, and 20); and (8) daytime sleepiness (items 26, 27, 28, 29, 30, 31, 32, and 33…”

mentioning

confidence: 99%

Sleep habits and orofacial myofunctional self-assessment of children at risk for sleep breathing disorders

Picinato-Pirola,

Lira,

Viana

et al. 2024

CoDAS

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Purpose To identify orofacial myofunctional complaints and sleep-disordered breathing and correlate them with sleep habits in childhood. Methods The study included 71 parents/guardians of public school children aged 6 to 11 years. They answered a form with semi-structured medical history questions and the Nordic Orofacial Test-Screening - interview, the Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, and the Children’s Sleep Habits Questionnaire - all of them in their Portuguese/Brazilian versions in an online format. Statistical analyses used Spearman’s correlation, setting the significance level at 5%. Results There were 29 female children (40.8%) and 42 male ones (59.2%), with a mean age of 8.52 years. The study found orofacial myofunctional complaints related to breathing functions (35.2%), chewing and swallowing (32.4%), and deleterious habits (33.8%). All children were at a low risk of sleep-disordered breathing. As for sleep habits, 23 children (32.39%) had a lower total score, whereas 48 children (67.61%) exceeded 41 points. Conclusion There was a correlation between the risk of sleep-disordered breathing in children with complaints of orofacial myofunctional disorders and poor sleep quality/habits.

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Perfil miofuncional orofacial de pacientes com distúrbios do sono: relação com resultado da polissonografia

Cited by 8 publications

References 11 publications

Prevalence of predictive factors for obstructive sleep apnea in university students

Prevalence of predictive factors for obstructive sleep apnea in university students

Swallowing outcome to speech therapy intervention in resistant hypertensive patients with obstructive sleep apnea

Sleep habits and orofacial myofunctional self-assessment of children at risk for sleep breathing disorders

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