Obstructive sleep apnea and primary snoring: treatment

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doi:10.5935/1808-8694.2014s002

Cited by 7 publications

(2 citation statements)

References 110 publications

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“…The fact that our study, which focused on healthy children, revealed a widespread presence of signs and features of SDB suggests that these may frequently not be appropriately recognized or diagnosed in a large part of the young population. This might be due to either difficulties of access to diagnostic methods or weak perception of sleep problems [38].…”

Section: Discussionmentioning

confidence: 99%

Orofacial dysfunction screening examinations in children with sleep-disordered breathing symptoms

2023

Journal of Clinical Pediatric Dentistry

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Orofacial myofunctional disorders (OMD) and sleep-disordered breathing (SDB) may present as comorbidities. Orofacial characteristics might serve as a clinical marker of SDB, allowing early identification and management of OMD and improving treatment outcomes for sleep disorders. The study aims to characterize OMD in children with SDB symptoms and to investigate possible relationships between the presence of various components of OMD and symptoms of SDB. A cross-sectional study of healthy children aged 6–8 from primary schools was conducted in central Vietnam in 2019. SDB symptoms were collected using the parental Pediatric Sleep Questionnaire, Snoring Severity Scale, Epworth Daytime Sleepiness Scale, and lip-taping nasal breathing assessment. Orofacial myofunctional evaluation included assessment of tongue mobility, as well as of lip and tongue strength using the Iowa Oral Performance Instrument, and of orofacial characteristics by the protocol of Orofacial Myofunctional Evaluation with Scores. Statistical analysis was used to investigate the relationship between OMD components and SDB symptoms. 487 healthy children were evaluated, of whom 46.2% were female. There were 7.6% of children at high risk of SDB. Children with habitual snoring (10.3%) had an increased incidence of restricted tongue mobility and decreased lip and tongue strength. Abnormal breathing patterns (22.4%) demonstrated lower posterior tongue mobility and lower muscle strength. Daytime sleepiness symptoms were associated with changes in muscle strength, facial appearance, and impaired orofacial function. Lower strengths of lip and tongue or improper nasal breathing were more likely to be present in children with reported sleep apnea (6.6%). Neurobehavioral symptoms of inattention and hyperactivity were linked to anomalous appearance/posture, increases in tongue mobility and oral strength. This study demonstrates a prevalence of orofacial myofunctional anomalies in children exhibiting SDB symptoms. Children with prominent SDB symptoms should be considered as candidates for further orofacial myofunctional assessment.

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Section: Discussionmentioning

confidence: 99%

Orofacial dysfunction screening examinations in children with sleep-disordered breathing symptoms

2023

Journal of Clinical Pediatric Dentistry

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“…Ao analisar os resultados da escala de Epworth, verificou-se que todos os indivíduos apresentavam índices maiores que 5 pontos, dos quais 11 acumulavam no mínimo 10 pontos, demonstrando sonolência diurna excessiva, fato que pode estar relacionado com AOS, haja vista sua queda após o tratamento (Tabela 2). A literatura corrobora os achados que mostram que os indivíduos com grau de AOS moderado a grave, com pontuação igual ou superior a oito na escala de Epworth, terão melhoria dos sintomas de sonolência diurna, do tempo de reação aos estímulos e também da qualidade de vida com o tratamento dos distúrbios respiratórios do sono 15 .…”

Section: Discussionunclassified

Qualidade de vida em indivíduos com apneia obstrutiva do sono moderada a grave antes e após tratamento com pressão positiva contínua nas vias aéreas

2016

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Introdução: A apneia obstrutiva do sono (AOS) é caracterizada por episódios recorrentes de obstrução parcial ou total das vias aéreas superiores com duração de pelo menos dez segundos e frequência maior que cinco episódios por hora de sono. Objetivo: Analisar a qualidade de vida dos indivíduos portadores de AOS após tratamento com pressão positiva contínua nas vias aéreas (CPAP). Métodos: Estudo realizado com 20 indivíduos portadores de AOS com índice de apneia/hipopneia (IAH) maior que 15, identificados por meio de polissonografia (PSG). Os indivíduos foram submetidos a dois questionários de qualidade de vida antes e depois do tratamento. Resultados: Participaram do estudo 20 indivíduos adultos com idade média de 57±10 anos, índice de massa corporal (IMC) médio de 31,6±4,5 kg/m2 e circunferência cervical (CC) média de 38,7±2,8 cm. Observamos queda média de 6,6±4,6 pontos na escala de Epworth e 6,6±1,5 pontos na escala de Stanford, bem como ganhos que variaram de 5 a 100 pontos na escala de qualidade de vida. Conclusão: Indivíduos com AOS moderada a grave obtêm melhora na qualidade de vida com o uso da CPAP.

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